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Home My WebLink AboutPermit Sidewalk 2006-07-05,&prxifit{hF*ffif & Status Issued 225 Filth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 I nspection Line F Building/Combination Permit PERMIT NO: COM2006-00830ISSUED: 0710512006APPLIED: 07/0512006 EXPIRES: 01/0512007 VALUE: nlt SITE ADDRESS: 1490 5TH ST APT I ASSESSOR'S PARCEL NO.: 1703263101100 PROJECT DESCRIPTION: 20ft of new sidewalk Springfield TYPE OF WORK: Sidewalk TYPE OF USE: Repair nl Owner: Address: Contractor Tvpe General MAINSTREAM HOUSING INC 433 W STH AVE APT OOI EUGENE OR 9740I Contractor NANCY R BELL CONTRACTING INC e telePhone y Notification License Expiration Date 129922 07t2512007 Phone 541-485-6828 CONTRACTOR INFORMAT # 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Setback 5' $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Paee I of2 Value Date Calculated nlHl.l H0 fll: ,oon Utilit! aie set forth AR 952-001' ItulLl[NG l1\r ul(IvtA I ruN I Valuation Description I Building/Combination Permit Status Issued 225 Filth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2006-00830ISSUED: 0710512006APPLIED: 07/0512006EXPIRES: 01/0512007 VALUE: Total Value of Project Fee Description Sidewalk Permit Amount Paid $80.00 $80.00 Date Paid 715106 Receipt Number 32006000000000003s2 Total Amount Paid Fees Paid Plan Reviews 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. Sidewalk - Setback: Alter 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. -2 1 fr )6(-, b .4 Owner or Contractors Silnatu.e ' Date Pase 2 of 2 Kequlreo llrslrceuolls l 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone 6uty of Springfield Official Receipt r,elopment Services Department Public Works Department RECEIPT #: 3200600000000000352 Date: 0710512006 ll:53:4lAM Job/Journal Number coM2006-00830 Description Sidewalk Permit Amount Due 80.00 Item Total:$80.00 Payments: Type of Payment Paid By - -- - -- ehEk Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard NANCY BELL vrJ 047 570 047570 In Person Payment Total: s80.00 -$8o--o-d' cReceint I Page I of I 71512006 a*Ertaa'lS.It 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION oFFtcE TELEPHONE (503) 726-3753 L SPRINGFIELD '), 7 PERIUIT NUN/BER DATE ISSUED: SITE INFORMATION /l 5 Jt-a)/a ,fr,te1,. , -4 A/\- ,'V'//.{, PHONET STATE: PHONE J STATE:ztP:I l/ CITY:ZIP . _ CIW: ADDRESS: OWNER: APPLICANT lr'/.r*t* TAX MAP: TAX LOT: I SUBDIVISION LOCATION OF WORK: ADDRESS: 3'/ y j B MULTIPLE PERMIT DISCOUNT EA: .........(MAX 2) .....,................,....$ s0.00 . (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION ONI Y APPLIES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAIRI TOTAL DUE WITH PERMIT $ E PROOF OF INSURANCE: $500,000 MINIMUM lF WORK lS DONE BY PROPERTYOWNER REQUESTED PERIUITS :$ :$_(- :$ :q $ 80.00............... : $tI CURB CUT/DRIVEWAY: NUMBEH OF DRIVEWAYS X ..........$ 80.00 @$0.08 sF. ..........$ 10.00 Q$E,ru*oLK: ..... A-UouNT oF sroewn.r ir.r ex;;;; ;; ;;r, EI SIDEWALK REPAIR: CONTRACTOR INFORN/ATION /l (\j4aj34/3 EXPIRATION DATE:U /. Ld' PHONE:2 -q)?( Y PHONE:<''*7/ -{"4( "tl ^u fi-t?( INSPECTIONS 4 ( j,'lW ,{r'e CONTRACTOR ADDRESS: CONTBACTOR REGISTRATION NO PROJECT SUPERVISOR: AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND STDEWALK TNSPECTTONS CALL 726-3769 (RECORDER) STATE YOUR DESTGTNATED C|TY JOB NUMBER/PEHMIT NUMBER, JOB ADDRESS, ryPE OF INSPECTION BEQUESTED. AND WHEN YOU WLL BE READY FOR INS PECTION, CONTRACTOR'S OR OWNER.S NAME AND PHONE NUMBEB. REOUESTS BECEIVED BEFORE 7:OO A,M. WILI 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 AND FORM WORK IS IN PI.ACE BUT PRIOB TO POURING CONCRETE, r H E LA N E u r r L r ir"E'd'8bU H'BiRr"Atr N o c o u N c r L' s.,ONE CALL NUIVBER" 1 -800.332.2344 48 HOUBS BEFORE DIGGING SIGNATURE: Bv sionature. I stale and aoree. lhat I have carelullv examined the comoleted aoolication and do he rebv cerlifu that all inlormation herein is true and c6rre"ct, and l ,urlher certifu"thai anv and all work o6rformed shall be done in aicbrdance wilh the Ordin'ancesbf the Citv of Sprinqfield, applicable Citv Standard specrlications and Drawinqs, and the laws of the State ol Oreqon perlaining to the work described herein. I further certifu [hat ohly dontractbis and emp'loyees who Are in compliance with OHS 701 .055 will be used on this prolecll The Citu mav insoect the work sile described in this oermit at anv time durino a one vear oeriod fo llowino the receiot bv the Citv ol notice ot comoletion of the described r.iork 5nd Soecifu. at lhe Citu's sole discretion.'anv additioial restoratiSn work i'eouired to return th"e site to a'staniCard ac'ceotable to the Citv. The permittee will be notifibd in writinq ol ahv work required and will have thirty days (30) from th'e date ol the notice to complele the work.'Work not completed at the end bt the thirty days will be performe'tJ by tlie City and the costs will be billed'to tlie permittee. I further aqree to ensure thal all required inspections are requested at the proper time. that proj ect address is readable lrom the street, and th6 approved set of plans viill remain on the site at all times during'cohstructioh. DateSignature RECEIVED BY: DATE PAID:AMOUNT RECEIVED: RECEIPT NO: DRIVEWAY/S!DEWALK PERMIT APPLICATION Cits of ctpnngleld t