HomeMy WebLinkAboutPermit Curb Cut 2004-6-22 (2)
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
C:41-726-37b9Tnspectio~
~
. CITY OF ~rKlNGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00718
ISSUED: 06/22/2004
APPLIED: 06/17/2004
EXPIRES: 12/2212004
VALUE:
Status
Issued
SITE ADDRESS: 642 MANSFIELD ST Sf~w~eld TYPE OF WORK: Curbcut
ASSESSOR'S PARCEL NO.: 1703233411lIMh laW requireS Utility
J1EN110N: ore~d by tl18 Oregon t lorto TYPE OF USE: Alteration
PROJECT DESCRIPTIO~:O\l}rij.eway!a'pproa~lise rules are s~" 001-
lOll '. center.' I U ... OJl,R 9..."-
I. _.ai....:::\t\OO - --.... n +hrnUQII .l...r "'\I
Owner: CAMERERi~m~r:yJj,~~;r:bt~\n copies 01 '~;~p~one
Address: 642 MANSFI~S:i'7011PR'1Ne~f~~ltndm.tY7)~btilicatiOn
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nurn center 151 'CONTRACTOR INFORMATION I
Residential
Contractor Type
General
Contractor
DAN JOHNSON CONSTRUCTION
License
110404
Expiration Date
12113/2005
Phone
5414840869
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Croup:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
. Ce:. SprinkJed~i\lImgJ<'
,H,l\~. ~..AII C'lPiKt1f-1 .'0- _ ..".,.
\ fllS I'Et\~~~ U\i,.rDi'(EIl9~~tN~ \N'il.o'iWATION ,
..\U1 hO~\ O~ IS !\t\I\\Wu"--
'uMMENCEO
l, 00 OP,'{ Pt~IOO.Overlay Dist:
PINY i u # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee I of2
.
. CITY OF SPlUl'l\Jt<lJ!.LD
Building/Combination Permit
PERMIT NO: COM2004-00718
ISSUED: 06/22/2004
APPLIED: 06/1712004
EXPIRES: 12122/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I, Fp.p.s Pai.llJ
Fee Description
Curhcut Permit
Amount Paid
Date Paid
$75.00
6/17/04
Receipt Number
2200400000000000794
Total Amount Paid
$75.00
I Plan Reviews I
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.
L.Rp.ouirp.d InsnectionsJ
Curbcut - Standard: After forms are erected hut prior to placement of concrete.
,
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne 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 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 readahle 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 during construction.
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;;'- d.. d-.. - 0'+
Date
Paee 2 of2