HomeMy WebLinkAboutPermit Miscellaneous 2008-6-18
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00897
ISSUED: 06/18/2008
APPLIED 06/18/2008
EXPIRES 12/1812008
VALUE:
Status
Issued
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
SITE ADDRESS 3626 OLYMPIC ST
ASSESSOR'S PARCEL NO 1702300001903
Sprmgfield TYPE OF WORK Miscellaneous
TYPE OF USE AlteratIOn
Industnal
PROJECT DESCRIPTION Sidewalk
Owner CHANEY MICHAEL A
Address 1771 BALBOA
EUGENE OR 97408
Owner CHANEY NICHOLAS A
Address 1771 BALBOA
EUGENE OR 97408
Phone Number 541-359-8711
1 CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
ExpIration Date Phone
BUILDING mrvRMATION I
# of UUlts
Pnmary Occupancy Group
Secondary Occupancy Group
Primary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
Height of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled BUlldmg
Lot Size
Sq Ftlst Floor-
Sq Ft2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
I, DEVELOPMENT INFORMATION I
Frontyard Setback
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
Handicapped
Compact
1 PUBLIC IMPROVE_IYIEN;I;s'.1 Oregon law requires YOUUtl~~ty
. . ,. · aQ b the Oregon
Stree.l,Ime'f'>,ements OR" follow rules adolliil1'IM:TIW/9 are set forth
I~U II. l EXPIRE IF THE W l' NotificatIOn Center iIDrO.N.\952-001-
Ston'll~eP'!f\Ml;rIliiblA.\... ERMIT IS NOT In OAR 952-001-~lYtI\ijillll;;,s ~ci(\l\'~ rules by
SpeA\'lIII-ro~\'lt'!lnlJNDER THIS P 0 FOR 0090 You may obtain cOf~ the telephone
rOMMENCED OR IS P-BP-NDONE callmg the center (~~ Utility Notification
Not~sNY 180 OP-Y PERIOD number for the O~~g800_'3'32-2344).
" Center IS I
Page 1 of2
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J""~ti 't
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-00897
ISSUED 06/18/2008
APPLIED. 06/18/2008
EXPIRES. 12/18/2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I Valuation Descriotion ,
DeSCriptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or mulllplIer
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees PaId I
Fee DescnptlOn
+ 5% Technology Fee
Sidewalk Permit
Amount Paid
Date Paid
Receipt Number
$425
$85 00
6/18/08
6/18/08
3200800000000000416
3200800000000000416
Total Amount Paid
$89 25
I Plan ReViews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769. AllmspectlOns requested before 7:00
a.m. Will be made the same workmg day, mspectIons requested after 7'00 a.m. will be made the followmg
work day
1 RellUlred I nsnectlOns I
Sidewalk - Curbside 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 cerllfy that any and all work performed shall be done m accordance with
the Ordmances of the City of Spnngfield 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 CommuUlty Services DIVISIOn, BuIldmg Safety
I further cerllfy that only contractors and employees who are m compliance with ORS 701 005 will be used on thiS project
1 further agree to ensure thdt all reqUired mspecllons are requested at the proper lime, that each address IS readable from the
street, that the permll card IS located at the front of the property, and the approved set of plans Will remam on the site at all
IIm7~ ~ '~.'
=-- ~ C_ .2-
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Owner or Contractors Slg~
C;-/8~03
Date
Page 2 of2
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
"._.P"'NQF1~
ttiL
CIty of Sprmgfield OffiCial ReceIpt
Development ServIces Department
Pubhc Works Department
RECEIPT # 3200800000000000416 Date: 06/18/2008 2 06 01PM
Job/Journal Number Description Amount Due
COM2008-00897 Sidewalk PenTIlt 8500
COM2008-00897 + 5% Technology Fee 425
Item Total $89 25
Payments (.'heck Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
CredltCard NICK CHANEY Ikw 048721 In Person $89 25
Payment Total $89 25
cRecemtl
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6118/2008