HomeMy WebLinkAboutPermit Sidewalk 2003-06-27Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2003-00551ISSUED: 0612712003APPLIEDz 0612612003
EXPIRESz 1212712003
VALUE:
SITE ADDRESS: 1280 34TH ST
ASSESSOR'S PARCEL NO.: 1702303407601
PROJECT DESCRIPTION:
TYPE OF USE:
Sidewalk repair work for the Public Works Maintenance.
Springfield TYPE OF WORK: Sidewalk
New Residential
Owner:
Address:
LOCKS MARIE P
PO BOX 2982 EUGENE OR 97402
Contractor Type
Applicant
Owner
Right of Way
Contractor License
CITY OF SPRINGFIELD- PUBLIC WKDEPT
LOCKS MARIE P
THOMAS ROGGE 110976
Expiration Date Phone
05/11/2005 s41-s13-1075
CONTRACTOR INFORMATION
)RMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street ImproYements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh oILot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARJilNG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Paee 1 of2
--IL
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00551ISSUED: 0612712003APPLIEDz 0612612003
EXPIRESz 1212712003
VALUE:
Description Type of Construction
Fee Description
Total Amount Paid
Total Value of Project
Date Paid
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount Value
Receipt Number
Date Calculated
Amount Paid
$0.00
Fees Pa
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.
I Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 Springfield 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 permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction..1 \41 T-",* J
Reouired Insnections
Owner or Contractors d/"to."
Pase2 of?
Date
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