HomeMy WebLinkAboutPermit Curb Cut 2007-11-6
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01597
ISSUED: 11/06/2007
APPLIED: 10/25/2007
EXPIRES: 05/06/2008
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
PROJECT DESCRIPTION: Replace curb/REPAIR SIDEWALKlOVERWIDTH DRIVEWAY
Residential
Owner: COPELAND DONALD R & M A
Address: 886 OLD ORCHARD LN
SPRINGFIELD OR 97477
Phone Number: 541-726-1444
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
MIKA ROWE
License
Expiration Date Phone
541-579-0909
BUILDING INFORMATION'
# of Units:
Primat.y 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
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
'(l1t1~~-~~~-OOg-~ I! J9lUeo
""~'1!:l"'!I!'''rr .('~~~1~ IIn.fiaJ.", Alt\..!Q1 lAOWnU
I PUBLIC IMPRO~~l :SlON) 'JalUaO 8ln 6UllIW
,1'1 "" , t s8!doo U!l:llqo ,(l:lW nOA '0600
. - ~OO-G96 l:I'v'O 46nd)iflm.:uo-T~O~96l::1\fO UI
4poJ l8S em S81nJ 8W~dVJ~r~Rlh~9!J!lON
Al!l!ln U068JO 84l Acl p8!8opB saln.. MOlloJ
Ol nOA s8J!nbaJ MBI uo6aJO :NOllN3llV
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOnCE:
Notes:
"HIS PERMIT SH
'r~1 . - AU f:'<PIR[t~~
,) I I IUNlLtV UNDER TH ir
,OMMENCED OR IS ABA'NS PER 1la& Description I
dVY 180 DAY PER DONE R
. . . '00.. $ Per ~q Ft Sq uare Footage
DescnptlOn Type of ConstructIOn I. I. B'd A
or mu tip ter or t mount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01597
ISSUED: 11106/2007
APPLIED: 10/25/2007
EXPIRES: 05/06/2008
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
+ 5% Technology Fee
Overwidth Application Fee
Sidewalk Repair Permit
Amount Paid
Date Paid
$4.25
$85.00
$2.75
$40.00
$15.00
10/25/07
10/25/07
11/6/07
11/6/07
11/6/07
Receipt Number
2200700000000001631
2200700000000001631
2200700000000001681
2200700000000001681
2200700000000001681
Total Amount Paid
$147.00
I Plan Reviews I
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 ReQuired InsDections I
Curbcut - Close & Repair: After forms are erected but prior to placement of concrete.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Curbcut - Overwidth: 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.
(=U~cW~ ~n!.O_ l\-D-C9- Df
Owner or Contractors ~gnature Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01597
COM2007-0 1597
COM2007-0 1597
Payments:
Type of Payment
Cred itCard
cRecemt I
RECEIPT #:
Description
Overwidth Application Fee
Sidewalk Repair Permit
+ 5% Technology Fee
Paid By
COPELAND, DONALD
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001681
Date: 11/06/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
LKW
02529z In Person
Payment Total:
Page I of I
2:23:18PM
Amount Due
40,00
15.00
2.75
$57.75
Amount Paid
$57,75
$57.75
11/6/2007