HomeMy WebLinkAboutPermit Sidewalk 2009-2-19
,..
'::"G.2".UilIG!FI"""jJ
~..~'
;
..,~ "
... _".m~'~'".'c_~. W>' . j
Status:
Tssued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00240
ISSUED:. 02/19/2009
APPLIED: 02/19/2009
EXPIRES: 08/1912009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726.3769 Inspection Line
SITE ADDRESS: 413 71ST ST
ASSESSOR'S PARCEL NO.: 1702352402200
Springfield TYPE OF
Sidewalk
TYPE OF USE: . Repair
Residential
PROJECT DESCRIPTION: Sidewalk Repair
Owner: HALE DONALD F
Address: 7424 JURIL LN SE
SALEM OR 97317
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
TOM ROGGE - CITY CONTRACTOR
I BUILDING INFORMATION I
License
Expiration Date Phone
541-741-8134
#of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft
Sq Ft Oth er:
Occupant Load:
n/a
REQUIRED PARKING
Frontyard Setback: . Overlay Dist: Total:
Side I Sethack: '''. ,"'" # Street Trees Handicapped:
Side 2 Sethack: Paved Drive Rqd: Compact:
~:~~!back: '. % of Lot Covera!JffTENTION: Oregon law requires you, ~o
~'t\{~: follow rules adopted by the Oregon Utility
AUTH~~~;~~ ~~~~~ ~~~EI;~:i[,~'v~~tL1C IMPROVE~~;1~t52-~O; ~oii16:~~r:~u~~ ?~~~~ ;50~:~~~~
sJiOMMENCED OR IS ABANDONED FOR' 0090. YOU rrS'iil.Rli~Wl1..P.9'p'i~S of the rules by
A'Ntr 180 DAY PERIOD. .' calling the ceni'er. '(M':!{&:the telephone
Storm Sewer Available: . number forDbl\'nslll\lft!lli#il~sNotlflcatlon
Special Instruction: '. . Center is 1-800..332-2344).
I ~EVELOPMENT INFORMATION I
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage .
or Bid Amollnt
Value
Date CaIclllated
I of 2
Status:
Issued
CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2009-00240
ISSUED: 02/1912009
APPLIED: 02/19/2009
EXPIRES: 08/19/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~ F~p<, ~
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount
$0.00
, Plan Reviews I
To Request an inspection call the 24 hour recording lit 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wi II be made the following
work day.
Rponjrprl TnslJections ,
Sidewalk - Curbside: After forms are enicted 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 bereon 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 wiD be made of any structure without permission ofthe 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 tbeproper time, that eacb address is readable from
the street, that the permit card." located at the front of the property, and the approved set of plans wiD remain on the site
at all times during constrUCi1' n.
. C\7'...... (.:\A' _ d- \ <1 - () '1'
Owner or Contractors Signat ' Date
2 of 2