HomeMy WebLinkAboutPermit Sidewalk 2006-11-13
CITY OF SPRING111ELD
uilding/Combination Permit
Status: Issued - U~'f1'lCb CO?~ UEJNO: fl~~~~~~-01444
225 Fifth Street, Springfield, 01: AI PLIED: 11/13/2006
541-726-3753 Phone E}:Pffi.ES: 05/13/2007
~:~~~~:~~~~: ~~~ection Line ....,....".....,.., ,._,....".,....."'...,....__Y 4LUE:
SITE ADDRESS: 4110 BLUE BELLE WAY
ASSESSOR'S PARCEL NO.: 1702323302412
Springfield TYPE OF
Sidewalk
TYPE OF USE:
PROJECT DESCRIPTION: Sidewalk Repair -- Work Done by City Contractor, Tom Rogge. I PW Maint. will
inspect.
Owner:
Address:
SIMMONS VERN L TE
PO BOX 1307
RANCHO SANTA FE CA 92067
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
TOM ROGGE
License
Expiration Date Phone
I BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft
Sq Ft Other:
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
Storm Sewer Available:
Special Instructiou:
Sidewalk Type:
Downspoutsillrains
Notes:
I Valuation Description'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGJ:flliLD I
Building/Combination Permit
PERMIT NO: COM2006-01444
ISSUED: 11/13/2006
APPLIED: 11/13/2006
EXPIRES: 05/13/2007
VALUE:
Total Value of Project
~
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount
$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.
L.JleolliredJnsnections 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 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 wiD 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 wiD remain on the site
at all times du~nstru~c . on.
c' , "^ N ~..j , 3 (') C,
Owner or Contr~ctors Sig..{A re Date
2 of 2