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HomeMy WebLinkAboutPermit Sidewalk 2003-10-13 'I , -ii:~: . . CITY OF ~r1Ul'iGFIELD . Building/Combination Permit PERMIT NO: COM2003-01032 ISSUED: 10/13/2003 APPLIED: 10/1312003 EXPIRES: 04/13/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 617 SCOTfS GLEN DR ASSESSOR'S PARCEL NO.: 1703272404000 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: Repair PROJECT DESCRIPTION: City of Springfield Maintenance sidewalk repair work to be done by ~etor .n(\U,!eS _, \\i\i\i , w," ' e':l- \ \U' Owner: LOCHA VEN LLC e~O'(l \"e Ot !e Se 0 Address: PO BOX 22623 EUGENE OR 97402 ~('i\O~"O! n\eO '0'1 e !u\65 ~ 9r:/l.'O '. :r~E.\" 5 aOO" ",,05 " 0 e !u\e5 Owner: CUNNINGHAM JIM & MOLLY f>.. ~ !u\6 e'(l\e!' 0 \,,!Ou~ S 0\ \" "o'(le Address: 617 SCOTfS GLENN SPRINGFIELD OR 974i?)\~~ es.\iO'(l COO"OO' ''(1 eoQ'\"e \e\e?~ ea\iO'(l ~o\" 9f3J~' o'OW' ~o\e. ~o\" Owner: CUNNINGHAM JAMES M '\ Op..~ u (tIe.'1 '(I\et. ~ \)\i\\\'l ",,,,,. Address: 617 SCOTTS GLEN DR SPRINGFIELD OR 9740090. ~O" \"e ee e O!e~o~.-:;-:;'Z..'Z.-:; ee.\\\'(I.., \o! \\\ . c:. ,.eO ' Owner: CUNNINGHAM MOLLY E ~'Oe! (\\~' ,. Address:' 617 SCOTfS GLEN DR SPRINGFIELD OR 97477 '(Iu ('.P Residential Contractor Type Applicant 'It-lQ~" .~ ~~ \'f'~ :1-'?\\\'f. ~\'\ \;) I CONTRACTOR INFORM<\U6N, I ':I\\~\.\. 't: \\\':1 y't.'?\ ~\) ~\)\\ ~U t\. ?-w.\\ ~'t.\\ '\ ~'i:l~~ Contractor ,\I.\il:g~~L't.\) ~~h'6~ Date Phone CITY OF SPRINGFIELD- PUBLIC WK DEPTl'>.\fi~ :r,~c.'t.\) ndl..\\)\)' I BUILDING INFORMATlg~I~~';) \)1\' . - ",\. # of Stories: Lot Size: Heigbt of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Patb: Sq Ft Other: Impervious Surface Area: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts~rains: Notes: Paee 1 of2 / ,/ . . CITY OF SPRI~\jN.J<.;LU Building/Combination Permit PERMIT NO: COM2003-01032 ISSUED: 10/13/2003 APPLIED: 10/13/2003 EXPIRES: 04/13/2004 VALUE: Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp.s 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. ~uirp.d Jnsop.etinnsJ 1 Sidewalk - Setback: After forms are erected but prior to placement of concrete. By signature, I state and agree, that I have carefully examined tbe completed application and do hereby certify tbat 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 tbe Laws of the State of Oregon pertaining to the work described berein, and tbat NO OCCUPANCY will be made of any structure wilbout permission of tbe Community Services Division, Building Safety. I further certify tbat only contractors and employees who are in compliance witb ORS 701.005 will be used on this project. I furtber agree to ensure that all required inspections are requested at tbe proper time, that each address Is readable from the street, that the permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2