HomeMy WebLinkAboutPermit Sidewalk 2004-06-08Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 InsPection Line
Building/C ombination Permit
PERMIT NO: COM2004-00670ISSUED: 0610812004
APPLIED: 06/0812004
EXPIRES: 1210812004
VALUE:
SITE ADDRESS: 650 30th St
ASSESSOR'S PARCELNO.: 1702310003800
PROJECT DESCRIPTION: Widen driveway to 24'
Owner: HYLAND BUSINESS PARI(LLC
Address: PO BOX 7867 EUGENE OR 97401
Springfield TYPE OF WORI(: Sidewalk
TYPE OF USE: Alteration
Expiration Date
07nu2004
Commercial
Phone
541-726-8081
Contractor Type
General
Contractor
JOHN IIYLAND CONSTRUCTION INC
License
46071
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Stories:
Height of Structure
Heat:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
\a$-l
# of Bedrooms:
\ON o(b.j the 2r(
Frontyard
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
nla
Dist:
Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
NO E:Sidewalk Type:
THIS PERMIT SHALL EXPIRE lF THEtU0trfouts/Drains:
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 1BO OAY PERIOD.
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
Description Type of Construction
Total Value of Project
Value Date Calculated
t.AFI&LD
f
Valuation Description ]
tottIl-o
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-00670ISSUED: 0610812004APPLIED: 06/0812004
EXPIREST 1210812004
VALUE:
Fee Description
Curbcut Permit
Amount Paid
$75.00
$75.00
Date Paid
6t8t04
Receipt Number
2200400000000000723
Total Amount Paid
Plan 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.
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 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.
Owner or Contractors Signature Date
Pase 2 oI 2
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Kequrreo tnspecuons
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
ENGINEERING DIVISION
oFFrcE TELEPHONE (503) 726-3753 PERMIT NUMBER
APPLTcATToN DATE' 6 ^ \e-o\DAT
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SITE INFORMI\TION:
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PHONE
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STATE: &<-
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ADDRESS: P _o_bx2fbt
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CITY:
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OWNER:
STATE:41\)1
APPLICANT
ADDRESS:
TAXLOT: 03 tr (b
REQUESTED PERMITS:
[t cune cur/DRrvEWAy: NUMBER oF DRrvEwAys, I x
I ruuunrLE pERMrr DISGoUNT 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 $
fl PROOF OF INSURANCE: $500,000 MINIMUM lF WORK 15 DONE BY PROPERTY OWNER
$ 7s.oo
@$0.07 sF
$ 10.00
$75.OO
: $_(_
$e
$
G
7t"
$I STDEWALK:
AMOUNT OF SIDEWALK IN EXCESS OF gOLF
E SIDEWALK REPAIR:
CONTRACTOR IN FORMATION :
A-1\o 1)t***t
EXPIRATION DATE:
PHONE:Sq-na-
2
PROJECTSUPERVISOR: 5hn.*,. A)'refW
CONTRACTOR:
CONTRACTOR REGISTRATION NO:
ADDRESS:
INSPECTIONS:
AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE AFTER THE PROPOSED WORK HAS BEEN FORMED AND.MADE
READY TO POUR. CURB CUT AND STOEWALK INSPECTTONS CALL 726-3769 (RECORDER) STATE YOUR DESTGTNATED C|TY 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 RE6EIVED 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.
YOU ARE REQUIRED TO CALL
THE LANE UTILITIES COORDINATING COUNCIL' S"oNE CALL NUMBER" 1-800-332-2344
48 HOURS BEFORE DIGGING
SIGNATURE:
RE0ETPT no: ?-ZOO 1
-12-
+ Z 3 RECEIVED BY:
Bv siqnature. I slate and aqree, that I have carefullv examined the completed apolication and do herebv certifv that all informalion herein
is'tru6 and correct, and lfu-rthei certify that any and all work performed'shall be'd.one in accordance wi(h the Ordinances of
the City of Springfield, applicable City Standard specifications and Drawings, 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 usetr
on this project.
The City may inspect the work site described in this permit at any time durinq a one vear period followino the receiot bv the Citv of notice
of comriletioir of the described work and specify, at the Citv's sol'e discretionlanv additional restoration lVork requirbd tir return ihe site to
a standard acceptable to the City . The permittee 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 inspections 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 constrirction.
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PAID:
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Cits of dprinsfield
MIT AP ICATIONIVEWAY/SIDEWALK P
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AMOUNT RECEIVED: