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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 _~....._...!B1.y..._"",,,, .......... ........ Wit........... .... . . " " ',,,,,,,,,, .., i <.", 'j ""~ '"' .., ~ ~.. . . , """.... .... 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 " ..) 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 $120.00 . . TO: t:rii( r) ~ :5~rJ ATTENTION: lIil<fr /J ftP" ~'ge~"02 03 08:28a "For All Your Pelroleum Needs" Wi.am J. Welt, Inc 5~.42-8227 WELT PETROLEUM William}. Welt, Inc. * Welt & Welt, Inc. 290 Palmer Avenue, P.O. Box 220 Cottage Grove, OR 97424 (541) 942-2631 * (541) 942-9768 1-800-253-3067 * 1-800-628-8502 FAX (541) 942-8227 p. 1 IIMl Fuel the WINNERS!' e PRODUCTS ELITE OILS DATE: 4-J.-o3 .....IIlOI"'..I)'..' rl.....C...SH 0# PACIFIC PRIDE .. ll1fCQ..MIlC\OlRRNGSl'SlEM MESSAGE:' b''/tJ t( IV tI ;5~' /v;+ rtk soLtflt ~'lf:s NO/lilf ~ . 5iJEwll!t fell.N/T -+ WI1/;-~r t?etlt~r,c,jJ', IltJf-e.. VCJlL CbJ /ldjf"Jlc;-/~,;j flus . . FROM: Pi/I JIIelr Pages including cover sheet: /o~1 ';~0& r<-~ 0.-0 ~ booie ~J ~J 813 -b 10 '-I :C-V d S7N.D, 08: 28a Wi ...am J. We 1 t, I nc __ ,_,___~_41 -842 -8227 "'-'-"-S'urve~onumej,t commOn to- Lots . ~8 " ( / . ~~:~1; ...~b j _-'j,..;S,~ ~"\ , ~, ~ OREd'ON ~, , Nt JULY ,a. '1184 '( 0 LAWRENCE 8. OLSON ~~ o. 655 RENEWAL. DAiE: 12-31-2000 Legend fld = neld ruc = Record fnd = Found , S'ep '02 03 I- L.J L.J a: I- III L -- en co ::I: I 1-' :::II o' Ill! I I 4ljlI I I p.2 t" r ,- ~ N r ," - 3D' '~ <.fi " ...~b ree cor ]' ~ 47 LOT ~ u e ~ :; it;! en N 'i .::;. :otj 'V <./li q::: b ....(;:' :lg 0<' ~ Ci e" < DETAIL NB!l"3o\.'5J"W 93.53' {f1d1 NB!l"44'09"W 93.70' (nil:) ~ o CI ig - ~ z - ';o-J ~IK! :216 ~~ 8~ iD'ir> b ~ ,,0<' o z (, Z <"fi ,-~ ~ LOT 48 ~ m 0<' ~ < . b ....~ ~ ~ c: ...~b N88'JZ'59"W 93.72' (ree) N88'J5'OO"W 93.66' (fld) IVY STREET 1410 OAK ST, - EUGENE, OR - (.'141) 302-9790 J A , OLSON 8. MORRIS - ~ ...-- ._ ..II . Sep'02 03 08:28a Wi.am J. Welt, Inc - ,; b'1~"t- ~ ,~ ~ 541-942-8227 . .. pR ~~'\ ~~~1: ')II ... Lot 48 I' . b~~b p.3 ~ V) ~ ::::,. - ,I '"l "6' \ ~ !.. =.. ._,~ltb tilt ~O'l/,I "\ 31- ~-. ~b1fn s-t:i:: to III "'ll - 0 N 0 W 0 CD ~ N CD III STATE OF OREGON ," !". _~......:t". ."_'. .._.~.. ,..... ~~.I'l .- <60Nti:.'tiJeTIONcONTRACTORS 'eOARb' '-<:-L1C€N$.E~CER'rlF1CAtE " ' , ' 'i';'ii " ,,::',c; . . .. . -- . . ..~". . - . , ,~'~~~ j ;~4.~;~ ~~~;; ,. ,,' ~I ~,fuen~,~}' - '_~:~' ~~ ~~(~~~~- .:. -- ~. .' . ~;_.