HomeMy WebLinkAboutPermit Sidewalk 2006-9-21 (2)
.
.CITY OF SPRINGFIELD .
Building/Combination Permit
PERMlT NO: COM2006-01219
ISSUED: 09/21/2006
APPLIED: 09/21/2006
EXPIRES: 03/21/2007
VALUE:
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 1 nspection Line
SITE ADDRESS: 3324 DOUGLAS DR
ASSESSOR'S PARCEL NO.: 1802062103300
Springfield TYPE OF
Sidewalk
I J .'J!.- Vr U.3.c.;
PROJECT DESCRIPTION: City Contractor. PW Maintenance wiD inspect.
Owner: LARSON BRIAN R & TRACEY L
Address: 3324 DOUGLAS DR
SPRINGFIELD OR 97478
OFFICE COPY
I CONTRACTOR INFORMA llOlli.J
Contractor Type
General
Contractor
TOM ROGGE - CITY CONTRACTOR
I BUILDING INFORMATION I
License
Expiration Date Phone
541-741-8134
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Heigbt of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd FIoor:
Sq Ft Basement:
Sq Ft
Sq Ft Otber:
Occupant Load:
nla
I DEVELOPMENT INFORMA nON I
REQurRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Disl:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
IPUBLlC IMPROVEMENTS'
Street
Sidewalk Type:
DownspoutslDrains
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
SPerSq Ft
or multiptier
Square Footage
or Bid Amount
Value
Date Calculated
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~)
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMlT NO: COM2006-01219
ISSUED: 09/21/2006
APPLIED: 09/21/2006
EXPIRES: 03/21/2007
VALUE:
Status:
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
U'PP< P..W
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount
$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.
~eollireru nsnections I
By signature, I state and agree, tbat I bave carefully examined tbe completed application and do bereby certify tbat all
information bercon is true and correct, and I furtber certifY tbat any and all work performed sball be done in accordance
witb tbe Ordinances of tbe City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein,
and tbat NO OCCUPANCY wiD be made of any structure witbout permission of tbe Community Services Division,
Building Safety. I furtber certifY tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used
on this project.
I furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from
tbe street, tbat tbe permit card is located at tbe front oftbe property, and tbe approved set of plans wiD remain on tbe site
at all ti~ const ction.
- I~ 0 q~,;),I-d<
Owner or Co~tractors Si~ ur~ Date
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