HomeMy WebLinkAboutPermit Curbcut 2005-9-9
.
Status Pending
225 Fifth Street, Springfleld, OR
541-726-3753 Phone
541-726-3676 Fax
:. 541-726-3769 Inspection Line
. CITY OF ~rK11"'iul'u.L1J
Building/Combination Permit
PERMIT NO: COM2005-01233
ISSUED:
ATTENTION: Oregon law requires YOl~BPLIED: 09/09/2005
follow rules adopted by the Oregon UOO~PIRES:
Notification Center. Those rules are setV~UE:
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SITE ADDRESS: 718 ISLAND STcalling the center. (NSjlrlrigfleldE!11Y'PE'OF WORK: Curbcut
ASSESSOR'S PARCEL NO.: 17033,4gQJliQQor the Oregon Utility Notification
Center is 1-800-332-2344).TYPE OF USE: use Initials
PROJECT DESCRIPTION: Curbcut overwidth
": Owner: REAKSECKER JOHN PETER & REBEKAH A
. Address: 718 ISLAND ST
SPRINGFIELD OR 97477
Contractor Type
Contractor
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
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:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: .
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
NOTICE: Sidewalk Type:
THIS PERiv1IT SHALL EXPIRE IF THE WBo~nspoutsJDralns:
AUT HORIZED UNDER THIS PERMIT IS NUl
COMMENCED OR IS ABANDONED FOR
ANY 160 DAY PERIOD.
Notes:
-
"
I Valuation Descriotion I
Description
Type of Construction
S Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01233
ISSUED:
APPLIED: 09/0912005
EXPIRES:
VALUE:
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
, Fee Description
Curbcut - Additional Driveway
Curbcut Permit
Amount Paid
$40.00
S80.00
Date Paid
9/9/05
9/14/05
Receipt Number
3200500000000000541
2200500000000001267
Total Amount Paid
SI20.00
I Plan Reviews I
Public Works Review
09/1212005
09/12/2005
APP CAS
Overwidth approved by
Transportation
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.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Curbcut - Overwldth: 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
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.
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Owner or Contractors Signature
Date
Paee 2 of2
225, Fifth Street
Spriiigfleid, Oregon 97477
541-726-3759 Phone
.
RECEIPT #:
Job/Journal Number Description
COM2005-0 1233 Curbcut Permit
Payments:
Type of Payment
Check
u
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,
9/14/2005
.
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Paid By
JOHN REAKSECKER
~~
Jiiity of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000001267
Received By
CAS
Page I of I
Date: 09/14/2005
Item Total:
Check Number Authorization
Batcb Number Number How Received
2265
In Person
Payment Total:
2:27:IOPM
Amount Due
80.00
S80.00
Amount PDld
$80.00
$80.00