HomeMy WebLinkAboutPermit Sidewalk 2003-10-13
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. 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
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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 '.
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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
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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.-:;
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Owner: CUNNINGHAM MOLLY E ~'Oe! (\\~' ,.
Address:' 617 SCOTfS GLEN DR SPRINGFIELD OR 97477 '(Iu ('.P
Residential
Contractor Type
Applicant
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I CONTRACTOR INFORM<\U6N, I ':I\\~\.\. 't: \\\':1 y't.'?\ ~\) ~\)\\
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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\' . -
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# 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
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. 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.
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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