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Home My WebLink AboutPermit Sidewalk 2007-11-6 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: cOM2007-01642 ISSUED: 11/06/2007 APPLIED: 11/05/2007 EXPIRES: 05/06/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: 349 MAIN ST ASSESSOR'S PARCEL NO,: 1703353112000 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: Repair PROJECT DESCRIPTION: Sidewalk repairlrepair waterline and install backflow device Commercial Owner: LENKANE LLC Address: 525 HARLOW RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Plumbing Contractor A HANNAMAN ANGEL MARIE HANNAMAN License 178662 Expiration Date Phone 541-736-0353 10/02/2009 541-741-4170 BUILDING INFORMATION I # of Units: Primal")' 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 GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: ",sidewalk Type: ~T-T!:J\lTION: Oregon law requires you to NOTICt: F THE WORK Stor~ Sewer A lli~~r~~ies adopted by the Oregon Utility THIS PEf.mrrr9J}~l/[l9({?!IRE , SpecJallnstru o~iication Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT In OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR Notes: 0090, You may obtain copies of the rules by AY PERIOD. calling the center. (Note: the telepho~e ANY 180 D number for the Oregon Utility Notification Center is 1-800-332-2344). Pa2e 1 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01642 ISSUED: 11/06/2007 APPLIED: 11/05/2007 EXPIRES: 05/06/2008 VALUE: 225 Fifth Street, Springfield, OR S4 I - 726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description + 5% Technology Fee Sidewalk Repair Permit + 10% Administrative Fee + 5'10 Technology Fee + 8% State Surcharge Backflow Device Water Line - 1st 50 Feet Amount Paid Date Paid Receipt Number $0,75 11/5/07 3200700000000000735 $15,00 11/5/07 3200700000000000735 $10,00 11/6/07 2200700000000001679 $5.00 11/6/07 2200700000000001679 $8,00 11/6/07 2200700000000001679 $50,00 11/6/07 2200700000000001679 $50,00 11/6/07 2200700000000001679 Total Amount Paid $138,75 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. [..ReouireCUnsoections I Curbcut - Close & Repair: After forms are erected but prior to placement of concrete, Water Line: Prior to filling trench and including required testing, Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection, Pa2e 2 of 3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: cOM2007-01642 ISSUED: 11/06/2007 APPLIED: 11/05/2007 EXPIRES: 05/06/2008 VALUE: 225 Fifth Street, Springfield, OR 54] - 726-3 753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all infol'mation 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 701.00'5 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, ...;;'/:../ /1.r. ~.......~ ->..::th <,/" . O~~~ or'" {~ractors Signature //-..&- 67 Date Pa2e 3 of 3 " ~ o . ,....( ~ cd U . ,....( I 01 (i I co I ~ ~ . ,....( S H OJ r"l (j) t) . ,....( ;> OJ n ~ o . ,....( ~ ~ (j) ;> OJ H r; ~ o . 1 r I I .~ U cd m 225 FIITH STREET . SPRINGFIELD, OR 97477 . PH:(541) 726-3753 · FA.,"{: (541) 726-3689 /0 2-00 7- c"') (be.( Z- City Job Number J...) IN\. JobLocation3~q fYlA/f\StrLLf -~pr/~{"Lld ()fC. Assessors Mar /70}' "3.)"3 ( . Tax Lot 11200 Owner JA(./( LU\!j tr- Address _14'1 f>1R,Jf\ StrLLt City Sff'i~.:l;'LI d PhoDP 'tY 1- Yk 1k State1)~ Zip q=t4 ~ BACKFLOW PREVENTION DEVICE PERMIT FEE: $61.50 Contractor Information Contractor A, ~A()()ArnA(\ Addres~ ~ fY) -5 trf- Lf City Sp('J~^j{'.~J J State1>~ Construction Contractors Registration # 11- '6 b 6 2.. Phonp Zip qi-tf 7 7 Expires 1 6/2. ({) <"1 , I - By signing this permit/application, I agree to call for an inspection once the backflow prevention device has been installed and is visible for inspection (726-3769). I also state that all information on this permit/application is correct. Signature # R . Date~,-6 -07' For Office Use Date of Application ;1- b ...0 7 L/ L-- Checked for Delinquenciec;: Checked for Historical Status Shared Drive (T:)/Building Fonns/Backflow Prevention 7.07.doc ~ m ASSESORS MAP: ~< r1' OWNER: ~ 00: ~ ::RlI1'IONO:::~L:/<6':;O::'? ~EM~~r6Z I \\ ~' .~ 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(54])726-3753 · FAX: (541)726-3689 City Job Number LOCATION OF PROPOSED WORK: ~ in .stPLLt .5pf'I'~j {J~ 9'743.-& TAX LOT: . .JALt( LfA jj((' ADDRESS: :s 4 '1 fY) l4i f\ S t ~ CITY:Spl';~{;dd PHONE: fY'''' L-J j, 1(, STATE: OR ZIP: qtY+~ 1,. .~i//Ce. OTHER: VALUE: e . CONTRACTOR'S NAME ADDRESS CON ST. CONTRACTOR # EXPIRES PHONE GENERAL: PLUMBING: A BAAl) ft(Y)&n gy.l, In.~t. Sffl:5{I{Jd /3-RhQ I()JzJ()~ 1o>3--9=t5O , I MECHANICAL: ELECTRICAL: MECHANICAL PERMIT PLUMBING PERMIT ITEM FEE ITEM FEE Furnace Exhaust Hood Vent Fan No. Wood Stove/Insert/Fireplace Unit Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer ( H. IT. Z/) IT. No. ) / / / .-/ Mechanical Permit Subtotal **Minimum of $50.00 State Surcharge 8% Administrative Fee 10% Mechanical Issuance Fee $20.00 One appliance $40.00 Two or more appliances Technology Fee %5 Plumbing Permit Subtotal **Minimum of $50.00 State Surcharge 8% Administrative Fee 10% Technology Fee %5 TOTAL MECHANICAL TOTAL PLUMBING . . Shared Drive(T:)lBuilding FormslPermit Worksheet 7-07.doc 225 Fiftl\ Street Spriqgfield, Oregon 97477 541':.726-3759 Phone Job/Journal Number COM2007-01642 COM2007-01642 COM2007-01642 COM2007-01642 COM2007-01642 Payments: Type of Payment Cash cReceint] RECEIPT #: Description Water Line - 1st 50 Feet Backflow Device + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By A. HANNAMAN City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001679 Date: 11/06/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk In Person Payment Total: Page I of I 11 :23:40AM Amount Due 50.00 50.00 5.00 8.00 10.00 $123,00 Amount Paid $123.00 $123,00 11/6/2007