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HomeMy WebLinkAboutPermit Curb Cut 2004-12-30 ~S"'P. R'N.....,,~.' F I:E UiI ji,....,.. .,. '~""".." WlLJa. - : - . .. .,.~_. :, J ..., 'I .' '. :, ',. ...... '~."_'h _.......' .~__. ,_' . ~ Status Issued "'.. CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01546 ISSUED: 12/3012004 APPLIED: 12/16/2004 EXPIRES: 06/30/2005 VALUE: $ 2,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2575 Olympic St ASSESSOR'S PARCEL NO.: 1703254101001 Springfield TYPE OF WORK: Curbcut TYPE OF USE: PROJECT DESCRIPTION: Remove dead drive apron replace with standard curb Repair Commercial Owner: LARIOT CORP Address: 390 E MCANDREWS MEDFORD OR 97501 Phone Number: 541-776-5008 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: IIlhr # 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 GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: {laVed~r.y~.Rcu!: ATTENTION: OregondJo { ~el~U!O follow rules adopted by ~e regon tftfilty "'ntifi,..a!im' r.pnt~r Those rules are set forth in OAR 952-001-~J'. "''i'l!mJmtlp~~~~ 0090. You may OULCl!11 I"u...,,;;,;a calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Description Type of Construction NCHICf: THIS PERMIT SHALL EXPIRE IF THE WORK .. .^ 'JTuC'm]~~ ~~IO[n TII/O r;:::r;f/r;f I':; I'H) I I Valuation Description I COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount Notes: Value Date Calculated Total Value of Project Pa!!e 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01546 . ISSUED: 12/30/2004 APPLIED: 12/16/2004 EXPIRES: 06/30/2005 VALUE: $ 2,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description Curbcut Permit Amount Paid Date Paid $75.00 12/16/04 Receipt Number 2200400000000001523 Total Amount Paid $75.00 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. Reouired 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. Owner or Contractors Signature Date Paee 2 of2 ~' " CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-01546 ISSUED: APPLIED: 12/16/2004 EXPIRES: VALUE: $ 2,500.00 Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I 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. Reouired 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 c'ity or'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 Conimunity 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 tlm"diJ, i,g. ,. /In't~.c.ti. ~on,' fl. () . '_ .'- .!}aY ruVY /Z,~ib'-(5f./ owe0 Contractors Signature Date ,.:i '.: . , ~ Paee 2 of2'