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HomeMy WebLinkAboutPermit Sidewalk 2005-3-31 -. . CITY OF SPRINGFIELD. Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00366 . .ISSUED: APPLIED: EXPJ.RES: ATTENTION: Oregon law requlresW!tJ~E: . follow rules adopted by the Oregon Utility nuun....auull valllt,.. IIIU:itf Il.Iltnj Clltl titn lunn _O:!,",,--,.'_ 03/31/2005 SITE ADDRESS: 2139 DORNOC~I'\M l:t:>"-UU I-IJU1~ [WRHR~d~fi~~ORK: Sidewalk ASSESSOR'S PARCEL NO.: 170327:ffi1,Q,You may obtal1fco~les ofilia rules by calJlng the center. (Note:,~he ~~SE: Repair PROJECT DESCRIPTION: Sidewalk ,.Qp'~r.{pftn.~9lCl'il~illnW\l!'MRli/ilSl>ect no fee Center Is 1-800-332-2344). Residential Owner: HANSEN-STAVER LINDA M Address: 36425 ALDER BRANCH RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Right of Way Contractor THOMAS ROGGE License Expiration Date Phone 741-8134 BUILDING INFORMATION I # 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: nla I DEVELOPMENT INFORMATION I Frontyard 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: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I 'OOI\:l3d A\fO 08 L At\Sldewalk Type: \:l0~ 03NOON\f8\f SI \:l0 03::lN3WV>JCDownspoutslDrains: iON SlilW\:l3d SIHi \:l30Nn 03ZI\:lOHin\f )l\:lOM 3Hi ~I 3\:lldX3 ll\fHS ilW\:l3d SIHi :33110N Notes: I Valu~tion Descriotion I III Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e 1 of2 ~ . . CITY OF ~rKlI~ld11~LD Building/Combination Permit PERMIT NO: COM2005-00366 ISSUED: APPLIED: 03/31/2005 EXPIRES: VALUE: Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fp.p.~~ Fee Description Amount Paid Date Paid Receipt Number Total Amount Paid $0.00 I Plan Reviews , 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. '. Rp.nuirp.d Insnp.p.tin.II.LI 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. /!::- {)r.-v'1 y - U - 0<:; Owner o~ contractor:~~;;-- Date Pa!!e 2 of2