HomeMy WebLinkAboutPermit Sidewalk 2009-1-12
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00043
ISSUED: 01/12/2009
APPLIED: 01/12/2009
EXPIRES: 07/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1366 QUINAL T ST
ASSESSOR'S PARCEL NO.: 1703253200400
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Sidewalk Repair
Owner:
Address:
LEON DAVID E & SHANNON
1366 QUlNALT ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
TOM ROGGE - CITY CONTRACTOR
I BUILDING INFORll:1A nON,
License
Expiration Date Phone
541-741-8134
# of Units:
Primary Occnpancy 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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Flo'or:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
r-",.
REQUIRED PARKING
\
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Covera.~cr:rENTION: Oreqon law requires you to
follow rules_ adopted by the ,Oregon ~~lity._
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Street Improvements:
Storm Sewer Available:
Special Instruction: -..
I PUBLIC IMPROVEl\'lElI/'fS;li2-001-001 0 through OAR 952-001-
UUl!U. YOU meS'8bta\'kT'loie.s of the rules by
calling the cJnf~~ \'''G~Be'(he telephone
number for tDowrtsp:outsi'il'raiils:otificalion
Center is 1-800-332-2344).
Notes:
NOTICE: _. ,,, DIOJ: II=THEWOf\K
1 HI" t'tf\IVIII :.1 ,hd:. [" MI-' I" tl' 'I
v R THIS PER II v 'w I
AUTHORIZED UNDE BANDONED ~r}taluation Descriotion .
COMMENCED OR IS A
D . 't"" 180 D-w DJ:P\f1D.t. $ Per Sq Ft Sqnare Footage
eSCflJ,} 100 'f)1>e bf Olns rncllon I . I' B'd A
or mn tip ler or I mount
Valne
Date Calculated
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Paee I of2
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~tatus
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00043
ISSUED: 01112/2009
APPLIED: 01112/2009
EXPIRES: 07/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid I
Fee Description
Amonnt Paid
Date Paid
Receipt Nnmber
Total Amonnt Paid
$0.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. 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
work day.
I . Re~lIired Insnections I
Sidewalk - Setback: After forms are erected bnt prior to placement of concrete.
By signatn're, 1 state and agree, that 1 have carefnlly examined the completed application and do hereby certify that all
information hereon is trne and correct, and 1 fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of tbe City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, and
that NO OCCUPANCY will be made of any stroctnre 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.
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Owner or contractor:~~e Date
Paee 2 of2