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Home My WebLink AboutPermit Curb Cut 2007-10-25 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01597 ISSUED: 10/25/2007 APPLIED: 10/25/2007 EXPIRES: 04/25/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 886 OLD ORCHARD LN ASSESSOR'S PARCEL NO.: 1703234303200 Springfield TYPE OF WORK: Curbcut TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace curb Owner: COPELAND DONALD R & M A Address: 886 OLD ORCHARD LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Contractor License WATER BROTHERS CONSTRUCTION INC 118345 BUILDING INFORMATION I Expiration Date 10/31/2008 Phone 541-345-5080 # 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 I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: 4tO)j Solar Setbacks: ~o 7l'J'-. 4', u 1 ~' co;; Ifo..9, i9~r 4//1t~ "Ih~ ~f'J'I S't., , Street Improvem,~ts*Cf'O<.l 1/;;1<< Storm Sewer AVaih~)~TY 0-'9 <<'-'9 l;f'-tt>/.,9, Special Instruction: ,.of'..9, IS' 1& ~S' ~ ~ 10L? ~-ta ,.of'..9, 1'lff' Notes: V/~ 11J;1' /Po. ,{) ,(',/S' III ~,f" {)I._ ('I' I ~~Iua~ion Description I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: A."""I:J._ /Ollow IV/TON: 0 IVI'l~ ., rlJl", _ ' 1"t:l_ I PUBLIC IMPROVEMEt~~ion ~e~~oP;;d'b;aw reqUir. 0;1: YOU ~i~ilU1~et~ Oreg~~YOu to nU '/l/7g them[ obliu rlfr~~es are Utility tnber far th~l,VJn.~r.u'!!v~~e~ o?A~ 9~~!60rth Cenf ~ Or^.g fe: th the r:u' 01_ '0'" ... 01 e t Ie . I IS 1-S'00'~, Uti/ifl; ^ I elepho s by -\.132-::;3 I vOfific<:>t ,ne - <14), q Ian Total: Handicapped: Compact: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!:e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01597 ISSUED: 10/25/2007 APPLIED: 10/25/2007 EXPIRES: 04/25/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 5% Technology Fee Curbcut Permit Amount Paid Date Paid Receipt Number $4.25 $85.00 10/25/07 10/25/07 2200700000000001631 2200700000000001631 Total Amount Paid $89.25 I Plan Reviews, To Request an inspection call 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. will be made the following work day. I Reouired Insoections I Curbcut - Close & Repair: 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 times during construction. Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1597 COM2007-01597 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Curb cut Permit + 5% Technology Fee Paid By DONALD COPELAND City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001631 Date: 10/25/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 055692 In Person Payment Total: Page 1 of 1 1l:57:15AM Amount Due 85.00 4.25 $89.25 Amount Paid $89.25 $89.25 10/25/2007 , .. .'" "'.', . ' ,- GilfJ %pring!iald , " ' . . . . . . . . . , , , , , ',' '. DRIVEWAY/SIDEWALK', PERMIT APPLICATION 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION ' OFFICE TELEPHONE (503) 726-3753 APPLICATION DATE: \D- ..~~ PERMIT NUMBER: DATE ISSUED: -07 SITE INFORMATION: LOCATION OF WORK: ~ ~ () (0 0 f.C-H;Q Q 0 APPLICANT --:bOf.1 A (....J ~ Co Pe.~uJ A~ fa 0 (J' Ord..J<l.v-J hI'/. N e. L ft 1-/' r=; PHONE 12~~/4t.{.'f ADDRESS: CITY:Sr (lIMY ~1~cJJ STATE: Dre-q 6tf '-;J'. G ' V SUBDIVISION: ,';\ l 0-!2. I(' . le", . OWNER: TAX MAP: ZIP: cr '7'117 TAX LOT: PHONE: ADDRESS: CITY: STATE: ZIP: REQUESTED PERMITS: o 'SIDEWALK: ....,.......,,,..,,...,,....,,,,,,....,:......,,,,,,,,....,,....,,.........,,,,........,,,$ 85,00 .....".....".""""... = $ AMOUNT OF SIDEWALK IN EXCESS OF 90FT, @$O.08 SF. = $ o SIDEWALK REPAIR:...."""""......",,,.....,,.,,...,,.....,,.....,,........,,..,..,,,,,..$15,00....,.."""".""..".". = $ ~ CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS 'I. X "".~..""..""..,,,$ 85.00...15t Cut = $ o MULTIPLEPERMITDISCOUNT EA: ..."..,,(MAX 2) ""..""""""",,,,,,,$30.00. ,,2nd Cut =$j- (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION ()NI Y APPLIES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAIR). =$ o 5% Technology Fee $ TOTAL DUE WITH PERMIT $ o PROOF .oF INSURANCE: $500.000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION: CONTRACTOR\ 0a:fJ'o ".; ~h~ ADDRESS: % D W, F) )t(}~-"'\ _ (~ ~. D , De. CONTRACTOR REGISTRATION NO C CB~ [( 8 34- '!' PROJECT SUPERVISOR: ~ ~o:t~ l- <i1LtD \ 3if5,. 5' c80 PHONE: C'G.L /29 -:Jbfr EXPIRATION DATE: 'PHONE: (j;L..- 72..,/-5"4.,/-4(- INSPECTIONS: , , AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR: CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE READY FOR INS PECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER REOUESTS RECEIVED BEFORE 7:00 AM, WILL BE MADE THE SAME DAY, REOUESTS AFTER 700 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 REOUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S 'I~ONE CALL NUMBERll 1-800-332-2344 48 HOURS BEFORE DIGGING SIGNATURE: , , ~ <<at..2 ':> AMOUNT RECEiVED: '-Ii' U RECEIPT NO: DATE PAtD: RECEIVED BY: ? 0 I "2:..::>1 D f cr<vJ , By signature. I slate and agree, Ihat I hav\! carefully examined the compleled application and do he reby certily that all informalion herein is true ' and correcl and I further certifY that af]Y and all work perlormed shall be done in accordance with the Ordinances of . ' the City of Springfield, applicable City Standard specifications and DrawinQs, and Ihe laws of the State of Oregon pertaining 10 the work described herein, I further certily fhal only conlraclors and employees who are in compliance wilh ORS 701,055 will be used on thiS projecl. ' The City may inspeclthe work site described in this permit al any lime during a one year period fa IIowing the receipt by Ihe City of notice of completion of Ihe deSCribed work and speclty, al the City's sole discrelion, any addllional restoration work reqUired 10 relurn Ihe site 10 a standard accep.table to Ihe City, The I permittee Will be nohfied in writing of any work required and will have Ihlrly days (30) from Ihe dale of Ihe nollce 10 complete Ihe work. Work nol compleled at the end ~f the Ihlrty days will be performed by ltie City and Ihe costs will be billed 10 tlie permittee. ' I further agree to ensure thai all required inspections are re~uesled al lhe proper lime. that prol ecl address IS readable from the '"~::'~'~y:Q""m"'du"'9CM"~I~ om. ID-25- 07