HomeMy WebLinkAboutPermit Sidewalk 2009-3-20
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676'Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00367
ISSUED:
. APPLIED: 03/20/2009
EXPIRES:
VALUE:
. ~
SITE ADDRESS: 55 GREENV ALE DR
ASSESSOR'S PARCEL NO.: 1703271000100
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Sidewalk repair
- .
Owner: KELLY &GRE GENESS
Address: 55 GREENV ALE
SPRINGFiELD OR 97477
I
,
I
I CONTRACTOR INFORMATION'
Contractor Type
General
Contractor
TOM ROGGE - CITY CONTRACTOR
BmLDlNG INFO~ :no~,
./ License
Expiration Date Phone
541-741-8134
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# or Bedrooms:
# or Stories:
HeighfOf Structure
Type or Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemen t:
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:
% or Lot Coverage:
REQUIRED PARKING
'Total:
Handicapped:
Compact:
.. ~''''''.''.~'''
I ~UBLIC IMPROVEMENTS I
Street Improvements: '. to Sidewalk Type:
TTr-~ITION: Oregon law reqUires you. NOTICE
Storm Sewer ~vailable: S adopted by the Oregon Utility : DOlfASJ\OptsLllriIWs.
. t(",.ow IU,<J I e set forth THIS PERMIT :JHI\LL tXf'llit IF THE WORK
Spec.allnst'i%\\?'l',;;tion Center. Those ru es ar 2001- AUTHORIZED UNDER THIS PERMIT IS NOT
in OAR 952-001-001 0 throu.gh OAR 95 - _
Notes: 0090, Vou may obtain caples of the rUlel~ebY COMMENCED OR IS ABANDONED FOR
~ollinn the center. (Note: the tel~p~~,,__ A~IV 1 Rn nAV PERIOD.
b f. r the uregull UlIlUY .~,-,.,,,-----
num erc~nter is 1-800-332-~3V'\iluation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated.
Paee 1 or 2
,-
Status
Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
Total Amount Paid
Amount Paid
$0.00
Total Value of Project
F~es Paid ~
Date Paid
I Plan Reviews I
CITY OF SrK.ll~\.JFIELD
Building/Combination Permit
PERMIT NO: COM2009-00367
ISSUED:
APPLIED: 03/20/2009
EXPIRES:
VALUE: .
Receipt Number
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. win be made Ihe following
work day.
I Re'1ui.red T~.s?"ct!'!~s .
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
By signature, I state and agree, that I bave 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 descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify tbat 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 durin~,.onstruction. sY
~.
Owner or Co~tractors Signa -
Page 2 of2
3-dCJ
01'
Date