HomeMy WebLinkAboutPermit Sidewalk 2002-04-23Job# 02-00452-01
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 02-00452-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00101
Subdivision:
SPRINGF!ELD
h,
225Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1702 00028th St Spr
AssessorsMap#: 17032541
Lot: Block: Addition:
crTY oF SPRINGFTELD, OREGOTV
Owner: McKay lnvestments
Address: 2350 Oakmont WaY #204
Scope Of Work: Sidewalk
Phone Number:
City/State/Zip:
New
541-485-4711
Eugene, OR 97401
Value: $0
Contractor is fixing portion of the sidewalk for the City
Contractor Type
Contractor - ROW
Contractor
lmbler Construction
PO Box 246, Veneta, OR 97487
Registration #
72393
Expiration Date
1t29t2001
Phone
541 -954-9600
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Public Works
SW-Curbside -After forms are erected but prior to placement of concrete
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. F
Main:
# Of Stories: Height (feet):
Gurrent Units: ProPosed Units:
Census Code: Does not apply
Accessory Total
Job# 02-00452-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Public Works
New Sidewalk
Total Public Works
25 $.00
$.00
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
n6reby certify that all information is true and correct, and I further cgrtify tfqt any-91d all work
performed shall be done in accordance with the Ordinances of the City of Springfield, applicable City
Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work
described herein. I further certify that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I also understand the City may inspect the work described
on this permit any time during a one year period following notice of completion, at the City's
$.00
{- z-= ^o L
DateSignature