HomeMy WebLinkAboutPermit Sidewalk 2009-3-20
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00368
, ISSUED: 03/20/2009
APPLIED: 03/20/2009
EXPIRES: 09/20/2009
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2345 SHADYLANE DR
ASSESSOR'S PARCEL NO.: 1703271100200
SPRlNGFlETYPE OF WORK: Sidewalk
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Sidewalk Repair
Owner: CAREY HELEN
Address: 2345 SHADYLANE DR
SPRlNGFlELD OR 97477
I CONTRACTOR INFORMATION 1
Contractor Type
General
Contractor
TOM ROGGE - CITY CONTRACTOR
BUILDINGINFORMA TION,
License
Expiration Date Phone
541-741-8134
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constr,uction 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:
n/a
I. DEVELOPMENT INFORM^; TION .1
REQUIRED PARKING
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
#8treet Trees Rqd:'
Paved. Driv~ Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street ImproAfY'EfflioN: Oregon law requires you to St~walk Type: ORK
Storm Seweft~:vailable:; adopted by the Oregon Utility NOTIC.E: lMI?~~/Qr\3m'i:I'IRE IF THE W
Special InstrnCtion:ion Center, Those rLiles are set forth TH\S,~ , UNDER THIS PERMIT IS NOT
in OAR 952-001-0010 through OAR 952-001- AUTHORIZED ABANDONED FOR
Notes: 0090. You may obtain copies of the rules by COMMENCED OR IS
calling the cent,~r. (Not,8:.!,he .t~h'!p,~o,~:_ ANY 180 DAY PERIOD.
IIUllIUC;, IVI lllCi ......,'-'::1....." ---:"" . .-....--.,--
Center is 1-800-332-23Ii"v., I t' D '. t' I
' a ua JOn escrm JOn
Description
Troe of Construction
$ Per Sq Ft
or multiplier
Square Footage
o'r Bid Amount
Value
Date Calculated
P~ee 1 of2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00368
ISSUED: 03/20/2009
APPLIED: 03/20/2009
EXPIRES: 09/20/2009
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project ,
Fees Paid 1
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount 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.
Re'}uired Tn.specti?n,~ 1
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 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 ofthe Community Services Division, Building Safety.
I further certify that only contractors_aod'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 tbe
street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times during construction. ."
~ Ony. ~-do- ocr
Owner 'or Contractors signatureU I -, Date
Paee 2 of 2