HomeMy WebLinkAboutPermit Curb Cut 2006-5-9
PERMIT NO: COM2006-00535
'(vv8C:-C:88-009- ~ S! J8jU88 ISSUED: 05/09/2006
UOIjB:JI)ljON Ajll!ln U058JO 8~j JO) J8qwXPPLIED: 05/08/2006
8uo~d818j8ll! :8jON) 'J8jU8:J 8~j 5u!lIE-XPIRES: 11/09/2006
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SITE ADDRESS: 4454 JASPERRD1n U058JO ell! Aq PS'PRINGFiEirvPE:'OF WORK: Curbcut
ASSESSOR'S PARCEL NO,: 1802052405200llnb81 MBI U05810 :NOI1N3H\I
TYPE OF USE:
Status
Issued
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PROJECT DESCRIPTION:
.
. CITY OF ~rK11"'-'1<u.,LU
Building/Combination Permit
application for second driveway
'*
,
Owner: ROSS DAVID L JR & CHRISTINE J
Address: 4454 JASPER RD
SPRINGFIELD OR 97478
Contractor Type
Contractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION'
License
Expiration Date Phone
BUILDING INFORMATION I
# of Stories:
Height of Strncture
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:
Occnpant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 18, ;;':',' ~~r;;3['.
. I Valuation DescriDtion ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Description
Tvpe of Construction
Paee I of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00535
ISSUED: 05/09/2006
APPLIED: 05/08/2006
EXPIRES: 11109/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
~
Fee Description
Curbcut Permit
Curbcut Permit
Amount Paid
Date Paid
$40,00
$80,00
5/8/06
5/9/06
Receipt Number
3200600000000000239
3200600000000000242
Tolal Amount Paid
$120,00
I Plan Reviews I
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.
~r..dl~
Curbcut - Standard: After forms are erected but prior to placement of concrete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certiry that all
information hereon is true and correct, and 1 further certiry 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 wilhout permission of the Community Services Division. Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure Ihat 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.
~ r>o AA O~AV\~ C L
Owner or Contractors Signature l
C)- <1- nlo
Date
Paee 2 of2
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H 0 m e S U m m a r &>) , Processing Agentif.} Trans Err Dt
. l~, . 73-18.398.1 05/05 2006
, Home Summary
- ~ ---... -- -
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Household I Insured I Dwelling I Reconstruction Cost I Coverage
_ ~ll'LOdIllL"'~II'I."'.L1~liiil.~ .J..i::"'-.Ir-JI...ln.;;""",,-
Bound: iY.:s.Q'1 Effec..~~=-Date:.O~~~~~~~~6.
. . select action
o
c' . , "cl9i ,. ',,~)
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I Primary Insured
DAVID L, ROSS:
Active
II Residence Address
4454 JASPER RD,
SPRINGFIELD, OR 97478.6573
!iPhone
541-746-4864
II Household Number
0309535494
'il"'~W{~
'i"f,~l?U~~
: Policy
928837733 ~
73-18-398
Renewal Date:
02/15/2007
Inception Date:
02/15/2006
Inforce Date:
02/15/2006
Homeowners
PROTECTOR PLUS,
4TH edition
OWNER OCCUPIED
,(~~~1\BY ~E~,L__u
select~.cti~~. .bJ lll!l
J InactiVE!
Property
Address
Rating
FARMERS INSURANCE
COMPANY OF OREGON
PPC: 03
Coverage
DWELLING :
138000
PERS LIABILITY :
500000
,GUEST MEDICAL:
1000
All Perils: 500
More Coveraaes
Details
Year Built: 1939
Reconstruction Cost:
138000
Opt Out Status:
Mailed Date: 02116/2006
Status Date:
Who Pavs: MORTGAGE!;,
Endorsements
Security Devices
Discounts & Surcharoes
Mortaaoee
! print cente~.~ctl-;;-~'-- -'1) am
Pay Plan
Full Pay
4454 JASPER
RD,
SPRINGFIELD,
OR 97478-6573
Full Term
Premium:
341.13
'Name"dl~In's"ured ;N,'" ,,,". "'1~ 1\' ,'V~ "'> '4~ ~''L",~ ~ {"'( ~ ! !,/'\#< ' '!., ~ ","" "x- ~
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;tl~..""" 4. 'I" '"~ 11" " '.'" , "' "~T ,_ f .: ' ' '/'~ Pl. " '.., ~ 1 ..;, f ~ ' "~.' .~ v '>" .. ~1 .,;-,,{ ~"'r~'(
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"Age: Date of Birth
39 06/08/1966
\Name
DAVID L. ROSS
1.~:I:ct action t:;::Jl Gm
Relationship to Primary Insured
SELF
CHRISTINE ROSS 36 01/03/1970
I select action -01 G:ll
SPOUSE
:; Details
MALE
Married
FPRA F View FPRA Rp~son 1"""'j,~.,l.I.."...lil.:.t~.l.JI
FEMALE
Married
_ '~"';''''lii.U''I\II'-lIilll''L' ;'111_; ~~*".II.";;'.IIL.._
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05/05/2006 Il!i 19 2002 Farmers Insurance -- All Rights Reserved. Back to TOQ
Household No: 0309535494 2006.0400,029 Trans Time: 2006-05-05-08.56.10.063378
225 Fifth Street
Springlield; 6regon 97477
541-726-3759 Phone
RECEIPT #:
Job/Journal Number Description
COM2006-00535 Curbcul Permit
Payments:
Type of Payment
Cred itCard
Paid By
DA VID ROSS
cReceinl1
.
~
WiL, ~'
<A of Springfield Official Receipt
.Iopment Services Department
Puhlic Works Department
3200600000000000242
Date: 05/09/2006
Item Total:
{;heck Number Authorization
Received By Batch Number Number How Received
RBK 91322 In Person
Payment Total:
Page I of I
9:25:19AM
Amount Due
80.00
$80.00
Amount Paid
$80.00
$80,00
5/9/2006