HomeMy WebLinkAboutPermit Sidewalk 2006-1-23
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CITY OF SPRINGFIELD'
Building/Combination Permit
A I I t:1\J IIUI\l: uregon law requires youp,q"RMIT NO: COM2006-00091
fol,'?w ~ules adopted by the Oregon Ut'I~UED:
~otlflcatlon Center. Those rules are set ~~PLIED: 01123/2006
In OAR 952-001-tJ01 0 through OAR 952-EXPlRES:
0090. You may obtain copies of the rule"~LUE:
calling the center. (Note: the telephone
number TOr me uregon Utility l\lotlTlCatlon
" SITE ADDRESS: 1166 J ST Center is'1-800-S~iin2gfl1id' TYPE OF WORK: Sidewalk
ASSESSOR'S PARCEL NO.: 1703264414600
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
TYPE OF USE: use initials
PROJECT DESCRIPTION: City Contractor sidewalk replace no fee
Owner:
Address:
DILLON L H & PHYLLIS J
1166 J ST
SPRINGFIELD OR 97477
"
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:
n/a
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:
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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
Paee 1 of 2
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00091
ISSUED:
APPLIED: 01/23/2006
EXPIRES:
VALUE:
Total Value of Project
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.
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.
~~
I -- d 3 ~ O~
Owner or Contractors Signature
Date
Pal!:e 2 of2