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Home My WebLink AboutPermit Curb Cut 2008-5-27 ... 1'1 Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lme CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00740 ISSUED: OS/2712008 APPLIED: OS/27/2008 EXPIRES: 11/27/2008 VALUE: SITE ADDRESS. 777 60TH ST ASSESSOR'S PARCEL NO. 1702342200503 PROJECT DESCRIPTION Owner FREDERICK LEROY A Address' 777 N 60TH ST SPRINGFIELD OR 97478 Contractor Type General Contractor J&I # of UOltS Pnmary Occupancy Group. Secondary Occupancy Group Pnmary ConstructIOn Type Secondary Construction Type # of Bedrooms Frontyard Setback Side 1 Setback: Side 2 Setback. Rearyard Setback Solar Setbacks Spnngfield TYPE OF WORK Curbcut TYPE OF USE Repair ReSidential I CONTRACTOR INFORMATION I License 99337 BUILDING INFORMATION' Expiration Date 07/19/2008 Phone 968-2904 (Kevm # of Stones Height of Structure Type of Heat. Water Type. Range Type. Energy Path. Sprmkled BuIldmg n/a Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor' Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load I DEVELOPMENT INFORMATION I REQUIRED PARKING Total Handicapped: Compact Overlay Dlst. # Street Trees Rqd. Paved Dnve Rqd % of Lot Coverage I PUBLIC IMPROY<<~~. 0 'VII rul . regon ~~ Street Improvements' NOM t es ado~l) fy9@1/res you to ca Ion Cent e Or~.9Q U Storm Sewer AvaIlable '001 In OAR 952-001 Od/JQ-mMYfifWq tIIIty SpeCial Instruction ~O.:l 03NOONV8\.J S H3d AVO oe L ANgo90 You may - bt 1 0 thrOugh OAR 9~et forth 1 v I HO 038N3/!IJ1!II0'1 call1llg the 0 am COPIes of 2-001_ Notes' }f~~ S/lI/!IJH3d SIHl ~30Nn 03Z/HOHln;'UtYlber for t~~n~r (Note the t~~: r~fes by M 3Hl :H 3~/dX3 lTvHS 111!l1H~rI Q,y I Center /.c: :eJ1('o~1_~f1f1ty Not,f,f'''~~~ _ . ..e -\.. vV'::'-"J44) ..... I V ahi~J~cmscription I . DescnptIon Tvpe of Construction $ Per Sq Ft or multiplIer Square Footage or Bid Amount Value Date Calculated Pal!:e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00740 ISSUED: OS/27/2008 APPLIED: OS/27/2008 EXPIRES: 11/27/2008 VALUE: 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lme Total Value of ProJect Fees Paid I Fee DescnptIon + 5% Technology Fee Curbcut Permit Sidewalk Repair Permit Amount Paid Date Paid $5.00 $85.00 $1500 5/27/08 5/27/08 5/27/08 Receipt Number 2200800000000000746 2200800000000000746 2200800000000000746 Total Amount Paid $105 00 I Plan Reviews I To Request an mspection call the 24 hour recording at 726-3769. All inspectIOns requested before 7:00 a.m. will be made the same workmg day, inspections requested after 7:00 a.m. will be made the following work day. I Reauired Insnections I Curbcut - Standard After forms are erected but pnor to placement of concrete By signature, I state and agree, that I have carefully exammed the completed application 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 of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY will be made of any structure Without permission of the Commumty Services DIVISIOn, Bmldmg Safety I further certify that only contractors and e~lovees who are m compliance With ORS 701 005 will be used on this project I further agree to ensure that all >et'I"1i1spectlO are requested at the proper time, that each address IS readable from the street, that the permit ca~s ed at th r nt of the property, and the approved set of plans will remam on the site at all tImesdunn construc ~a5/te '~7 /0 S') fl-v 1 "/ c7 Owner or Contractors Sign ure Page 2 of 2 Cilg o/OpringfMd DRIVEWAY/SIDEWALK PERMIT APPLICATION 