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HomeMy WebLinkAboutPermit Curb Cut 2008-6-18 -..--.... ~ WIt Status Iss u ed CITY OF SPRINtJl'lJ:'..LD Building/Combination Permit PERMIT NO: COM2008-00892 ISSUED: 06/18/2008 APPLIED. 06/18/2008 EXPIRES: ]2/]812008 VALVE: 225 Flftb Street, Spnngfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 IuspectlOu Lme SITE ADDRESS 255 DEADMOND FERRY RD ASSESSOR'S PARCEL NO 1703154001500 Spl mgfield TYPE OF WORK Curbcut TYPE OF USE AlteratlOu ReSldeutlal PROJECT DESCRIPTION Encroachmeut & curbcut Owuer COUNTRY MANOR NO 3 LLC Address 2815 WAYSIDE LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Contractor License CONSTRUCTION CONSULTANTS L TD 1NC 120549 BU~LDlNG INFORMATION. ExpiratIOn Date 02/24/2010 Phone 541-688-1907 # of Umts Pnmary Occupancy Group Secoudary Occupaucy Group Pnmary Coustruchon Type Secoudary Construchon Type # of Bedrooms # 01 Stones NOTICE: Lot SIze HeIght of StrucJ/1,~5 PERMIT Sq Ft 1st Floor Type of Heat AUTHO SHALL ~~I Water Type COMMER/ZED UNDER 1Iw~. tWORK Range Type A NCED OR IS A~,q 1df4~litT Euergy Patb NY 180 DAY PER/OD 'gq FOR Sprmkled Buddmg nla Occupaut Load ATTENTION' P'O"M I~.., __ N~;:~~a~,~I~~ adopted blt tIli~~Ff~ INFORMATION I in OAR 9:52-0~1~~;1 oThthobJI utes are set forth IlngO y, rough OAf'l q~9 no.' Froutyard SetbaCK ' ou may obtain COpIes of tUverlay vist SIde 1 Setback calling the center (Note the t~'S{~~&'f'F'1!ees Rqd SIde 2 Setback nLmber for the Oregon Utility N,&'~~~'lp'l'IVe Rqd Rearyard SetbJck Center IS 1-800-332-2341J. 01 [~{toverage Solar Setbacks REQUIRED PARKING Tolal Haudlcapped Compact I PUBLIC IMPROVEMENTS' Street 1mprovemeuts Storm Sewer Available SpecIallustructlOu Sidewalk Type Downspouts/Drams Notes I ValuatIOn DescrmtlOn I DeSCriptIOn Type of ConstructIOn $ Per Sq Ft or mulhpher Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO- COM2008-00892 ISSUED' 06/18/2008 APPLIED' 06/18/2008 EXPIRES: 12/18/2008 VALUE 225 F.ftb Street, Sprmgfield, OR 541-726-3753 Pboue 541-726-3676 Fax 541-726-3769 InspectlOu Lme Total V dlue of Project Fees PaId' Fee DescnptlOu + 5% Tecbuology Fee Curbcut PermIt Eucroacbmeut Permit Amouut Paid Date PaId ReceIpt Number $11 00 $85 00 $13500 6/18/08 6/18/08 6/18/08 2200800000000000923 2200800000000000923 2200800000000000923 Total Amouut Paid $23100 I Plan Reviews I To Request an inspection call the 24 hour recordmg 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 R~~I~lred Insnectin~,~' Curbcut - Staudard After forms are erected but pnor to placemeut of coucrete Eucroacbmeut After Item(s) bave beeu removed to lUspect coudltlOu of pubhc ngbt of way By SIgnature, I state aud agree, Iball bave carefully exammed tbe completed apphcatlOu aud do hereby certify tbat dll mformatlOn hereon IS tfue and correct, and I further certlf,} that any and aU work performed shall be done m accordance With the Ordmances of tbe CIty of Sprmgfield aud tbe Laws of tbe State of Oregon pertammg to tbe work descnbed berem, aud tbat NO OCCUPANCY will be made of auy structure wltbout permlSslou of tbe Commumty ServIces DIVISIon, BUlldmg Safety I furtber certify that only contractors aud employees wbo dre 10 comphauce wltb ORS 701 005 will be used ou tblS project I fUl ther agree to ensure tbat all reqUIred mspectlous are requested at tbe proper time, that eacb address IS readable from tbe street, tbal tbe permit card IS located at tbe frout of tbe property, and the approved set ot plans will remam ou the sIte at all times durmg construction /l/~ //~ &:, -I'ff-O~ Owner or Contractors Slguature Date Pa2e 2 of 2 225 Fifth 'Street Sprmgfield, Oregon 97477 541-726-3759 Phone _.... ~Q~nD ~ ~~." ~'1r ,... ., City of Sprmgfield Official Receipt Development Services Department Public Works Department RECEIPT #. 