HomeMy WebLinkAboutPermit Sidewalk 2004-3-18
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00255
ISSUED: 03/1812004
APPLIED: 03/0812004
EXPIRES: 09/1812004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 663 NORTHRIDGE A Vii;: OTlCE: Springfield TYPE OF WORK: Sidewalk
ASSESSOR'S PARCEL NO.: 1703261201418 i HIS PERMIT SHALL EXPIRE IF THE WOR~
,IITHORIZED UNDER lT1'\:!'lJrnwsus NORepair
PROJECT DESCRIPTION: Sidewalk repair for'[~rvMl'JNe'!:~'\'lR IS ABANDONED FOR
,A\:~'! (:~ r.fI:' ~~olnn
Residential
.,.
Owner: SHARI R HIATT LIVING TRUST
Address: 663 NORTHRIDGE AVE SPRINGFIELD OR 97477
Owner: HIATT SHARI R TE
Address: 663 NORTHRIDGE AVE SPRINGFIELD OR 97477
Contractor Type
Right of Way
Contractor
THOMAS ROGGE
,/outu
, CONTRACTOR INFORMATION~I.lles Utili\)'
- egon
I 'ON..or"',l~ "tne UI _~ set 101
P.\\to\,.il, 5 adoptedi3~~tn,s..ees aExp~ra!ion Date
\ollow ru = rAnter .1'r.J.!l.9,?f!on Op.\". ~:9~!H/2005
BUliDING~INFoRMA:iioN;lpies O\~i~pno~e
\I ~~ '(ou {1\a~ -- ef. ~NO\e'. ~~e NotilicatlOn
c#lor-Stories:~e cent on UtIlII\' ,Lot Size:
.dIU\l,l~' ,..... Qreg ..,""A ~1.
Hei~lit.'!f,~Kudiir~ _ 4" 'CI_ q'-' J- Sq Ft 1st Floor:
TyperofHeat:. . - Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Impervious Surface Area:
Phone
541-513-1075
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
~
SETBACKS
I DEVELOPl\-'''''''l1uORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay nist:
# 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:
Downspoutsffirains:
Notes:
Vo~.
Pa2e 1 of2
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. LU f OF ~rKJ1'lt.NI1.LD
Building/Combination Permit
PERMIT NO: COM2004-00255
ISSUED: 03/18/2004
APPLIED: 03/08/2004
EXPIRES: 09/18/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~,
.
I Valuation Descriotion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F~~~ P3id I
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
..
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.
I R~nuir~d ~
1 Sidewalk - Setbaek: After forms are erected but prior to placement of concrete.
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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
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.
~contr~~ignature
~L \r. ~'"^
Date
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