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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