HomeMy WebLinkAboutPermit Sidewalk 2004-3-18
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Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00254
03/18/2004
03/08/2004
09/18/2004
ISSUED:
APPLIED:
EXPIRES:
requires yoU to VALUE:
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SITE ADDRESS: 2298 Sf.tf.lJ,ltt-..ft.-N~EDRer. h u~p'r@gffeid52TYi}E OF WORK:
ASSESSOR'S PARCEL No.:\\oi7b31~oQOJ}~I\-0010 t ro 'e~ 01 the rules.
n OAKy Ou may obtain C~fl. the telephClr~PE OF USE:
PROJECT DESCRIPTION: rs~~aIIP repair.cfor,\R1iIlli~W~rk:stMaip.*eJiance:>n
calling till:;; ..... - on Utll\.y "h,'/~"'-
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Owner: CHERUBINI WILLIAM D & J B
Address: 2298 SHADY LN SPRINGFIELD OR 97477
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sidewalk
New
Residential
I CONTRACTOR INFORMATION.
Contractor Type
Right of Way
Contractor
THOMAS ROGGE
License Expiratio:fi.RWOR\fhone
"'n~\CE.J,~~27~H^1 \ E-'J.P\~t\R~rr\~ NfYp41-513-1075
BUILDING IN~I\1L~,lr~~~t UNDER 1\1\~ Dr~N~D fOR
p: \ nu OR \S ~B~N
# of Stories: COW\W\~NC~D ~R\OD.Lot Size:
Height ofStru~~~~6Q D~'l P Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Impervious Surface Area:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
I DEVELOPMENT INFORMATION.
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 YUHLIC IMPROVEMENTS.
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
Total Value of Project
Pal!:e 1 of2
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00254
ISSUED: 03/18/2004
APPLIED: 03/08/2004 ,
EXPIRES: 09/18/2004
VALUE:
"j.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees Paid ~
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 Reouired Insoections ,
1 Curbcut - Standard: 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.
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Owner or contractor:~~ture Date
Pal!:e 2 of2