HomeMy WebLinkAboutPermit Curb Cut 2008-6-18
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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
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,... .,
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-'
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