HomeMy WebLinkAboutPermit Curb Cut 2003-9-9
. CITY OF ~nuNGF~~LD
Building/Combination Permit
PERMIT NO: COM2003-00869
ISSUED: 09/0912003
APPLIED: 09/0912003
EXPIRES: 03/09/2004
VALUE:
rl
.8
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 0104 ~v If
ASSESSOR'S PARCEL NO.: 1802022306500
TYPE OF WORK: Curbcut
TYPE OF USE:
PROJECT DESCRIPTION: CURB CUT ONLY
Owner: WELT LIVING TRUST
Address: 316 TALEMENA DR COTTAGE GROVE OR 97424
Owner: WELT SUZANNE I TE
Address: 316 TALEMENA DR COTTAGE GROVE OR 97424
Contractor Type
Applicant
I CONTRACTOR INFORMATION'
License
Contractor
BILL WELT
I BUILDING INFORMATION I
# of Buildings: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
ATTENTION:Oregol1law requires you to
,(_11_ . ,. _. _
. -..-.. . .......... ...........,.......... OJ1 lIlO VIl:J'U'... . ........
Notification Center. Those rules arLDEVEEOPMENT INFORMATION'
in OA~l}:1!'Yf.€t}~-0010 through OAR 952-00
Fro7J'(fa'id'Setbaclf:y obtain copies of the rulesl:>verlay Dist:
Side Ilsciiiii~k:he center. (Note: the telephone# Street Trees Rqd:
Side ZJSetback:or the Oregon Utility Notificatiorfaved Drive Rqd:
Rearyard Setb;fc\1!er is 1-800-332-2344). % of Lot Coverage:
Solar Setbacks:
'PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special.Instruction:
New
Residential
Expiration Date Phone
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutsIDrains:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paeelof2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Fee Description
Curbcut Permit
PW Mult Disc - 2nd Permit
Sidewalk Permit
Total Amount Paid
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
. Lll f UI' ~rtul~GFIELD
Building/Combination Permit
PERMIT NO: COM2003-00869
ISSUED: 09/09/2003
APPLIED: 09/09/2003
EXPIRES: 03/09/2004
VALUE:
Value
Date Calculated
Total Value of Project
F"". PaW
Amount Paid
Date Paid
Receipt Number
2200200000000001491
2200200000000001491
2200200000000001491
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
<?ui-Ioc"t-
$75.00
$-30.00
. $75.00
9/9/03
9/9/03
9/9103
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, tbat 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
5120.00
I Plan Reviews I
~r"d Tnsn~
Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00869
COM2003-00869
COM2003-00869
Payments:
Type of Payment
Check
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Receipt #: 2200200000000001491
Description
Curbcut Permit
Sidewalk Permit
PW Mull Disc - 2nd Permit
Paid By
WILLIAM WELT
Received By
SWB
l:heck Number
Batch Number Authorization Number
28950
City of Springfield Official Receipt
Development Services Department
Public Works Department
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Date: 09/09/2003
10:53:46AM
Amount Paid
Item Total:
75.00
75.00
(30.00)
$120.00
How Received
In Person
Payment Total:
Amount Paid
$120.00
$120.00
.
.
TO: t:rii( r) ~ :5~rJ
ATTENTION: lIil<fr /J ftP"
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"For All Your
Pelroleum Needs"
Wi.am J. Welt, Inc 5~.42-8227
WELT PETROLEUM
William}. Welt, Inc. * Welt & Welt, Inc.
290 Palmer Avenue, P.O. Box 220
Cottage Grove, OR 97424
(541) 942-2631 * (541) 942-9768
1-800-253-3067 * 1-800-628-8502
FAX (541) 942-8227
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IIMl Fuel the WINNERS!'
e PRODUCTS
ELITE OILS
DATE: 4-J.-o3
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P,D:BDX '635. MILWAUKEE. WI 53201
:,. TEL._2.62.7.97.~' FAX 262.797-9495
PREMIUM DUE,NOTICE
I BO~D DESCRIPTION ...
(LI-.)222929 CONTR. REI,. # 87698
OBLIGEE
()REGeN CONSTRUCTION
BOND NUMBER
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MAKE CHECK PAYABLE TO:
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l2/04/200:: ~2/04/2005 6 Dft 10,1)10'
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DRAIN,OR 97435
OLD REPU8L1C SURUY COMPANY
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OISCOUNT hEAT OIL CO.
p.o. BOX 2.20
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