HomeMy WebLinkAboutPermit Sidewalk 2006-10-10
Status
Issued
:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01291
ISSUED: 10/10/2006
APPLIED: 10/10/2006
EXPIRES: 04/10/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 604 CLOVERLEAF LP
ASSESSOR'S PARCEL NO.: 1703224207400
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE:
PROJECT DESCRIPTION: City Contractor PW Maint will inspect
Owner: CLOVERLEAF PROPERTIES LLC
Address: 611 N CLOVERLEAF LOOP
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.
Contractor Type
General
Contractor
TOM ROGGE
License
Expiration Date Phone
BUILDING INFORMATION.
# 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:
n/a
I DEVELOPMENT INFORMA nON I
Front yard Setback:
Side 1 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:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
Total Amount Paid
Total Value of Project
Fees Paid'
Amount Paid
Date Paid
:ITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2006-01291
ISSUED: 10110/2006
APPLIED: 10/1012006
EXPIRES: 04/10/2007
VALUE:
Receipt Number
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.
$0.00
I Plan Reviews I
Reauired Insoections I
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.
{f:: g^J{
- J?/ -----
Owner or Contractors Signa,ure
Pa2e 2 of2
(O~IO~ C(,
Date
225 Fifth Street
Sp~ingfieud, Oregon 97477
541-726-3759 Phone
RECEIPT #:
Job/Journal Number Description
COM2006-01291 Sidewalk Repair Permit
Payments:
Type of Payment
CreditCard
Paid By
THOMAS N ROGGE
cReceintl
Cit'" qf Springfield Official Receipt
D .opment Services Department
Public Works Department
2200600000000001414
Date: 10110/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jlp 008296 In Person
Payment Total:
Page 1 of 1
10:11:19AM
Amount Due
10.00
$10.00
Amount Paid
$10.00
$10.00
10/10/2006