HomeMy WebLinkAboutPermit Sidewalk 2005-4-25 (2)
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
.
. CITY OF SPRINGFIELD
Building/Combinaltion Permit
- .'1' ,~. ~ -
ATTENTION: Oregon law requIres y IT NO: COM200S-00477
follow rules adopted by the Oregon ED: .
Notification Center. Those rules are s ~~~:
In OAR 952-001-0010 through OAR 9 ~foE;'
0090. You may obtain copies of the ru es oy .
04/25/2005
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; SITE ADDRESS: 2026 DONNELLY UK Ct' 1_8o-rr-rlD~:ZJ~4 YPJ;; UF WORK: SIdewalk
. ASSESSOR'S PARCEL NO.: 1703271304100 en er IS .:l.:l.:l.
TYPE OF USE: use initials
PROJECT DESCRIPTION: City contractor replace sidewalk no fee PW Maitenance will inspect
Owner: MOORE-CASON DIANA M
Address: 2026 DONNELLY DR
SPRINGFIELD OR 97477
Owner: MOORE-CASON DIANA M
Address: 2026 DONNELLY DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Right of Way
Contractor
THOMAS ROGGE
Expiration Date Phone
741-8134
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handlcal'ped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paeelof2
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
.
CITY OF SP'RINtd'I~LD
Total Value of Project
l.Fees Paid I
Amount Paid
Date Paid
Building/Combimlltion Permit
PERMIT NO: COM2005-00477
ISSUED:
APPLIED: 04/25/2005
EXPIRES:
VALUE:
Value
J)ate Calculated
$0.00
I Plan Reviews ,
Receipt Numbcl"
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 Insne~tionsJ
By signature, I state and agrec, that I have carefully examined the completed application and do hereby certify that all
information bereon 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 dcscribed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Scrvices Division, Building Safcty.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will bc uscd on this project.
I further agree to ensure that all required inspections are rcquestcd at thc propcr time, that each address is rcadablc from the
street, that the permit card Is located at the front of the property, and the approved set of plans will rcmain on the site at all
timcs during construction.
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Paee 2 of2
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Date