HomeMy WebLinkAboutPermit Sidewalk 2005-9-15
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD C"!l
Building/Combination Permit I
PERMIT NO: COM2005-01262
ISSUED:
APPLIED: 09/15/2005
EXPIRES:
VALUE:
~
SITE ADDRESS: 5071 MAIN ST ATTENTION: Or~pringfielll}~~ s:tIUWPRK: Sidewalk
ASSESSOR'S PARCEL NO.: 170233320n01>w rule~ adopted by the Ore~on Utility
Notification Center. Those ruIE'.1iYJ}!j: ~J{ M~J;: Repair
PROJECT DESCRIPTION: Sidewalk rp.p~f~~~9!!!!ll)trfe~~IlY l!1!t'J~!~r.!~I~r~,I:'~_~vil1~r and Mike Risley
. oo~n Ynll m;::!\1 nht:::lin ("'nni~c:: nf tho rl doc hu
Owner:
Address:
VASQUEZ JULIO R
5071 MAIN ST
SPRINGFIELD OR 97478
Owner: FARFAN SANDRA V
Address: 5071 MAIN ST
SPRINGFIELD OR 97478
Contractor Type
Contractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
, Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Commercial
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
I CONTRAC,uluNFORMATION I
License
Expiration Date Phone
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENTINFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I rUDLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
t;,"'!'.''':'
~'~IS ';~R"iIT SHALL EXPIRE IF THE WORK
AUl HOH,ZED UNDER THIS PEMMIT IS NOT
CUi,'h,ENCED OR IS ABA~[)ONED FOR
AI~Y 180 DAY PERIOD.
Paee I 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 DescriDtion I
$ Per Sq Ft
or muitiplier
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01262
ISSUED:
APPLIED: 09/15/2005
EXPIRES:
VALUE:
Square Footage
or Bid Amount
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Value
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
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 of the 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
I street, that the per' rd is iocated at the front of the property, and the approved set of plans will remain on the site at all
: times during c ""tr ti~na _
Owner or Contractors Signature
Page 2 of2
9j!5/oS
Date I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-0 1262
Payments:
Type of Payment
Cash
9/15/2005
.
RECEIPT #:
Deserlptlon
Sidewalk Repair Pennit
Paid By
PROGRESS AUTOMOTIVE
J7~~:~
Wit. .
2200500000000001271
Received By
CAS
Cbeck Number
Batch Number
Page I ofl
City of Springfield Official Receipt
evelopment Services Department
Public Works Department
Date: 09/15/2005
Item Total:
Authorization
Number How Received
In Person
Payment Total:
2:48:16PM
Amount Due
10.00
SIO.OO
Amount Paid
SIO.OO
S10.00