HomeMy WebLinkAboutPermit Curb Cut 2003-05-28Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 InsPection Line
SITE ADDRESS: 717 19TII ST
ASSESSOR'S PARCEL NO.: 1703361212300
PROJECT DESCRIPTION: curbcut approach permit only
OWNET: CHAVEZFRANCISCOQ
Address: zri x rqrH sr SPRINGFIELD oR 97477
B uildin g/ C o mb in atio n P er rnit
PERMIT NO: COM2003-00413ISSUED: 0512812003
APPLIEDz 0512812003
EXPIRESz l\12812003
YALUE:
Curbcut
New
Springfield TYPE OF WORK:
TYPE OF USE:Residential
REQUIRED PARKING
Total:
Handicapped:
Compact:
Contractor TYPe
Owner
# of Buildings:
Primary OccuPancY GrouP:
Secondary OccuPancY GrouP:
Primary Construction TYPe
Secondary Construction TYPe:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Contractor
CHAVEZFRANCTSCO Q
License Expiration Date Phone
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CarPort
Sq Ft Other:
Impervious Surface Area:
# of Stories:
Height of Structure
Type of Heat:
Water TyPe:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Street ImproYements:
Storm Sewer Available:
Special Instruction:
Notes:
Description Type of Construction $ Per Sq Ft Square Footage
Sidewalk TyPe:
Downspouts/Drains:
TotalYalue of Project
,,
VaIue Date Calculated
Valuation Description I
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Buildin g/ C o mbin ation p e rrnit
PERMIT NO: COM2003-00413ISSUED: 0512812003APPLIED: 05/2812003
EXPIRESz 1112812003
VALUE:
Fees Paid
Fee Description
Curbcut Permit
Amount Paid
$75.00
$75.00
Date Paid
5t28t03
Receipt Number
1200200000000001336
Total Amount Paid
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working dayo inspections requested after 7:00 a.m. will be made the following work
day.
I Curbcut , Standard: After forms are erected but prior to placement of concrete.
By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true-ana correct, and I further certify that any and all work performed shall be done in accordance with
the ordinances of the city of springfietd and the Laws of the state of oregon pertaining to the work described herein, and
that NO OCCUPANCy will be made of any structure without permission of the Community Services Division, Building Safety'
I further certify that only contractors and employees who are in compliance with oRS 701.005 will be used on this project'
I further agree to .r,rr." thut all required iorp""iior,s are requesteo at ttre proper time, that each address is readable from the
street, that the permit card is rocated at the front of the property, and the approved set of prans wil remain on the site at all
times during construction.
or Contractors Signature
/ zr- c7
Date
Pase 2 of 2
TL
225 Fifth Street
Springfietd, Oregon 97 477
541-726-3759 phone
Ciry of Springfield
Developmen t S ervice. oup "rtii"oipublic Works nepartmeni
coM2003-00413
Receipt #:120020000000000 1336
Curbcut Permit
Date: 0S/28t2003
Item Total:
Ofliciat Receipt
75.00
Payments:
Cash F. CHAVEZ
5/2812C,03 |0:52:23ANI
wJ
In Person
Payment Total:75.00
$7s.00
Page I of I
cReceipt.rpt
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