HomeMy WebLinkAboutPermit Curb Cut 2004-04-08-
B uil din g/ C o mb ination permirSfafus Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
PERJVTIT
ISSUED:
APPLIED
EXPIRES:
VALUE:
NO: COM2004-00393
04/08/2004
': 0410812004
t0/08/2004
SITE ADDRESS: 2443 8TH ST
ASSESSORTS PARCEL NO.: 1703261201202
PROJECT DESCRIPTION: overwidth driveway application onty
Owner: MOE WAyNE M & DORIS I
Address: 2443 N 8TH ST SPRINGFIELD OR 97477
Contractor Tvpe Contractor License Expiration Date Phone
Springfield TYPE OF WORI(:
TYPE OF USE:
Curbcut
New Residential
BUILDING INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
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:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Total Yalue of Project
Pase 1 of2
DEVELOPMENT INFORMATI
PUBLIC IMPROVEMENTS
Description Type of Construction Value Date Calculated
\
-
r1\TUr(IVIAII(,N I
Valuation Description I
Status Issued
225 Fitth Street, Springfietd, OR
541-726-3753 Phone
547-726-3676Fax
541-7 26-37 69 Inspection Line
Buildin g/ C o mb in atio n p e r mit
PER.UIIT NO
ISSUED:
APPLIED:
EXPIRES:
VALUE:
: COM2004-00393
04/08/2004
04t08t2004
t0/08/2004
Receipt Number
3200400000000000034
Fee Description
Curbcut - Overwidth Appl
Total Amount Paid
Public Works Review 04t08t2004
To Request an inspection call the 24
will be made the same working day,
day.
Application to be reviewed by pw
transportation.
hour recording at 726-3769. ArI inspection requested before 7:00 a.m.
inspections requested after 7:00 a.m. will be made the following work
Amount Paid
$35.00
$3s.00
Date Paid
4t&t04
Plan
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 701.005 witl 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.
Q{,u,*t A\tus\*".l^-)oq ()8 0+
Owner or Contractors Signature Date
Pase2 ofZ
q
22S F'ifth Street
:x;;i[:;i,, ;;:;n
e 7 47 7 r.+y of Springfield OfficialReceipt. .rclopment Seryice" Ouprrtiiii
Public Works O"p".t_..ri
RECEIPT #:3200400000000000034 Date:04/08/2004 t0:20:34AMJoblJournal Number
coM2004-00393
Description
Curbcut - Overwidth Appl Amount Due
35.00
Type of Payment paid By
Cash RADCHECK GENERAL
CONTRACTING
Item Total:
Received By Batch Number Number How Received
vrj In Person
Payment Total:
$35.00
Amount Paid
$35.00
$35.00
4t8/2004 Page I of I
J
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
SITE ADDRESS: 2443 8TH ST
ASSESSOR'S PARCEL NO.: 1703261201202
PROJECTDESCRIPTION: overwidth
Owner:
Address:
PERMIT NO: COM2004-00393ISSUED: 0410912004APPLIED: 04/0812004
EXPIRESz 1010912004
VALUE:
\s0
Springfield TYPE OF WORK: Curbcut
TYPE OF USE: New
only
Residential
Expiration Date Phone
541-688-8058
Contractor Type
General
Contractor
RADCHECK GENERAL CONTRACTING
License
97477
# of Units:
Primary Occupancy GrouP:
Secondary OccupancY GrouP:
Primary Construction TYPe
Secondary Construction TYPe:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
Total Value of Project
Page I of2
Description TYPe of Construction Value Date Calculated
t}.l
9et tof,
cuN'r r{ALj r uK rI!! uffiNI!-J
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00393ISSUED: 0410912004APPLIED: 04/0812004
EXPIRES: 10/0912004
VALUE:
f,'ees Paid
Fee Description
Curbcut - Overwidth AppI
Curbcut Permit
Total Amount Paid
Amount Paid
$3s.00
$7s.00
$110.00
Date Paid
4t8t04
4t9t04
Receipt Number
3200400000000000034
2200400000000000340
Plan Reviews
Public Works Review 04t08t2004 Application to be reviewed by Pw
transportation.
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 - Overwidth: 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 Springlield 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 701.005 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 construction.
o*-o9 a4
Owner or Contractors Signature Date
Pase 2 of 2
Keourreo lnsDectrons I
225 Fifth Street
ii;.#.ii;f ;igoneT477 Aff
3f Springfield- Ofliciat Receipt-velopmen t Seryices Oupr.trr"ii
Public Works O"pr.r_""i
RECEIPT #:
Description
Curbcut Permit
0000000000034022004
Jobllournal Number
cotil2004-00393
Date:04/09/2004 7o:s4r2tAM
Amount Due
75.00
Payments
Item Total:$7s.00
NumEerType of Payment paid By
Cash
Received By Batch Number Number How Received
vrJ In Person
Payment Total:
Amount Paid
$75.00
RADCHECK GENERAL
CONTRACTING
li75.00
4/9t2004 Page 1 of I