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Home My WebLink AboutPermit Curb Cut 2000-10-19SPRINGFIELD Job# 00-01548-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 00-01 548-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00200 Subdivision: 225 North Fifth Street Springfleld, OR97477 Location Of Proposed Site: 328 S 00035th St Spr AssessorsMap#: 17033134 Lot: Block: Addition: ctTY oF SPRfiNGFfiEL4 OREGOTV Owner: Randy St Clair Address: 342 s. 35th Scope Of Work: Curbcut Phone Number: City/State/Zip: New 541-726-3134 Springfield, OR 97478 Value: $O Curbcut and Driveway Approach only Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: To request an inspection callthe 24 hour recording a1726-3769. All inspections 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 working day. Required Inspections Public Works CC-Standard -After forms are erected but prior to placement of concrete Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory # Of Stories: Height (feet): Current Units: Proposed Units Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Public Works 1New Curbcut Total Public Works $60.00 $60.00 Grand Total 1011912000 3529 $60.00 # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: Job# 00-01 548-01 Page 2 of 2 By signature, I state and agree, that I have carefully examined the completed application and do here6y certify that all information herein is true and corect, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, applicable City Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. The City may inspect the work site described in this permit at any time during a one year period following the receipt by the City of Springfield notice of completion of the described work and specify, at the City's sole descression, any additional restoration work required to return the site to a standard acceptable to the City. The permittee will be notified in writing of any work required and will have thirty (30) days from the date of the notice to complete the work. Work not completed at the end of the ihirty days will be performed by the City and the costs will be billed to the permittee. I furthei agree to ensure that all required inspections are requested at the proper time, that the project address is readable from the street, and the approved set of plans will remain on the site at all times during construction. /o-f c' Date €h, Page 1 of2 Job Number: 00-01 548-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00200 Subdivision: IEAtuS# ; CIL - CAfr5SJt} frftTE:frtT i? !a*c frttT R€CD:? $ t-{;"Sfr IHAI'J,iE: ran t]UTff!. ntrOL,nLJl lJ"Ll\, L]'J JRESTDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 328 S 00035th St Spr AssessorsMap#: 17033134 Lot: Block: Addition: Job#00-0 1 548-0 1 clTr oF sPRt tcFtEL4 OREeOnt Owner: RandY St Clair Address: 342 s. 35th Scope Of Work: Curbcut Quad Area: # Of Units: Constr. Type: Water Heater: Land Use: Zoning Code: Bedrooms: Phone Number: City/State/Zip: New 541-726-3134 Springfield, OR 97478 Value: $O Curbcut and Driveway Approach only. Also a stubout for future sanitary sewer. Just checking connection to sewer line Office Use - # Of Buildings: Occupancy GrouP: Heat Source: Sq. Footage:Range: To request an inspection call the 24 hour recording at 726-3769. All i a.m. will be made the same working day, inspections requested after working day. Required lnspections Plumbin FinalPlumbing -When all plumbing work is complete. Pubtic Works I nspections requested before 7:00 7:00 a.m. will be made the following GC-Standard Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: -After forms are erected but prior to placement of concrete # Of Stories: Height (feet): Current Units: ProPosed Units: Census Code: Does not aPPIY Accessory:Total: Fee Paid On Receipt# Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit 10t1912000 10t1912000 3530 3530 $1s.00 $1.05 Job# 00-01548-01 Page2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Plum Plumbing Administrative Fee Total Plumbing 1011912000 3s30 $.45 $16.50 Public Works 10119t2000 3529 1New Curbcut Total Public Works Grand Total By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein is true and corect, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, applicable City Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. The City may inspect the work site described in this permit at any time during a one year period following the receipt by the City of Springfield notice of completion of the described work and specify, at the City's sole descression, any additional restoration work required to return the site to a standard acceptable to the City. The permittee will be notified in writing of any work required and will have thirty (30) days from the date of the notice to complete the work. Work not completed at the end of the thirty days will be performed by 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 the project address is readable from the street, and the approved set of plans will remain on the site at alltimes during construction. ./L-t-U-W""€-Date $76.50 $60.00 $60.00 225 FIF:IH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION oFFtcE TELFPHONE (503) 726-3753 APPLICATION olire: /o -J * c?DATE ISSUED: {o CLetr^PHONE TAX MAP: STATE: Zlr,n </t/)T/r.Z S+ ADDRESS ADDRESS: /,r a3-3/ ATE G " /53'/ ?v+ 5 f C-tarf ' jr LOCATT9N OFWORK; auA oo: OWNER; SUBDIVISION: APPLICANT 9rTY: $5OO,OOO MINIMUM IF WORK IS DONE BY PROPERWOWNER E SDqWALK REPAIR:.,.. AMMOUNT OF SIDEWALK IN EXCESS OF gOFT. '@$0.06 sF tr TOlAL DUE WITH PEBMIT $ DRIVEWAY/CURB.CUT/SI D EWALK ....$ 60,00' ...,................$ ! 0.00. I PROOF OF INSURANCE: i. , E ADDTTTONAL DRTVEWAY: Cu H)NE:726- :6//6 ' il hQI AC ct (a,a CONTRACTOR:i^rt, RATION DATE. PHONE: ADDRESS CONTRACTOR REGISTRATIoN No: Cc AN INSPECTION REOUEST SHOULD BE MADE PBIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FORMED AND MADE READY TO POUR, ' cURBcUTAND6lDEwALKlNSPEcT!oNScALL7?q..3Zq9-qEcqBDEBlSTATEYoURDESlGlNATEDclTYJoBNUMBER/PEBMlT ryglVBEBaloB ADDRESS, TYPE oF tNSpECTtoN REoUESTED, AND wHEN you wtLL BE READv FoR lNSpEcloN, coNTRAcioR,s OR OWNER,S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFOBE 7:OO A.M. WILL BE MADE THE . SAI\4E DAY, REOUESTS AFTER 7:OO A.M, WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN, . i AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BU'i- PRIOR TO POURING CONCRETE, ' , .: ,I, 1 D]GGING YOU ARE REOU:RED TO CALL NG COUNCIL'S].:UTILITI NATI -800.332-2344 ,E CALL ES COORDI NUMBER" 48 HOURS BEFORE AMOUNT RECEIVED; DA.TE P D RECEIPT NOr RECETVED,/. AI I state a 00rtt I furthor aqree to ensure thatstreet, and the approved set Signature 4 DRIVEWAY/SIDEWALK PERMIT APPLIGATION tr'ofatY . ti, PROJECT SUPERVISOB: atqn 'r.r*tr TRANE*:01-00035t? DATE:U[T t? 2000 Al{T RE[D: 2 $ 60. t0 IHAI',I6E: [ft5HItR:iltI a lra u DR'VEWAY AND ALLEY APBONS R. JOINT BROOlr PANERH tntl r armu 3'u,.;*7 12 fhr"T 3t Ut>-7 % SLOPE: 5o:r (21) l2:t (6t) r) 2) J) 1) s) NOIES: Id!'BElllfHtl,i,Iif#.B,Bftrt'.i2 FEar, u^)c,,ruu woTH rs 2,, FEo ii.to'$E![l',,'ffi1 f ,$"]TB#Iir,JrFIi.;;,8[d,,,Si,,X,Jd,ti t,t .*oei93r33lT3'&t]* .,orNr rr ctxrER oF ^pRoil *, .;;, ; .",irr, *,,.n, ^pRoN wroTHALt stopEs ARE i€ulnE IO HOntzoMAt. fiJifl:!#,.i83 :[3f #t#?.TH ffi..$,fl*[ $_,ffi: !!,i 3l^i?i!, D APtrCUIDSEIDEWALK 3-20 \\:at f,r