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Home My WebLink AboutPermit Sidewalk 2004-08-16Building/Combination Permit Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01008ISSUED: 0811612004APPLIED: 08/1612004 EXPIREST 0211612005 VALUE: SITE ADDRESS: 1432 MODOC ST ASSESSOR'S PARCEL NO.: 1703253315600 PROJECT DESCRIPTION: Eric Scheidt Construction Owner: BROWTILEE JEAN Address: 1432 MODOC ST SPRINGFIELD OR 97477 Springlield TYPE OF WORI(: Sidewalk TYPE OF USE: Repair License 70178 Residential Expiration Date Phone 541-741-7299 Contractor Type General Contractor ERIC CC CONTRACTOR INFORMATION } INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: NOTICE: AUTHORIZED UNDER THI COMMENCED OR IS ABA rh0ltvh8osffi8ERl0D. Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements:AT?EffiNOI.} Storm Sewer Available: Special Instruction: Notes: nla S PEftI.liT 15 Nuul{t u run # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: bllow?rrc tdoPilrd[f tr Orgon t dliu Hotlffcatlor Ccilftx, Ihoof Idst ls.il forfl kt OAR 962-001{ff0$uutgh OAR850{X}l' 0090. rbu mayobhh ooph dfic ildGbf calling fioorrBB 0{oH $a bl€ptuto Contorb $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains REQUIRED PARI(NG Total: Handicapped: Compact: Description Type of Construction Total Value of Project Value Date Calculated F PRIN Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 34l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01008ISSUED: 0811612004APPLIED: 08/1612004 EXPIRESz 0211612005 VALUE: tr'ees Paid Fee Description Sidewalk Permit Amount Paid $7s.00 $7s.00 Date Paid 8tr6to4 Receipt Number 22004000000000010s0 Total Amount Paid Plan Reviews To Request an inspection call the 24 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify 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 certify that only contractors and employees who are in compliance with ORS 70f .005 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 times during construction. {-rc-e4 Owner or Contractors Signature T iq ,u tQ t G Fl f Date Pase2 of} Kequrreo lnspecuons l -t/-'- -/Zi- 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C*ity of Springlield Official Receipt 'velopment Services Department Public Works Department RECEIPT#: 2200400000000001050 Date: 0811612004 8:53:16AM Job/Journal Number coM2004-01008 Description Sidewalk Permit Amount Due 75.00 Item Total:$75.00 Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check ERIC SCHEIDT CONSTRUCTION swbb 3802 In Person Payment Total:$75.00 $75.00 r(I rr tH.* rNc. il! lgo e 3802 $ 96-505/1232 (E I I I I 81t612004 Page I of I ox8'/A:o! 5 l oqr:le:leOs o ED DEI I I a r,'DI Ia I E o 225FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION oFFrcE TELEPHONE (503) 726-3753 APPLICATION DATE: ffi -1 PERMIT NUMBER DATE ISSUED: SITE INFORMATION: TAX MAP 7'7+ J aCfi,f: (ar,,<fr'.lJ stete: O R ztp:TAX LOT: rlea a/ Bro - u le e ADDRESS: IT Y Z ATE: ft;. 5-A-,'J t Cc.,,nrh"*ir.- I.tc.ptloNE ,74/ - TZX7 I ++q .t4o)n c 5{ PHoNE: ?F8.72 Yf,&oloc crrY: =P (9 /L ap:2 z't 7 7 LOCATION OF suBDrvrsroN OWNER: APPLICANT ADDRESS: REQUESTED PERMITS: I cune cur/DRtvEWAy: NUMBER oF DRtVEWAys: x I nttulrrrLE pERMtr DISCoUNT EA: (MAx 2) $3o.oo (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION ONLY APPLIES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAIR) TOTAL DUE WITH PERMIT $ R pRooF oF TNSURANCE: 9s00,000 MINTMUM tF woRK ts DoNE By pRopERTy owNER CL*{ 6s t 0Q $ 75.00 7,.oo @$0.07 sF. $ 10.00 $75.OO $ $ $ K : $_( SIDEWALK: AMOUNT OF SIDEWALK IN EXCESS OF gOLF lx- sroewaLK REPATR:r'H\ CONTRACTOR IN FORMATION : PHoNE: zrt-7zsE EXPIRATION DATE ILZEiIT{ PHONE: ?'t t- 7zn /;€. Ao ,Jt Conrshr-hbn T,,e lzt++ ytl)Jo c 5/ CONTRACTOR ADDRESS: CONTRACTORREGISTRATIONNO: VO T TT PROJECT SUPERVISOR:Ce,.< INSPECTIONS: AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE AFTER THE PROPOSED WORK HAS BEEN FORMED AND.MAOE READY TO POUR. CURB CUT AND STDEWALK INSPECTTONS CALL 726-3769 (RECORDER) STATE yOUR DESTGINATED CtTy JOB NUMBER/PERMIT NUMBER JOB ADDRESS TYPE OF INSPECTION REQUESTED AND WHEN YOU WILL BE READY FOR INSPECTION. CONTRACTOR' S OR OWNER'S N AME AND PHONE NUMBER. REQUESTS REOEIVEO BEFORE 7:00 A.M. WILL BE MADE THE SAME DAY REQUESTS AFTER 7:OO A.M. WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE ANO FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE. THE LANE UTILITIES COORDINATING COUNCIL' S"oNE CALL NUMBER" 1-800-332-2344 48 HOURS BEFORE DIGGING YOU ARE REQUIRED TO CALL SIGNATURE: RECEIPT NO: RECEIVED BY: Bv siqnature, I state and aqree, that I have carefullv examined the completed aoolication and do herebv certifv that all information herein is'truE and c6rrect, and I fu-rthei certify that any and all work performed'shall be'dpne in accordance wi(h the Ordinances of the City of Springfield, applicable City Standard specifications and Drawinqs. and the laws of the State of Oreqon pertaining to the work described herein. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be uset on this project. The Citv may inspect the work site described in this permit at anv time durinq a one vear oeriod followinq the receiot bv the Citv of notice of comriletioh of (he described work and specify, at the City's sole discretionlanv additional restoration Work requirbd t6 return ihe site to a standard acceDtable to the Citv . The oe'rmittee will be notified in writino of anV work reouired and will have thirtv davs (30) from the date of the noticb to complete th-e work.'work. Work not completed at thdend of the thirty'days will be performed 6y ' the City and the costs will be billed to the permittee. I further agree to.ensure that all required inspectio.ns are.requested at the proper.time, that project address is readable from the street, and the approved set of plans will remain on the site at all times during construction. Y/ rc /o{ Signature Date AMOUNT RECEIVED DATE PAID DRIVEWAY/SIDE WALK Cits d Jprinsfield MIT AP ICATIONP