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HomeMy WebLinkAboutPermit Sidewalk 2004-9-17 ~$~QFIEU> iii, ."',,. .'",'. '.,,! ~..l Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01139 ISSUED: 09/17/2004 APPLIED: 09/14/2004 EXPIRES: 03/1712005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 110 W J ST ASSESSOR'S PARCEL NO.: 1703263304000 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: PROJECT DESCRIPTION : REPAIR SIDEWALK FOR CITY MAINTENANCE Repair Residential Owner: Address: AI 11=1\1 I IUI..,. UIt::YUII ;avv 10'-1"':''''''' ,;)I.;. tt RAMSAY WARREN L & E A follow rules adopted by the Oregon Utility 870 PINE ST JUNCTION CITY OR 97448Notification Center. Those rules are set forth In UAI1 ~:J~-UU I-UU I U li II uu~l. C,',F: Oz,: €:1 I CONT~~Cf>ies of the rules by caITirlQ1iiiCemer. ll\ld'te: the telephone Contractor number for th~GmgnfI Util.mxWWHiialRhte THOMAS ROGGE CONSTRUCTION Centertja)9~0-332.234dif11/2005 I BUILDING INFORMATION. Phone 741-8134 Contractor Type General # 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 Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION. REQUIRED PARKING Overlay Dist: Total: # Street Trees .IHId.:. f 1~aJ\'tU~ped: Paved Drt~~qlt~t.. S~p..LL EXPIRE \ fYSI~"(: % of Lot q~M&atfei'M\1 UNOER 1~\S PERM\ fOR . p..Ul~.~~\~~~n OR \S p..\3p..NOONEO I PUBLIC IMPROyi~~.'{ PER\UU. Sidewalk Type: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Page 1 of2 Status Issued CITY OF SPRINGFIEL][) . Building/Combination Permilt PERMIT NO: COM2004-01139 ISSUED: 09/17/2004 APPLIED: 09/14/2004 EXPIRES: 03/17/2005 VALUE: 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 Public Works Review 09/14/2004 09/14/2004 APP SB REPAIR SInEW ALK FOR CITY MAINTENANCE. NO FEE To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.lIll. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. LReouired Insoections I Sidewalk - Setback: After forms are erected but prior to placement of concrete. 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 time';:::r :"rue22 '( _ I 7 - 0 '1 Own" nr Contrae'ors Si{#e- Da'e Paee 2 of2