HomeMy WebLinkAboutPermit Sidewalk 2004-12-17OF SPRIN F'IELD
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
coM2004-01553
12n7t2004
SITE ADDRESS: 718 28TH ST Spring{ield TYPE OF WORK: Curbcut
ASSESSOR'S PARCEL NO.: 1703361111301
TYPE OF USE: use initials
PROJECT DESCRIPTION: Second Driveway reviewed by Robert Wilson 1211512004
Residential
Owner:
Address:
CLARK KENNETH C & MICHELLE A
39400 OAK VIEW LN CHERRY VALLEY CA 92223
Contractor Type Contractor License Expiration Date Phone
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
IIlhr
nla
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Scwer Available:
Special Instruction:
Notes:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Sidewalk Type:
DownspoutslDrains:
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
Total Value of Project
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I
Value Date Calculated
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Valuation Description I
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Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54l-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-01553
ISSUED:APPLIED: 1211712004
EXPIRES:
VALUE:
Fee Description Amount Paid
$0.00
Date Paid Receipt Number
Total Amount Paid
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 work
day.
Reouired Insnect
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Spring{ield 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 ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the card is located at the front of the property, and the approved set of plans wiII remain on the site at all
times during
-D
Owner or Signature Date
Pase 2 oI 2
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