HomeMy WebLinkAboutPermit Encroachment 2008-2-7
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00191
ISSUED: 02/07/2008
APPLIED: 02/07/2008
EXPIRES: 08/07/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3835 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1702300000101
Springfield TYPE OF WORK: Miscellaneous
TYPE OF USE: Repair
Industrial
PROJECT DESCRIPTION: Encroachment Permit & sidewalk repair
Owner: QWEST
Address: 3050 N DELTA
EUGENE OR 97402
Phone Number: 541-870-1403
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
CARDWELL CONSTRUCTION
License
74466
Expiration Date
09/08/2009
Phone
688-7609
BUILDING INFORMATION I
# of Units:
Primary 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
r DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
tTTENlIUN' uregolllClw 11::I4uil\;.", 'Iu..... t.:.
. I PUBLIC IMPROVEMENTS 1I0w rules ~dopted by the Oregon Utility
Str.NOIICE. t . Notific8t~eThose rules are set forth
ff.fI~E~WIff~AALl EXPIRE IF THE WORK In OAFt.,.952-001-od1 0 through OAR 952-001-
StoA~W'R~zFotUrol1ER THIS PERMIT IS NOT 0090. llf8ty'M\l~t6fiQ.r~iMp'es of the rules by
SPtC~~~f~n!~'UR IS ABANDONED FOR calling the center. (Note:,t.he telephone
lil\IY 180 DAY PERIOD number for the Oregon Utility Notification
Ndt\!~:. Center is 1-800-332-2344).
I Valuation Description I
Description
Type of ConstructIOn
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00191
ISSUED: 02/07/2008
APPLIED: 02107/2008
EXPIRES: 08/07/2008
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
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Encroachment Permit
Fixture
Sidewalk Repair Permit
Storm Sewer - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$6.60
$7.92
$7.50
$10.80
$135.00
$16.00
$15.00
$50.00
2/7/08
2/7/08
2/7/08
2/7/08
2/7/08
2/7/08
2/7/08
2/7/08
1200800000000000115
1200800000000000115
1200800000000000115
1200800000000000115
1200800000000000115
1200800000000000115
1200800000000000115
1200800000000000115
Total Amount Paid
$248.82
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 Insoections .
Encroachment: After item(s) have been removed to inspect condition of public right of way.
Curbcut - Close & Repair: 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
stre 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
.m.. dr:Og '1"'O'!i:O.
~~ !ftM~ J - 7-C)~
Owner or cf94;actors Signature Date
Pa2e 2 of2
· 225 Rifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00191
COM2008-00191
COM2008-00191
COM2008-00191
COM2008-00191
COM2008-00 191
COM2008-00 191
COM2008-00191
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
DescriptIOn
SIdewalk Repair Permit
Encroachment Permit
+ 5% Technology Fee
FIxture
Storm Sewer - 1 st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistratIve Fee
PaId By
DARIN JAMESON
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000115
Date: 02/07/2008
Item Total:
Check Number AuthorizatIOn
ReceIved By Batch Number Number How ReceIved
Ikw 007937 In Person
Payment Total:
Page 1 of I
2:43:IIPM
Amount Due
1500
13500
750
1600
5000
1080
792
660
$248.82
Amount PaId
$248 82
$248.82
2/7 /2008