~ - '~~\ ~..- "~ ~.: ~ Numb~r:,""c8'7b9'8' , lIce.ns~" ,',,' I "D fSCOUN,T HEA 1f'oIli.' (Of' -(~ ::t,<;,' E;Jiplres;,Ji2(q4i2~[(:t. ";;'~-5ff.' f,-r'; ,~N~~~~~O"[L{i~(,,{D~"~, ...._, .... fi,~ ;;;~,' t "'&,?~;:cp.TTM;~"GROVE.OR>, CJ1Ij'~.~-(]9Uti,,>~~~A:-" ": ~>,' if.' '<'~ -, i, " ,::. '~,;";;,{~~wGN~rr. 'i~s~ ~ ' ......,. u ","_-u .. ...."..'-l ,c' I..~^- ..~.- H-r...-....""..,... : 4' n -~~ Thlscertifies that th(3 person named, hereon, ~ is[j~ef1.s.ed"<l~ proViqe.d b}i la~ as a", HSDe2ial'ty, (onfractlJr/AH, " ~'NON;'EX.E:MPT" " . Corporation' . '. ~ ..-.- POCKET CARD, DETACH ANO CARRY WITH YOU STATE OF OREGON , " " " ,).;." "..,. ;a '-". "." Licensed'as: ,"',' "" !~Eh'li;~~'-':'~ ' . . . I . .:.< _' _ . ........,;.,w.. .~::i. . ._~"" ~.'..\..._. . . Special ty, Con:traFtor/.tN;"-~'",,_ ~' ~~ ...-. .~ .C"~. ~ NON-EXEMPT::,' ,>,<,,~" '''.-~< ~" C~rporation: , ....",', ...... , , IliItLiAM Jllltl i Irk' PO ,BOX 220 COTTAGE GROYE OR , 97~2~~liooii ..;. L.. ". ,',,' e: ~. . III 3 t., e: III - ct . .... :J o .::;.... , ",I' 'CClNSTRUC-nONCONTFlACfoRS'BOAFiD , ,'" . ;.Bi:lnd~(i~ooo i>; <<"'; "":"'.~ " .,; 'Insut<lliceEinE'R'\Ttf M'tJTUAL$i;Ns'~O .:~T -'~, :.<.:,',: ..9"l'.5"".:.0.-.:..';{:: " ~"'":~., :(..:' ".~'" . ',_'_'_'. :' ,.-I..;lb.,.,....'-.,...: ....~ i~_ .,'j: ,"';Llcense:E~pjres:,J,2)ii~j2003" ~J' '~/;" o Employer Accounls:'ONfIlE " ' "..J ." -" .. .": ..-- ..... 1i~.~.~~.. " U1 ~ ~ ~ N I CD N N -.J , , " ',. I "'ll ,~ l/) ll.. r ,CLD ~EPUBUi: SURETY' COMPANY ["0- N N CD I N ..,. !. ..,. l/) 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 o I: - PREMIUM DUE DATE 12/04/2002 MAKE CHECK PAYABLE TO: ~ IIiM" $ IEFF.DATE jEXP.OATE IBILLCODE jBONDAMOUNT 1__ l2/04/200:: ~2/04/2005 6 Dft 10,1)10' I_P~OQUC, ER '. ,". ,,77.~3125 'l.OLEZZl INSURANCE AGENCY, Zi4 C, STREET 300.00 POBOX, 6 DRAIN,OR 97435 OLD REPU8L1C SURUY COMPANY ., - Ql :3 1': L~ BOX <1-627 PORTLAND, OR 972U8 lHI S &ON[' I';; (ONlINUOU:,_ PLEASE REMIT ;:'AY'NENT PROi'1FT,l', TO AVOID CANCELLATION. 1:'- Tr.,:. BONO IS NC, LONGER NFETEC'. LF:' uS KNO.., A;' 5001'1 AS PU::;;; IBL E ,.., E III . . To insure prompt crediting of your payment use only SPECIAL ENVELOPE PROVIDED 10 mall check and please put Bond Number on check. .... :3 I~ILLIAM J. WELT ING. OISCOUNT hEAT OIL CO. p.o. BOX 2.20 (CoTTAGE GROVE. Of< 97424 III CD N CD o C'l o N o ll.. Ql cJl RETAIN THIS COPY FOR YOUR RECORDS 1:-.- . 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