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