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Home My WebLink AboutPermit Curb Cut 2013-10-21 • • . SPRINGFIELD.' 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 Phone: 541-726-3753 OREGON Building / Public Works Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-PW2013-00204 www.springfeldor.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/21/2013 EXPIRES: 04/19/2014 STATUS DATE: 10/21/2013 APPLIED: 10/21/2013 SITE ADDRESS: 5907 E ST,Springfield,OR 97478 SCOPE: ASSESOR'S PARCEL NO: 1702342300424 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Curbcut • OWNER: PARMENTER CHERYL R Phone Number: ADDRESS: 90578 SUNDERMAN RD SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone WALTER A CREWS III CCB 124842 09/09/2015 541-513-8241 INSPECTIONS REQUIRED - Inspections 9504 Curbcut—Standard • • 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 or 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 pen-nit 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 Contractor Signature Date • TION'. Oregon law reOregono tij011 ATTEN adOPted by the resetth follow rotes rules"a 95:-0 - n Cent0ep10 th ough OAR • Notification Gp1 ics of the rules by in OAR 952- ' obtain coP ' hone 0090. You maY Note'. t'ne telephone calling the center. g0n Utility Notification numberCente the is 1 8°°-332 2344). NOTICE: E IF TI-IE WORK THIS ERMI AUTNORIZED UNDER THIS PERMIT S FU NUT COMMENCED EN C PER ODCANUNED Springfield Building Permit • 10/21/201 10:20:47AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD ' - 225 Fifth St TRANSACTION RECEIPT Springfeld,OR97477 .OREGON 541-726-3753 811-PW2013-00204 - wvnv.spdngfield-or.goy 5907 E ST perrnitcenter @springfield-or.gov RECEIPT NO: 2013002315 RECORD NO: 811-PW2013-00204 DATE: 10/21/2013 DESCRIPTiION __. n _ _ . a a `4 r r t ACCOUNT CODEffRA:NS'CODE Ste'. .tAMOUNT.DUE 3 ' Curb Cut/Driveway 1st Cut . 201-00000-428060 1141 102.00 Technology fee(5%of permit total) 100-00000-425605 2099 5.10 TOTAL DUE: 107.10 PAYMENT PE PAYORscASRIeR:RwILSON COMMENTS AMOUNT�PAIO Check Walter Drews Curbcut for 5907 E 107.10 4428 TOTAL PAID: 107.10 GityofSpringfield ` - tt trey } Driveway/Si.dewalk -Permit Application 4$ ` Application Date: 9 a O -- � � \3 225 Fifth Street,Springfield,Oregon 97477 SPRINGFIELD Permit Number I Transportation&Engineering Section,Public Works Department 'tt£ 3 tr Phone: 541 726-3753 P^ 41 Fes• ;l Issue Date: �'` ''�" OREGON SITE INFORMATION Location of Work: G1° '1 Applicant: 0-\\ e Phone: rj Lt �. Si? �ia-L(I� Address: • 1- fl 6 r 2 L I — tv Tax Map City: 1� , State: oQ ZIP: B)Qy oy Tax Lot Subdivision 1 Owner: S�k c ml �6�J M ✓d,�r Phoned Address: City: State: ZIP: REQUESTED PERMITS: Fees ✓ Sidewalk Amount of sidewalk in excess of 90 feet $102.00 @S0.09 SF (] Sidewalk Repair $18.00 FT Curb Cut/Driveway: Number of Driveways X$102.00 1st Cut X$54 2nd Cut ❑ Multiple Permit Discount each:(Maximum 2) $35 Multi permit discount good for one site and one site inspection only applies to 2nd and 3rd permits only. Not sidewalk repairs r 5%Technology fee rl Proof of Insurance: $500,000 Minimum if work is done by property owner. Total due with permit$ CONTRACTOR'S INFORMATION Name: UqV}' O✓ wc Col-� �& -Ct.\1/4.3 Phone: SI4 $a'1-\I Address: 4.3L'fl L•k,s„ o ie Le City: State: ack ZIP: OjnC.{ L) Contractor Registration# (E-)2.0 (7 , Expiration date: 4). •2,- gois Project Supervisor \p.,`-F Phone: - INSPECTIONS: An inspection request should be made prior to pouring concrete,after the proposed work has been formed and made ready to pour. Curb cut and sidewalk inspections call: 541 726-3769(recording)State your designated City job number/permit number,job address, type of inspection requested,and when you will be ready for inspection. Contractor's or Owner's name and phone number. Requested received before 7:00 am will be made the same day,requests after 7:00 am will be made the next working day. Inspections are to be called in after excavations are made and form work is in place,but prior to pouring concrete. You are required to call: The Lane Utilities Coordinating Council's"One Call Number" 1-800-332-2344, 48 hours before before digging. SIGNATURE: