HomeMy WebLinkAboutPermit Sidewalk 2008-6-23
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2008-00713
ISSUED. 06/23/2008
APPLIED' OS/20/2008
EXPIRES' 12/23/2008
VALUE' $ 20,00000
Status
Issued
225 F,fth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 InspectIOn LlDe
SITE ADDRESS 697 HARLOW RD
ASSESSOR'S PARCEL NO 1703271202900
Springfield TYPE OF WORK PavlDg
PROJECT DESCRIPTION Pave parklDg lot
TYPE OF USE New
Commercial
Overlay Dlst
# Street Trees Rqd -
Paved Drive Rqd
ATTENnO.o1? 0.1 Lot Cover.lge
. N: Oregon law requlr
IO"~W rules adoDted hv tho n. es y?u, ~
lIv...,~.::r " iQeR ::nil..s
In OA ' (}'I'l':ml!:!llll,8itSet forth
009 ...1 !,-, ,352-0
0"'1 ou may obtain copies of the rule Q1Jewalk Type
ca ng the cente~ (N t s Df
number for the Or~go~ U;"the te/ephonlDownspouls/DralDs
Center Is 1-a00-332~~~fiC8llon
Owner FAIRCHILD DONALD
Address PO BOX 788
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
General
Contractor
PRC EXCAVATING AND CONCRETE
License
177045
I BUILDING INFORMA nON,
# of UOItS # of S.Il\H~
Primary OccupancX~tl\Ul. B '""I'\RE \f "~ih'rot uclure
Secondary OCCU~bl,Y~I~1 SI-Ir>.\.\. &1' I'ER'fNtle\n "
Primary Construi\tWJi)f, UNDER 1I-1IS .~tf01\ype
Secondary Constr/l.~ REDO OR IS r>.Br>.NOO'1ta.lge Type
# of Bedrooms COMMENCE ERIOO, Energy P Jlh
r:>.N'( 180 Df:>.'( I' Sprinkled Bulldlllg nla
I DEVELOPMENT INFORMATION ,
Frontyard Setback
S,de 1 Setback
SIde 2 Setback
Rearyard Sethack
Solar SetbJcks
Street Improvements
Storm Sewer Available
Specl3ll nstructlOn
Notes
I ValuatIOn Descr~~tlOn I
Description
$ Per Sq 1'1
or multIplier
SquJre Footage
or B,d Amount
Type of ConstructIOn
Paee 1 of 3
EXpiratIOn Date
06/27/2009
Phone
915-0989
Lot SIZe
Sq Ft 1 st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq 1'1 Garage/Carport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
HandIcapped
CompJct
Value
Date Calculated
Status
Issued
225 F,fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
Estimate
Estimate
Fee DescrIptIOn
Plan RevIew Comm/lndfPubllc
+ 5% Technology Fee
Encroachment PermIt
+ 10% AdmmlStratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Pavmg
SDC SaUlIJry/Storm Admm
Storm Dramage ImpervIOUs Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtlIOO'
Total Amount PaId
Inlllal ReVIew
PldnnlU2 ReView
Public Works ReVIew
Structural ReVIew
CITY OF ~rK1J~ut<1J<.,LD .
Building/Combination Permit
PERMIT NO: COM2008-00713
ISSUED. 06/23/2008
APPLIED OS/20/2008
EXPIRES: 12/23/2008
VALUE $ 20,000.00
$100
20,000 00
Total Value of Project
$20,000 00
$20,000 00
OS/20/2008
\<pp<. PquJ I
Amount PaId
Date P Jld
ReceIpt Number
$\3289
$675
$\3500
$3184
$\3 68
$1592
$32 00
$204 44
$7163
$1,43253
$50 00
$32 00
5/20/08
6/6/08
6/6/08
6/23/08
6/23/08
6/23/08
6123/08
6123/08
6123/08
6/23/08
6/23108
6/23/08
2200800000000000704
3200800000000000385
3200800000000000385
2200800000000000958
2200800000000000958
2200800000000000958
2200800000000000958
2200800000000000958
2200800000000000958
2200800000000000958
2200800000000000958
2200800000000000958
$2,15868
I Plan ReVIews I
OS/21/2008
OS/21/2008
OS/21/2008
OS/21/2008
APP LLH
APP EMM
To be constructed per approved
Fmal Plot PIJn and condlllons of
MDS DRC2007-00071 Call Molly
Markarian for Fmal SIte InspectIOn
at 726-4611 Please gIVe 48 hours
notice
Attached SDC Worksheet (JHJ)
I
All paved Jreas on the SIte to dram
I
to approved catch bdSIDS, trench
drams or the dram age swale
OS/21/2008
OS/21/2008
APP JHJ
OS/21/2008
06/09/2008
APP DLM
To Request an inspectIOn call the 24 hour recording at 726-3769 All inspections 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.
IRpn~
Rough Gradmg After gravel IS 10 place but prior to plJcmg concrete
Storm Sewer Lme Prior to filhng trench
SpeCial See Plan ReVIew and/or Inspector Notes
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO COM2008-00713
ISSUED' 06/23/2008
APPLIED' ,05/20/2008
EXPIRES' I 12/23/2008
VALUE: I $ 20,00000
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Fmal Pavmg After pavmg IS complete I
Fmal Bulldmg After dll CondItIOns have been completed as reqUIred on Development Agreement
I
I
By SIgnature, I state and agree, that 1 have carefully esammed the completed apphcallon and do hereby cerllfy that all
mformatlOn hereon IS true and correct, and I further cel tlfy Ihdt any and all work peltOl med shall be done 10 accordance WIth
the Ordmances of the CIty of Spnngfield and the LdWS 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 CommuDlty ServIces DIvISIOn, BUIld 109 Safety
I further cerllfy that only coulractors and employees who al e 10 comphancc WIth ORS 701 005 WIll be used on thIS project
I further agree to ensure that all reqUIred mspechons are requc;ted at the proper hme, that edch address IS readable from the
street, that the permIt card IS locdted at the front of the property, dnd the approved set of plans will remam on the SIte at all
hmes durmg constructIOn
C.LAr"A~J'\O)"-
Owner ~co~c~ors SIgnature
------
La I~~I () ~
I
I
Date
Paee 3 of 3
225 F,fth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
,
S..PRIN_Q"'~D ~
= AA
-~
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
Pubhc Works Department
Job/Journal Number
COM2008-00713
COM2008-00713
COM2008-00713
COM2008-00713
COM2008-00713
COM2008-00713
COM2008-00713
COM2008-00713
COM2008-00713
Payments
I ypc of Payment
Check
cRecclOtl
RECEIPT #
2200800000000000958
Date: 06/23/2008
DescriptIOn
Stann Dramage ImpervIOus Area
SDC Sanitary/Stann Admm
Pavmg
Slonn Sewer - 1st 50 Feet
Stann Sewer Each Addtl 100'
FIxture
+ 5% Technology ree
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
BOOKKEEPERS UNLIMITED
Item Total
Check Number AuthOrization
Received By Batch Number Number How RU..clVcd
dJb
10588
In Person
Payment Total
Page I of I
I 13 54PM
Amount Due
1,432 53
7163
204 44
5000
3200
3200
1592
1368
31 84
$1,88404
Amount Paid
$1,88404
$1,88404
6/23/2008