HomeMy WebLinkAboutPermit Sidewalk 2004-9-17
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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