HomeMy WebLinkAboutPermit Sidewalk 2005-1-24
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00097
ISSUED: 01124/2005
APPLIED: 01124/2005
EXPIRES: 01124/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2211 BEVERLY ST
ASSESSOR'S PARCEL NO.: 1703272207506
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: use initials
Residential
Owner:
Address:
PROJECT DESCRIPTION: Sidewalk replace 5 sections
A I I t-1\lTION: Oreaon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
('f,f,C. Yetl"'ff!::) :H~i:-: ':'':'1'':,..... "f tho .,.loC:: h\l
. \1:'" .'1.0.., . ,. !tJ .,.~ telephone
I CONTR1\~mK9.NF(),R'M)\'rI " "r
JlUIIIUI:iI IVI .1,,, 5. "~,,.. _ Notlflca Ion
Center is 1-iq~~234i'xpiration Date
GLENZ TODD R & MISHELL
2211 BEVERLY ST
SPRINGFIELD OR 97477
Contractor Type
Contractor
Phone
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Overlay Dis~i ~ 11" n:. Total:
# Street TreesiP'R'Jitl:" ~. ..Handic~Bp"ed:
Paved DrivJRqa:PERMIT SHALL EXPIRE IF ICdm~~ct:i\
% of Lot Co'Vel,dgetRIZED UNDER THIS PERMIT IS NOT
COMfVlENCED OR IS ABANDONED FOR
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
.:~~.~ ; l~~ ~';":I' ;'~~:OO.
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Partially Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
, Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00097
ISSUED: 01124/2005
APPLIED: 01124/2005
EXPIRES: 01124/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
lv-Fees Paid J
Fee Description
Sidewalk Permit
Amount Paid
Date Paid
$75.00
1/24/05
Receipt Number
3200500000000000031
Total Amount Paid
$75.00
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.
l Reouired Insoections I
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 shall 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 will be made of any structure without permission of the 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 the
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
ti~~es during c.onstruction.
, '
.........
, ,
r ~dY ~O~'
Owner or Con,tractors Signature
Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726~375~ Phone
RECEIPT #:
Job/Journal Number Description
COM2005-00097 Sidewalk Permit
Payments:
Type of Payment Paid By
CreditCard TODD GLENZ
1/24/2005
rity of Springfield Official Receipt
;velopment Services Department
Public Works Department
3200500000000000031
Date: 01124/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How. Received
CAS 142613 In Person
Payment Total:
..
Page I of I
2:36:39PM '
, Amount Due
75.00
$75.00
Amount Paid
$75.00
$75.00