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HomeMy WebLinkAboutPermit Sidewalk 2007-9-12 (2) . 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691I1Spection Line SCANNED . CITYOFSPRINGFrELD Building/Combination Permit PERMIT NO: COM2007-01396 ISSUED: 09/12/2007 APPLIED: 09/12/2007 EXPffiES: 03/12/2008 VALUE: Status: Issued SITE ADDRESS: 730 POLTAVA ST ASSESSOR'S PARCEL NO.: 1703342202700 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: PROJECT DESCRIPTION: Sidewalk Repair - Work to be completed by City Contractor, Tom Rogge. PW maintenance will inspect work. Owner: HOLMES DAVID L&J ELLYN Address: 730 POLTAVA ST SPRINGFIELD OR 97471 I CONTRACTOR INFORMATION. Contnictor Type Applicant Contractor THOMAS ROGGE License Expiration Date Phone I BUILDING INFORMATION. # ofUni1s: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Sq Ft Otber: Occupant Load: nla I DEVELOPMENT INFORMA nON. Frontyard Setb"" k: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: lPUBLlC IMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DowlISpoutslDrains Notes: I Valuation Descrintion I Description Type of Construction $ PerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01396 ISSUED: 09/12/2007 APPLIED: 09/12/2007 EXPIRES: 03/12/2008 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Total Amount so.oo I Plan Reviews I To Request an illSpection caD the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wiD be made the following work day. ~Tn'~,Ili''''~tiuIII.I 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 shaIl 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 wiD be made of any structure without permission of tbe 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 tbe 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 times during construction. Owner or Contractors Signature Date 2 of 2