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Home My WebLink AboutPermit Sidewalk 2004-10-20TIOFIILO Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54l-726-3676 Fax 541-7 26-37 69 Inspection Line rf' Building/Combination Permit PERMIT NO: COM2004-01296ISSUED: 1012012004APPLIEDz 1012012004EXPIRES: 0412012005 VALUE: SITE ADDRESS: 1436 WALNUT RI) ASSESSORTS PARCEL NO.: 1703342302300 PROJECT DESCRIPTION: Second Driveway application only. Owner: JOHNSON TERRy & SUSAN Address: 979 KINTZLEY AVE SPRINGFIELD OR 97477 Contractor Type Contractor Springfield TYPE OF WORK: Curbcut TYPE OF USE: use initials Residential License Expiration Date Phone CONTRACTOR INFORMATION ATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I 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: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Fullv Improved Sidewalk TYPe: Yes Downspouts/Drains: Approval via PW transportation required. SECOND Dl-W 24'MAX. CAS REQUIRED PARIilNG Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount Curbside 5' Curb and Gutter PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated t3\ Valuation Description 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: COM2004-01296ISSUED: 1012012004 APPLIEDz 1012012004 EXPIRESz 0412012005 VALUE: Fee Description Curbcut - Overwidth Appl Total Amount Paid Amount Paid $3s.00 $3s.00 Date Paid 10t20t04 Receipt Number 2200400000000001316 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. 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. to/*/r Owner or D4/" / Pase? of2 t-l Keourreo InsDectrons 225Fif!.h Street SpringiLeld, Oregon 97 477 541-726-3759 Phone Gity of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200400000000001316 Date: 1012012004 1:36:06PM Job/Journal Number coM2004-01296 Description Curbcut - Additional Driveway Amount Due 35,00 Item Total:$35.00 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number IIow Received Amount Paid Check SUSAN JOHNSON CAS In Person Payment Total: $35.00 -$5806' 4840 10t20/2004 Page I of I .-a.5a3ll-E !tBFITLO Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-01296ISSUED: lll0ll2004APPLIEDz 1012012004EXPIRES: 05/0112005 VALUE: SITE ADDRESS: 1436 WALNUT RD ASSESSOR'S PARCEL NO.: 1703342302300 PROJECT DESCRIPTION: Second Driveway application only. Springfield TYPE OF WORK: Curbcut TYPE OF USE: Repair Residential Owner: Address: ffi$f;srroN:JOHNSON TERRY & 979 KINTZLEY AVE Oregon Utility rules are set forth IN OAR 0090. center.ContractofdlS,t?the Oregon Utility Notitcnldffie Expiration Date Phone tlantar h t Contractor Tvpe # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 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: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Curbside 5' nla ".d#?didiif,#ffi#frfl*jro$fl iF,{Wffi l,t"dGu"er CUi;ii,tri'iCID 0H iS ABAi,,iU0l,cD F0R ir,,J/ 1BU DHy pEHl0D. Notes: Fullv Improved yes Approval via PW transportation r0lzt/2004. $ Per Sq Ft or multiplier l{ 0Tl G E: Sidewalk rvpe: Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated L U ILLTII\ \, r N f UIt1vI,q!!I2Nj Valuation Description I F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01296ISSUED: lll0ll2004APPLIEDz 1012012004 EXPIRES: 05/0112005 VALUE: tr'ees Pa Fee Description Curbcut - Overwidth Appl Curbcut Permit Total Amount Paid Amount Paid $3s.00 $75.00 $r r0.00 Date Paid 10120t04 tuu04 Receipt Number 220040000000000r316 2200400000000001357 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. Curbcut - Second: After forms are erected but prior to placement of concrete. Reou 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. rr /r /o/ Owner or Date 7---7-------' Paee 2 of 2 225 F?-th Street Springfield, Oregon 97 477 541-726-3759 Phone Aiff of Springfield Official Receipt Jevelopment Services Department Public Works Department RECEIPT #: 2200400000000001357 Date: lll0ll2004 1:09:15PM Job/Journal Number coM2004-01296 Description Curbcut Permit Amount Due 75.00 Item Total:$7s.00 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard TERRYJOHNSON cas 001235 In Person $75.00 P ayment Total : -$ 75-o-d' tUU2004 Page I of I aM[lnan.6