HomeMy WebLinkAboutPermit 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,
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O~~~ or'" {~ractors Signature
//-..&- 67
Date
Pa2e 3 of 3
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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 \\
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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