HomeMy WebLinkAboutPermit Sidewalk 2009-1-12
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00046
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: 1460 G ST
ASSESSOR'S PARCEL NO.: 1703362204601
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Sidewalk Repair
Owner: MCKENZIE WILLAMEITE REGIONAL MEDICA
Address: PO BOX 190700
SAN FRANCISCO CA 94119
I. CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
TOM ROGGE - CITY CONTRACTOR
BUILDING INFORMATION I
License
Expiration Date Phone
541-741-8134
# 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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
Street Improvements:
Storm Sewer Available: NOT! C E:
Special Instruction: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
^~" I 1,..... rt .. . - -- --
.... f IVV unl rl-n"...
-- I Valuation Descriotion I
~TTF~ITlnN: Oreoon law requires you to
I PUBLIC IMPROVEMENTS'I'oW rules adopted by me uregon UlIIllY
. . _ .Jication Center. Those rules are set forth
in OAR tSideWaIIDII"ype:lfough OAR 952-001-
0090. y"" mav obtain CQpies of the rules by
. DownspoutsroralDs: th t lephone
calling tne (,fClll\::n. \1'fVll;i. e e .. .
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
Total Amonnt Paid
Amount Paid
$0.00
Total Valne of Project
Fee. Paid I
Date Paid
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00046
ISSUED:. 01112/2009
APPLIED: 01/12/2009
EXPIRES: 07/12/2009
VALUE:
Receipt Nnmber
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 Rein' 'I,d Tn.neetion.'
II II 1 "II ...
Sidewalk - Setback: 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 tbe 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 compli_ance withORS 701.005 will be used on this project.
I further agree to ensure that aU 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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