225 FIFTH STREET SPRINGFIELD SPRINGFIELD OREGON 97477 ~ ~ ENGINEERING DIVISION - OF riCE TELEPIIONE (503) 726 3753 ~ APPLICATION DATE 5-J7-0{ PERMIT NUMBER DATE ISSUED 0nvcmg, - trD 74D 6) - ;:),7 -0 i SITE INFORMATION LOCATION OF WORK 7 7 7 /'0 0 "!:.! APPLICANT le ROY I} Fie E /) el?l C \c ADDRESS 7 7 7' 6 0 !:.1 5 T. CITY jf>rt 0 STATE Of!? s-r-. PHONE 747-;l3?2 TAX MAP ZIP 97~.,t? TAX LOT SUBDIVISION OWNER ADDRESS 5eLr PHONE CITY STATE ZIP REQUESTED PERMITS la'SIDEWALK AMOUNT OF SIDEWALK IN EXCESS OF 90FT , \ -e $ 8500 @$O 08 SF $1500 =$ =$ =$ o SIDEWALK REPAIR e(CURB CUT/DRIVEWAY NUMBER OF DRIVEWAYS I X ZMULTIPLE PERMIT DISCOUNT EA (MAX 2) $3000 (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION J:lliLY APPLIES TO 2nd AND 3rd PERMITS ONLY NOT SIDEWALK REPAIR). o 5% Technology Fee $ TOTAL DUE WITH PERMIT $' o PROOF OF INSURANCE $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER $ 85 00 1 st Cut = $ 2nd Cut =$J =$ CONTRACTOR INFORMATION CONTRACTOR.......) r I ~ ,.ICIl~rt[ :sTZWI9RP CONTRACTOR REGISTRATION NO q Cf '3 '5 "7 PROJECT SUPERVISOR k::"J:l(l ~_ ADDRESS f ..,,?~O f} D / cl.m/~lo~HONEcptj 12 ~I , EXPIRATION' DA TE ~ PHONE ~ ,;) ~<f INSPECTIONS AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINA TED CITY JOB NUMBER/PERMIT NUMBER JOB ADDRESS TYPE OF INSPECTION REQUESTED AND WHEN YOU WILL BE READY FOR INS PECTlON CONTRACTOR S OR OWNER S NAME AND PHONE NUMBER REOUESTS RECEIVED BEFORE 7 00 A M WILL BE MADE THE SAME DAY REQUESTS AFTER 7 00 A M WILL BE MADE THE NEXT WORKING DAY INSPECTIONS ARE TO BE CAlLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S L? ':.QNE CALL 'NUMBE~ 1-800-332-2344 , // 4 48 H~RE IWlG~ SIGNATU~,~ f'..-f, /~~/ ~J' AMOUNT RECEIVED / RECEIPT NO DATE PAID RECEIVED BY By Signature I slate and agree that I have carefully examined the completed application and do he reby certify that alllnforma~on herem IS true and correct and I further certifY Ihat ar]Y and all work performed shall be done In accordance W1lh the Ordinances of the Cltv of Spnnglleld apphca61e City Standard specifications and DraWlnQs and the laws at the State of Oregon pertalmng to the work descnbed herem I further certify fhat only contractors and employees who are In compliance With ORS 701 055 Will be used on thiS prOject The City may Inspecl the work site described In thiS perm.t at any lime dunng a one year penod fa 1I0WUlg the receipt by the City of nOllte of com~letlon of the deScribed work and speafy al the City s sole discretion any additional restoration work required 10 return Ihe Site to a standard accep'!able to the CI The permmee Will be nOlihed In wntlng of any work reqUIred and Will have thirty days (30) f the date 01 the notice to complete the work Work not camp eted at the end of the 1I11rty days Will be performed by I Ity and the cosls Will be billed to the IUee e proper time that Prol eel address IS readable from the 1:;~7 Date S- I;? 7/0 P Signature ~ / . ' 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00740 COM2008-00740 COM2008-00740 Payments Type of Payment Check cRecemtl RECEIPT #: DescriptIOn Curbcut PermIt SIdewalk RepaIr PermIt + 5% Technology Fee Paid By LEROY FREDERICK City of Sprmgfield OffiCIal Receipt Development Services Department PublIc Works Department 2200800000000000746 Date: OS/2712008 Item Total Check Number AuthorizatIOn Received By Batch Number Number How ReceIVed Ikw 2683 In Person Payment Total Page 1 of 1 10 16 OOAM Amount Due 8500 1500 500 $10500 Amount Paid $10500 $105 00 5/27/2008