2200800000000000923 Date' 06/18/2008 1031 48AM Job/Journal Number Descrlphon Amount Due COM2008-00892 CurbcuI Penmt 8500 COM2008-00892 Encroachmenl Permit 13500 COM2008-00892 + 5% Technology Fee 1100 Item Total $231 00 Paymeuts Check Number AuthorIzatIOn Type of Payment Paid By ReceIved By Batch Number Number How Received Amount Paid CredllCard CONSTRUCTION lkw 218182 218182 In Person $231 00 CONSULTANTS Payment Total $231 00 cRecelOtl Page 1 of 1 611 8/2008 Gi/jj o!opri"gfiald DRIVEWAY/SIDEWALK PERMIT APPLICATION 225 FIFTH STnEET OPi:-':- ~ SPRINGFIELD OREGON 97477 ~ ENG!NEERING DIVISION orFICE TElEPllONE 1503) 726 3753 I aJ APPLICATION DATE le ) I~ o</. PERMIT NUMBER DATE ISSUED ~rl-ti'? ,003''1 Y lPi,f../()c{, SITE INFORMATION LOCATION OF WORK ,;} 5S lJ .,,7'f.lJl>1rrl0f., 1=~ , 1 APPLICANT C~'1iluL<\'~ Co~\ ~\., ADDRESS \q'LD (-,,\~ ~ IkJ!. PHONE <:::::;ZI-Sl3D TAX MAP 17 03 C1lY Gc,t::=:I..:t ST~TE SUBDIVISION J( ~"\. t-1 ~ OWNER ~.:> R-.~ ADDRESS '-\102 ':;.pQ."",~ \ C7R- ZIP q 7'/() ( TAXwr / )-4 1500 CITY ~q..Q STATE PHONE C"JR ZIP REOUESTED PERMITS o SIDEWALK .j AMOUNT OF SIDEWAlK IN EXCESS OF 90FT <if! SIDEWALK REPAIR $ 8500 @$O 08 SF $1500 ~$ ~$ ~$ J2!'CURBCUT/DRIVEWAY NUMBEROFDRIVEWAYS~X $8500 lstCut ~$ <'" ~ MULTIPLE PERMIT DISCOUNT EA (MAX 2) $3000 2nd Cut ~$_( (MULTI PERMIT DISCOUNT GOOD FOA ONE SITE AND ONE SITE INSPECTION.!lliLY APPUES TO 2nd AND 3,d PERMITS ONLY NOT SIDEWALK REPAIR! =$ ..3- 5% Technology Fee $ 4..2...<;' TOTALDUEWJTHPERMIT $ o PROOF OF INSURANCE $500 000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION CONTRACTOR e,..,l<'6"\iA..\.c-~~~ Lal-:>SL~\=' ADDRESS \~'-D C4'\\-'''''''''' QQ {::oc,~ CONTRACTOR REGISTRATION NO l ?J:::::> S4:dt' PROJECT SUPERVISOR li'\..~ \ ".... .n.-,...:re>--I 'bS'c>O 4-7...) Bt:> . "- <:: EXPIRATION DATE PHONE 5'Z.(-g~ ~-\O PHONE :5;"21-Q'<t) DtL 97'IiJ( INSPECTIONS AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE AFTER THE PROPOSED WORK HAS BEEN Fa AMED AND MADE READY TO POUR CURB CUT AND SIDEWALK INSPECTIONS CALL 726 3769 (RECORDER) STATE YOUR OESIGINATEDCITY JOB NUMBEAJPERMIT NUMBER JOB ADDRESS TYPE OF INSPECTION REQUESTED AND WHEN YOU WILL BE READY f:OR INS PECnON CONTRACTOR S OR OWNER S NAME AND PHONE NUMBER REQUESTS 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 EXCAVAllONS ARE MADE AND FOAM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 48 HOURS BEFORE DIGGING SIGNATURE AMOUNT RECEIVED RECEIPT NO di '1>'1 d <;" DATE PAID RECEIVED BY :ijlo~ and ~&~2!;a~~d Ilf~~~ ~~;W;~~ ~hat ~~~v~Il~~~ully 1=~~h~r ~~gt~ a~~~~ ~t~ ~~b~~an~~lyo~hat alllllformalJon herecn IS lIue the atv of Spnnghe\d appllcaole Clly ~andard speci~lIons and Dra....,nQs and the laws of the State of Oregoo pelt31nlng to the WC\l1( desCflbed herein I further certify lhat only COrlIradors and employees who are 111 compliance WIth GRS 701 055 'Mil be used 011 this prOjeCl The City may Inspect the 'NOfk site described In thIS permrt at any tIme dUring a one year period fa UOWIIlg the receipt by the City 01 notice of Com~etlon ollhe described work and spealy at the Oly s sole discretion any additIonal restoratlOrl work required 10 return the site to a s'landdfd accep'!abIe to the Cl The perrrul'lee wrj/ be noll/loo If! walIng of any wofk leQi..llled and w,tJ) have IhJrly days PO) Item the dale 01 the notice 10 complete the work Work not COll1 eled at the end 01 the thuly days Will be performed by ttie City and the costs Will be blUed 10 l/ie perITllllee llurther agree 10 ensure thai alllequlred inSpectionS are reQl1estcd al the plOper time thaI ptoJ eel address IS readable Irom the 'I,eel on" Ihe ;:"""';;;; "a"1," "~:z::: al ::;' d'''''9 c",,,,,,,,,,,,, "'9,,"me L/f/~ Dale ts, - 1% -de-' - ~