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HomeMy WebLinkAboutPermit Sidewalk 2004-3-18 l-~ -. . 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 . . 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. '<> 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 Pa2e 2 of2