HomeMy WebLinkAboutPermit Sidewalk 2007-1-3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00022
ISSUED: 01103/2007
APPLIED: 01103/2007
EXPIRES: 06/03/2007
VALUE:
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1171 QUINALT ST
ASSESSOR'S PARCEL NO.: 1703264103000
Springfield TYPE OF
Sidewalk
TYPE OF USE:
PROJECT DESCRIPTION: Sidewalk Repair - Work done by City Contractor - PW Maint. wiD inspect.
Owner: JUZA KEVIN L
Address: 1171 QUINALT ST
SPRINGFIELD OR 97477
Owner: JUZA DOUGLAS E
Address: 1171 QUINALT ST
SPRINGFIELD OR 97477
Owner: GORTHY DENISE M
Address: 1171 QUINALT ST
SPRINGFIELD OR 97477
Ot'lblCE COpy
I
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
TOM ROGGE - CITY CONTRACTOR
I BUILDING INFORMATION I
License
Expiration Date Phone
541-74I~8134
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
# ofSrories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft
Sq Ft Otber:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
/pUBLIC IMPROVEMENTS I
Street
Sidewalk Type:
DownspoutslDrains
Srorm Sewer Available:
Special Instruction:
Notes:
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.
. CITYOF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00022
ISSUED: 01103/2007
APPLIED: 01103/2007
EXPIRES: 06/03/2007
VALUE:
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
SPerSq Ft
or multip6er
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp<. P'IUU
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount
SO.OO
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.
Up.fJllir~n~np("tion~ I
By signature, I state and agree, tbat I bave carefully examined tbe completed application and do bereby certify tbat all
information bereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance
witb tbe Ordinances of tbe City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein,
and tbat NO OC<;UPANCY wiD be made of any structure witbout permission oftbe Community Services Division,
Building Safety. I furtber certify tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used
on tbis project.
I furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from
tbe street, tbat tbe permit card;'; located at tbe front oftbe property, and tbe approved set of plans wiD remain on tbe site
at all times during conS(Iiction.
~ A <1/- g<f - 0,
Owner or Contractors Si ure Date
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