Loading...
HomeMy WebLinkAboutPermit Sidewalk 2001-06-22SPRINGFIELD Job# 01-00645-01 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 Job Number: 01-00645-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 14800 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 310 N 00005th St Spr AssessorsMap#: 17033524 Lot: Block: Addition ctTY oF SPRINGFTELD, OREGON Owner: Branch Engineering Address: 310 sth Street Scope Of Work: Sidewalk Phone Number: Gity/State/Zip: Repair 541-746-0637 Springfield, OR97477 Value: $0 Sidewalk repair. City has contracted with Hamaker to preform the work. Maintenance will insoect. Contractor Type Gontractor Registration # Expiration Date Phone Contractor - ROW Hamaker Construction Co lnc 109585 10126102 541-344-8779 Po Box 2704, Eugene, OR 97402 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24hour 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 lnspections Public Works Sidewalk -After excavation is complete, forms and sub base material is in place Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main: Accessory: # Of Stories: Height (feet): Gurrent Units: Proposed Units Census Code: Does not apply Total: Job# 01 -00645-01 Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Public Works 06t2212001 00000000 1Sidewalk Repair Total Public Works $10.00 $10.00 Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information 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, 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. I also understand the City may inspect the work described on this permit any time during a one year period following notice of completion, at the City's descression. Signature $10.00 Date 4 l Jun 13 Oi 1O:26a SENT BY: SPRINGFIETD PW; H-maker Const rl 7361021; MAY-30.01 {4:20; 54 1 -344- 5?53 '414 p.4 225 RFTH SIRCET sPnNoHfto, oREooN 97.77 E'{GINEERING DIVIgON oFFrcE TELEPHONE 15031 7e6-3753 ,pERnlrn ]{UMBER: 6 / - fu <'{ (-o{ :DATE ISSUED:APPLICATION PHONE uep, /?o 33 S). t/- LOCAflOlr oF A''IICAf,T E MUf.TrFrE FERU]T otSCOlnW EAr ...,(MAX 21.....,...,..,,....,.,....,..,...1 lgtlLETB'lPi'iff tsg,f ?8B,f f*ffi .'il'.iBio,o,ffi fl lliliFfolfl *30.00.,.,,.... AMouNl oF sroEwArl( tN eicgsg or soFr. DUE70rAt PERMITwrrH OFPROOF gINEURANGE:o M500,000 IFINIMUM tswoEt(BTDONE PROPERTYOWNFX ...,.................1 8E.00...... @eo.oe sr, SIDEWALI:,,,,,., CONTRACTOR AODiIBS: coNlnacroR REOtsTn^Ttotr PNOJECT SUPCRVISO& DATI: ANO MADC OAY, THE AN FOURNO AFTER BE MAO€ EOn N AME ,s SIGNA DRIVEWAY/SIDEWALK PERMIT APPLICATION ATllOUNT NECEiVED: HECBfi M): RECE1VEO6y; .ll ldlmradm h.raLr h tM l0 tha wort ttalcrlbed caorccl addraaa ,a rardoblo 116r tho I tutha,tlut, att rCq|tliad ll lM DraDa, rtil- rHtt tlt tlnEo Curina Cari.lrr|cdon, ' OaL t l.:; ,,,' r i,.,r..,.r. .,.,.,.:' STATEI .. IIP.-TAX [OY:crTv:l,{ I ) I it8 Houfis oro0tt{o