HomeMy WebLinkAboutPermit Sidewalk 2005-10-14
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. CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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\<:'o~ PERMIT NO: COM2005-01443
'0"'0 ISSUED:
APPLIED: 10/14/2005
EXPIRES:
VALUE:
SITE ADDRESS: 3995 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1702200000700
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: use initials
PROJECT DESCRIPTION: City contractor sidew'ltIf'fl:!!W1tJI\l: f.!;'h~)~m.'!~'.'~9.;'tJ~~9bi.l'n~ect
fnll"w rlll~c:. ~rlnntprl n\l th,::t. ()rp,nnn Iltilit\l
Owner: MENTAL HEALTH FOR Notification Center. Those rules are set forth
Address: 3995 MARCOLA RD in OAR 952-001-0010 through OAR 952-001-
SPRINGFIELD OR 97478 0090. You may obtain copies of the rules by
Owner: CHILD CENTER THE INC calling the center. (Note:the telephone
Address: % WELLARD BILL 3995 MARCOLA IIIDnber for the Oregon Utility Notification
SPRINGFIELD OR 97477 Center is 1-800-332-2344).
Owner: CHILDREN INC
Address: 3995 MARCOLA RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Right of Way
Contractor
THOMAS ROGGE
License
Expiration Date Phone
741-8134
I BUILDING INFORMATION I
# 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 DEVELOPMENTINFORMATION 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:
I PUBLIC IMPROVEMENTS I
Street Improvements: .
Storm Sewer Available:
Special Instruction:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 1110 DAY PERIOD.
Sidewalk Type:
DownspoutslDrains:
Notes:
Pa~e 1 of2
.
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
. Type of Construction
Fee Description
Total Amount Paid
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01443
ISSUED:
APPLIED: 10/14/2005
EXPIRES:
VALUE:
Value'
Date Calculated
Total Value of Project
F..... P.9id ,
Amount Paid
Date Paid
Receipt Number
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
$0.00
I Plan Reviews I
lJeouire~ Irl~Vf\~~tion~ I
By signature, I state and agree, that I have carefully examined the completed application and do bereby certify that all
Information hereon is true and correct, and I further certify tbat 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 berein, and
that NO OCCUPANCY will be made of any structure without permission of tbe 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 du~~tion. ~0f.
Owner or Contractors Signatur~ J {J
Pa~e 2 of2
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GO - (4--CIS.
Date