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
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.
. 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