HomeMy WebLinkAboutPermit Curb Cut 2009-2-3
Status
Pending
CIT'Y OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00158
ISSUED: '
APPLIED: 02/03/2009
EXPIRES:
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 I nspection Line
SITE ADDRESS: 729 67TH ST
ASSESSOR'S PARCEL NO.: I70234II03II2
Springfield TYPE OF WORK: Curbcut
TYPE OF USE: Alteration
Residential
PROJECT DESCRiPTION:
Owner: STEPHENS RICHARD A
Address: 729 N 67TH ST
SPRlNGFffiLD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION 1
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: ,Y
"
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
ATTENTION: Oregon la,l,PEVELOeMENTINFORMATION I
follow rules adopted by the Oregon Utility
Frontyard Setb:tck:ification Center, Those rules arOvei-J'aytOist:
Side I Setback: in OAR 952-001-0010 through OAP#?St?-.!t~'rrees Rqd:
Side 2 Setback: 0090. You may obtain copies of thpavb'i!'D'wve Rqd:
Rearyard Setback::alling the center. (Note: the tel;Y;;>\;filfot Coverage:
Solar Setbacks: number for the Oregon Utility Notillcatlon
Center IS 1-800-332-2344\.
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE: Sidewalk Type:
THIS PERMIT SHALL EXPIRE IF THE WORK Downspouts/Drains:
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae;e I of2
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Status
Pending
CITY OF SPRINGFIELD -
Bu..i1ding/Combination Permit
PERMIT NO: COM2009-00158
ISSUED:
APPLIED: 02/0312009
EXPIRES:
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 I
Fee Description
+ 5% Technology Fee
Overwidth Application Fee
Amount Paid
Date Paid
Receipt Number
$2.25
$45.00
2/3/09
213/09
3200900000000000061
3200900000000000061
Total Amount Paid
$47.25
I Plan Reviews 1
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.
I Reol/ired Insnections ,
Curbcut - Second: 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 descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission 'of the Community Ser;vices 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
cZ yc.p,f- 'j-Z!.rd!
,
Owner or Contractors Signature
Date
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