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HomeMy WebLinkAboutPermit Sidewalk 2007-11-13 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 725 A ST ASSESSOR'S PARCEL NO.: 1703354204900 PROJECT DESCRIPTION: Sidewalk repair Owner: PACIFIC WESTERN BANK Address: PO BOX 15144 DEPT KEY WORCESTER MA 01615 Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01663 ISSUED: 11/13/2007 APPLIED: 11/0912007 EXPIRES: 05/09/2008 VALUE: Springfield TYPE OF WORK: TYPE OF USE: ATTr.:"'TIf'\~,. ,..... I f . ' -'.. ~. ~:::!v,' a,v 1~\..fUHt:lS you to .', I CONTRACTO~S~ORM:iT,'iQ~~llh by the ,oregon Utility in OAR 952-001-001 0 t~rS~~U es are set forth 0090., You~~S?%~ain c~~~~Wr~~e~. Phone calling the center. (NotA' thA tolo....h..."? y BUILDING INF8fu\1rii6~I' Oregon Utility Notific~tion IS 1-800-332-2344). # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprink]r.af'BJiil<ling: n/a Occupant Load: rut..:" IOI.ubGl I DEVELOPMEN:i:JNF:Q.RNlA~\ioNtiXPIRE IF THE WORK , '., 'v, "'-L.L Ulvucti-rHIS PERMIT I~WYtIRED PARKING COMMENCED OR IS ABANDO Overla,~rmstf NED FQfbtal: # Street TreesBRqg~y PERIOD. Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount ' Value Date Calculated Pal?:e 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01663 ISSUED: 11/13/2007 APPLIED: 11/09/2007 EXPIRES: 05/0912008 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 Sidewalk Repair Permit Amount Paid Date Paid Receipt Number $0.75 $15.00 11/9/07 11/9/07 2200700000000001695 2200700000000001695 Total Amount Paid $15.75 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reouired Insnections , By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of 2 Ornll"UrlCLU, UnCUUl" 'dILlII, . ,,0;; ENG!NEER/NG DIVISION OFFICE TELEPHONE (503) 726-3753 APPLICATION DATE: t t -1 IIL~ 0, PERMIT NUMBE~LtroI "Ot &&3 DATE ISSUED: '1,.- ~ /" Of SITE INFORMATION: . LOCAT'ONOFWORK:~ ~. k , /i'}.-5, f4 APPLICANT' . efl_ ~ll',1 If ~ 1)f\ ~+nJc-hDY\ ADDRESS: .1>0 '0("\ OX '2. t) C::)~ J CllY~ .e)1~STATE .01<-. ZIP: SUBDIVISION: OWNER <S+- / ~'v1t(}.JcU.K ~o./V) PHONE, 5' fi. Coy 1 - '1--04- 'Z-- TAX MAP: I~- ,/ /1 ?.-- TAX LOT: ~/ PHONE: ADDRESS: CllY STATE: ZIP: , REQUESTED PERMITS: o SIDEWALK: .........................................................................................$ 85.00 .......................... = $ AMOUNT OF SIDEWALK IN EXCESS OF 90FT. @$0.08 SF. = $ 0'8IDEWALK REPAIR: ....................;.....................................,.................$ 15.00............................ = $ } 5. DO ,0 CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS x .......................$ 85.00...1st Cut = $ o MULTIPLE PERMIT DISCOUNT EA: .:......,{MAX 2) ...........................$40.00 .$45,OO...2nd Cut =$J (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION nNI Y APPLIES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAIRl ' =$ o 5% Technology Fee $ TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION: Lo.e.- f;wl-f- ~S+-n/~(-ko,\ ADDRESS: p () ~ l() ~ 7 - ~s-~: 7 CONTRACTOR REGISTRATIOJ ~ r I 5' () (f ! 1. ' PROJECT SUPERVISOR: V-i! i' ~ k h(1fY\ INSPECTIONS: CONTRACTOR: EXPIRATION DATE: PHONE: fry~' Jtll fz, 'B /4- '2--'0 lO . PHONE:~< t..\: - ~2-0r. ( AN INSPECTION REOuEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READYTO POUR. CURB CUT AND SIDEWALK INSPECTIONS CALL 726,3769 (RECORDER) STATE YOUR DESIGINATED ellY JOB NUMBER/PERMIT NUMBER, JOB ADDRESS, lYPE 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 A.M, 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. o SIGNATURE: /~~ \ f AMOUNT RECEIVEJ YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S 1l0NE CALL NUMBERIl 1-800-332-2344 48 HOURS BEFORE DIGGING x.-' ", --- . . RECEIPT NO: DATE PAID: RECEIVED BY: By signature, I state and agree, that I have carefully examined the completed application and do he reby certify that all information herein is true and correct and' further certifY thai af1Y and all work performed shall bll done in accordance with Ihe Ordinances 01 the City of Springfield. applicaole City Standard specifications and DrawinQs, and the laws of the State of Oregon pertaining to the work described herein. I further certify fhat .only contractors and employees who are in compliance with ORS 701.055 will be used on thiS prolecl, ' ' The City may inspect the work site described in this permit at any time during a one year period fo 1I0wing the receipt by the City of notice of completion 01 the described work and specify, at the City's sole discretion, any additional resloration work reqUired 10 relurn Ihe site 10 a standard accep.table to the City. The permillee will be notified in writing of any work required and will have thirty days (30) from the date 01 the notice to complete Ihe work. Work not completed at the end of the thirty days will be performed by tlie City and the costs will be billed to llie permillee. .. ' I further agree to ensure that all reql,lired in~pections ~lfe reQu~sted at the proper tiITle, that proj ect address is readable from Ihe street, and the aooroved sel of olans will remam on Ihe site at all tsme.~ Ol J/lno r.onslfl.r.hon ' 22S'Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01663 COM2007-01663 Payments: Type of Payment Check Cash Job/Journal Number COM2007-01663 COM2007-01663 Payments: Type of Payment Check Cash cReceintl RECEIPT #: Description Sidewalk Repair Permit + 5% Technology Fee Paid By LEE BUILT LEE BUILT Description Sidewalk Repair Permit + 5% Technology Fee Paid By LEE BUILT LEE BUILT City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001695 Date: 11/09/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received ew ew 2796 In Person In Person Payment Total: Item Total: Check Number Authorization Received By Batch Number Number How Received ew ew 2796 In Person In Person Payment Total: Page 1 of 1 10:40:31AM Amount Due 15.00 0.75 $15.75 Amount Paid $15.00 $0.75 $15.75 Amount Due 15.00 0.75 $15.75 Amount Paid $15.00 $0.75 $15.75 11/9/2007