HomeMy WebLinkAboutPermit Sidewalk 2004-6-2
.
Status
Issued
~
. LIl f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00614
ISSUED: 06/02/2004
APPLIED: OS/25/2004
EXPIRES: 12/02/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1526 Main St
ASSESSOR'S PARCEL NO.: 1703363202601
Springfield
TYPE OF WORK: Sidewalk
TYPE OF USE:
PROJECT DESCRIPTION: Sidewalk repair for City of Springfield Maintenance
Repair
Residential
Owner: BENSON ARL YS L TE
Address: PO BOX 7455 EUGENE OR 97401
Owner: HAROLD P BENSON TRUST
Address: PO BOX 7455 EUGENE OR 97401
Owner: ROYAL CHATEAU
Address: PO BOX 7455 EUGENE OR 97401
Owner: BENSON HAROLD P TE
Address: PO BOX 7455 EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Right of Way
Contractor
THOMAS ROGGE
License
110976
BUILDING INFORMATION I
Expiration Date
05/11/2005
Phone
541-513-1075
# 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 DEVELOPME1'. lluORMATION I
Front yard Setback:
Side I 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:
Sidewalk Type:
DownspoutslDrains:
Notes:
Pal!e 1 of2
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00614
ISSUED: 06/0212004
APPLIED: OS/25/2004
EXPIRES: 12/02/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Fp.p.s Paid I
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews ,
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.
~uirp.d l\1;sop.rtioW
1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
By signature, I state and agree, that I bave carefully examined tbe completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and aU 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
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.
rr:-Q / 0~ ~ 0'-\
Owner or contr~c~Signature Date
Pal!e 2 of2