HomeMy WebLinkAboutPermit Sidewalk 2003-06-16Building/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: COM2003-00488ISSUED: 0611612003APPLIED: 0611212003
EXPIRBST 1212312003
VALUE:
SITE ADDRESS: 2343 3rST ST Springfield TYPE OF WORK:
ASSESSOR'SPARCELNO.: 1702302100102
TYPE OF USE:
PROJECT DESCRIPTION: sidewalk work and plumbing for land use decision
Owner: SINDT JEFFREy A & TAMMy L
Address: PO BOX 1493 SPRINGFIELD OR 97477
Sidewalk
New
Expiration Date
03t06t2004
Residential
Phone
541-747-7906
Contractor Type
General
Owner
Plumbing
Contractor License
CASCADE DESIGNS & REMODELERS INC 76517
SINDT JEFFREY A & TAMMY L
OWNER
CONTRACTOR INFORMATION
# of Buildings:
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 Instructlon:
# 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:
AUIHO R,ZEO
c0[4 fI4ENcE D
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ANY ,80 0A v
Notes:
Page 1 of3
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Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00488ISSUED: 0611612003APPLIED: 0611212003
EXPIRESz 1212312003
VALUE:
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
Receipt Number
1200200000000001556
1200200000000001556
120020000000000rss6
120020000000000r5s6
1200200000000001556
1200200000000001556
1200200000000001556
1200200000000001556
1200200000000001603
1200200000000001603
1200200000000001603
1200200000000001603
Fee Description
+ l0o Administrative Fee
+ lVo State Surcharge
Encroachment Permit
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
Sidewalk Permit
Water Line - lst 50 Feet
Water Line - Each Addtl l00r
+ l0%o Administrative Fee
+ 7oh State Surcharge
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
Total Amount Paid
Total Value of Project
Date PaidAmount Paid
$17.40
$12.18
$120.00
$4s.00
$28.00
$75.00
$4s.00
$s6.00
$s.90
$4.r3
$4s.00
$14.00
$467.61
6lt6l03
6n6t03
6n6t03
6fi6t03
6fi6t03
6n6t03
6n6t03
6n6t03
6t23t03
6t23t03
6t23t03
6t23t03
Fees Peid
Plan Reviews
Public Works Review 06fi2t2003 06n2t2003 APP VRJ 8-inches of steel, no swing out,
asphalt area between sidewalk and
street as per Ron Sather 6112103.
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 Sidewalk - Setback: After forms are erected but prior to placement of concrete.
2 Sanitary Sewer Line: Prior to filling trench and including required testing.
3 Water Line: Prior to filling trench and including required testing.
4 Storm Sewer Line: Prior to filling trench.
Rpnrrirpd Insneefinns
Page 2 of3
Valuation Descrintion I
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: COM2003-00488ISSUED: 0611612003APPLIED: 0611212003
EXPIREST 1212312003
VALUE:
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 Iocated at the front of the property, and the approved set of plans will remain on the site at all
times during construction.M/.n 6-zi ('?W Signature Date
Pase 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Oflicial Receipt
Development Services Department
Public Works Department
#: 1200200000000001603 Date: 0612312003 9222:28A.iltr
coM2003-00488
coM2003-00488
coM2003-00488
coM2003-00488
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
+ 7o/o State Surcharge
+ ljYo Administrative Fee
45.00
14.00
4.13
5.90
Item Total:$69.03
Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check CASCADE DESIGN djb In Person
Payment Total:
$69.03
$69.03
rtfnan$**
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-36768a-x
541-7 26-37 69 InsPection Line
Building/Combination Permit
PERMIT NO: COM2003-00488ISSUED: 0611612003APPLIED: 0611212003
EXPIRES: 1211612003
VALUE:
SITE ADDRESS: 2343 31ST ST springfield TYPE OF WORK: Sidewalk
ASSESSOR'S PARCEL NO.: 1702302100102
TYPE OF USE: New
PROJECT DESCRIPTION: sidewalk work and plumbing for land use decision
Owner: SINDT JEFFREY A & TAMMY L
Address: PO BOX 1493 SPRINGFIELD OR 97477
Expiration Date
0310612004
Residential
Phone
541-747-7906
Contractor Type
General
Owner
Contractol License
CASCADE DESIGNS & REMODELERS INC 76517
SINDT JEFFREY A & TAMMY L
OWNER
# of Buildings:
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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
'-ole
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
Pase 1 of3
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00488ISSUED: 0611612003
APPLIEDz 0611212003
EXPIRESz 1211612003
VALUE:
Description Tvpe of Construction $ Per Sq Ft
Fee Description
+ l0%o Administrative Fee
+ 7o/o State Surcharge
Encroachment Permit
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100r
Sidewalk Permit
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
Amount Paid
Total Amount Paid $398.s8
$17.40
$12.18
$r20.00
$45.00
$28.00
$7s.00
$4s.00
$56.00
Total Value of Project
Date Paid
6tr6t03
6n6t03
6n6t03
6n6t03
6t16t03
6fi6t03
6n6t03
6n6t03
Square Footage Value Date Calculated
Receipt Number
1200200000000001556
1200200000000001556
12002000000000015s6
1200200000000001556
1200200000000001556
1200200000000001ss6
1200200000000001556
12002000000000015s6
tr'ees Prid
Plan Reviews
Public Works Review 06n2t2003 06n2t2003 APP VRJ 8-inches of steel, no swing out,
asphalt area between sidewalk and
street as per Ron Sather 6112103,
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.
I Sidewalk - Setback: After forms are erected but prior to placement of concrete.
2 Sanitary Sewer Line: Prior to filling trench and including required testing.
3 Water Line: Prior to filling trench and including required testing.
Reouired fnsnections
Paee 2 of3
re
Valuation DeseriBtion l
Buildin g/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00488ISSUED: 0611612003APPLIEDz 0611212003
EXPIRESz 1211612003
VALUE:
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.
MI ("-/{ -o}
;"/rre"rr^"*s (n"to.u Date
Page 3 of3
m
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #z 120020000000000 I 556 Date: 0611612003
coM2003-00488
coM2003-00488
coM2003-00488
coM2003-00488
coM2003-00488
coM2003-00488
coM2003-00488
coM2003-00488
Sidewalk Permit
Encroachment Permit
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - lst 50 Feet
Water Line - Each Addtl 100'
+ lYo State Surcharge
+ LjYo Administrative Fee
75.00
120.00
45.00
28.00
45.00
56.00
12.18
17.40
$398.s8Item Total:
P.ymerE:
Check CASCADE DESIGN In Person
Payment Total:
398.s8
$398.58
djb
611612003 2:04:57PM Page I of I cReccipt.rpt