HomeMy WebLinkAboutPermit Sidewalk 2007-4-16
_CITY OF SPRINGFIELD I
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED'
APPLIED'
EXPIRES
VALUE
COM2007-00555
04/16/2007
04/16/2007
10/16/2007
225 FIfth Street, Sphngfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1701 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO 1703253404502
Sprmgfield
TYPE OF WORK SIdewalk
TYPE OF USE
PROJECT DESCRIPTION SIdewalk RepaIr
Owner ORDER OF ELKS LODGE #2145
Address 1701 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Owner BENEVOLENT & PROTECTIVE
Address 1701 CENTENNIAL BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Apphcant
Contractor
NORMAN CHAPPELlE
BUILDING INFORMATION I
License
Expiration Date Phone
7471073
# of Umts
Primary Occupancy Group
Secondary Occupancy Group
Primary Construction Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stories
HeIght of &tructure
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled Buddmg
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
Frontvard Setback
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst'
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer AvaIlable
SpeclOllnstructlon
SIdewalk Type
DownspoutslDralns
Notes Replacmg 1611n/ft of sIdewalk Apphcant spoke wIth Gregg Ferschwedler prior to commmg m to office today JLP
4/16/07
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00555
ISSUED: 04/16/2007
APPLIED. 04/16/2007
EXPIRES: 10/16/2007
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIOn DescriptIOn I
DescriptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or mullIpher
Square Footage
or BId Amount
Value
Date Calculated
Total Value of ProJect
Fees PaId I
Fee DescriptIOn
Amount PaId
Date PaId
ReceIpt Number
Total Amount PaId
$000
I Plan Reviews I
Pubhc Works RevIew
04/16/2007
04/16/2007
APP JLP
Replacmg 1611n/ft of sIdewalk
Apphcant spoke wIth Gregg
FerschweIller prior to commmg m to
office today JLP 4/16/07
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 Refllllred InsnechonsJ
By signature, 1 state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance wIth
the Ordmances oIthe CII) of Springfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY WIll be mdde of any structure wIthout permIssIOn of the CommuDlty ServIces DIVIsIOn, BuIldmg Safety
I further certIfy that only contractors and employees who are m comphance wIth ORS 701 005 wIll be used on thIS proJect 1
further agree to ensure that all requIred mspectIons are requested at the proper lIme, that each address IS readable from the
street, that the permIt card IS located at the front of the property, and the dpproved set of plans wIll remam on the sIte at all
times dunng construction
Owner or Contractors SIgnature
Ddte
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~
elf> 'If Sprmgfield OffiCIal Receipt
D opment Services Department
PublIc Works Department
RECEIPT #:
3200700000000000219
Date: 04/16/2007
11 56 56AM
Job/Journal Number
COM2007-00555
COM2007-00555
Payments
Type of Payment
Check
PaId By
NORMAN CHAPPELlE
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
jlp 1235 In Person
Payment Total
Amount Due
8000
2840
$10840
DescnptlOn
SIdewalk PermIt
SIdewalk Permit + Addtl Sq Ftg
Amount Paid
$10840
$10840
cRecclOtl
Page I of I
4/16/2007