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HomeMy WebLinkAboutPermit Curb Cut 2003-02-21Status: Issued 225 Fifth Streel Springfield, OR 541-726-3753 Phone 541-726-3676 Frx 541.:7 26-37 69 Inspection Line Buildin g/C ombination Permit PER,MIT NO: COM2003-00097ISSUED: 0212112003APPLIEDz 0212112003EIPIRES: 08/2112003 VALTJE: SITE ADDRESS: IO17 MILL ST ASSESSOR'S PARCEL NO.: 1703352201800 PROJECT DESCRIPTION: Curbcut permit only Owner: SAVICH STEVEN Address: f017 MILL ST SPRINGFIELD OR 97477 Curbcut TYPE OF USE: New Springfield TYPE OF License 64344 Expiration Date 09/10/2003 Residential Phone 541-726-7706 Contractor Tvpe General Owner Contractor SCOTT BROWN CONSTRUCTION INC SAVICH STEVEN CONTRACTOR INFORMATI ON BUILDING INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: Description Type of Construction $ Per Sq Ft Square Footage Sidewalk Type: Downspouts/Drains REQUIRED PARIflNG Total: Handicapped: Compact: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS lof2 Value Date Calculated Valuation Description I F SPRING Buildin g/C ombination Permit Status: Issued 225 Fifth Street Springfield, OR 541:726-3753 Phone 541-726-3676 Fa.x 541:7 26-37 69 Inspection Line PERMIT NO: COM2003-00097ISSUED: 0212112003APPLIEDz 0212112003E)GIRESz 0812112003 VALI]E: Total Value of Project Fee Description Curbcut Permit Amount Paid $7s.00 $7s.00 Date 2t2u03 Receipt Number 2200200000000000513 Total Amount Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Curbcut - Standard: After forms are erected but prior to placement of concrete. ons By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 certiff that only contractors and employees who are in compliance with ORS 701.06 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 construction. Owner or Contractors Signature Date timps L>t a(& 2of2 -t'ees rato I 225FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION oFFrcE TELEPHONE (503) 726-37s3 iffi a.-oo6t V 6ZLIAPPLICATION DATE: PERMIT NUMBER: DATE ISSUED: SITE INFORMATION: Cc 7)( 720<PHONE rt'd€_STATE:7?. STATE: ZIP: PHONE: CITY:ZlPi o { (3"c.,, - LOCATION OF ADDRESS: CITY: TAX MAP: TAX LOT: APPLICANT ADDRESS: suBDtvtst OWNER: REQUESTED PERMITS: I uulrleLE pERMtr DtscouNT EA: (MAX 2) (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION ONLYAPPLIES TO 2nd AND 3rd PERMTTS ONLY. NOT STDEWALK REpAtR) $ $@$0.07 sF. f] SIDEWALK REPA|RI $ 10.00 CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS $75-OO tr $ X $ ,fbu--ts\ : $_( ALTOT UD E WITH RPE ITM $ Fo N US ERANC $s M000 NIM MU WOIF ISRK EDON00,PROBY EP OWRTY EN R $30.oo SIDEWALK: AMOUNT OF SIDEWALK IN EXCESS OF 9OLF tro1s"- CONTRACTOR IN FORMATION : -\.\ ( -Ovr EXPIRATION DATE: <,(*s.>r ,1 ol (3 ,c, \^r v\ CONTRACTOR: ADDRESS pHoNE: 7)Q7ZoG -o PHONE:- 6(6 CONTRACTOR REGISTRATION NO: PROJECT SUPERVISOR: S;. INSPECTIONS: Ary !ry9PECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE AFTER THE PROPOSED WORK HAS BEEN FORMED AND.MADEREADY To PouR. cuRB cuT AN0 SIDEWALK lNsPEcTloNS cALL 726-3T69 lnedonoenisrniE vbun oeSrorlnrED CiriloeNUMBER/PERMIr NUMBER JoB ADDRESS TYPE oE lNspEcroN REeUESTED nruo Wneu Vou wr[ie{nEebv Fon rNspeciior,r,coNTRAcToR' S oR OWNER'S N AME ANo PHONE NUMBER. REoUESTS REoEiVED eEronE]:do A.r',r. wruf ae rraAoe tHE SAT\4E DAY REQUESTS AFTER 7:OO A.M. WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED INAFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIoRIO pounllIc -coNdniie. YOU ARE REQUIRED TO CALL IH.ETANE UIIUTIES COORDINATING COUNCIL' S 48 HOURS BEFORE DIGGING SIGNATURE: Bl,.ij8TlHkl,:11:""i[1 F,s,lf;8i,J"1{,1f,i11:iflyly;,iflxli.,%11s,.fi.#rJf,:",,rr3TJ;31;i333,s3;[TioLif;3,g.,jl3l3lljnformarion herein XL".SlY*'n'J,!i,gi?',f-frsfl8,,',,'r"3:?"?1ilj"T.o,#6:JffiX"#fi3i"?!,#;H:isi.dl3;,FiHg$fr.6t"rgo?'.sgsi,f,ifs,lg%," the work on this project. I',s,s$flr#et"t'lf";l"ri'',}itil]!ffiti'#rtiirrEgfiiffi1$fffit{,;"Hfftrpfutr3ffi$g;p;.f,lEili{fttir,l#gr date of the noticb to comptete-rh'e woi[.-wo;(. W;k-;i the City and the costs will be billed to the permittee. JiliiJ|,iizuil{:P"'Ho,fig'|,|iil3,fi,fli;Sto",l,i.,nlBfJi,BB[,:'fl"' that project address is readabre rrom the street, ON da Signature Date o Z Lt I further agree to ensureand the approved set of AMOUNT RECEIVED: RECEIPT RECEIVED BY: DATE PAID:ls DRIVEWAY/SIDE WALK Cits of dprinsfield 3 PERMIT APPLICATION t $ 75.00 f,l enoor