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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 bllow rules adopted by the Oregon NO: Notification Center.Those rules are set h oAR 9s2{01 -0010 through OAR 0090. You maY obtain copies ol the rules EXPIRES: the center.(Note:the telephond/ALUE:calling t utL|-rtl\(, rNwr(rYrA r r\,N_. Valuation Description I 5FRril6FrALg ITY 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 rees raro I