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Home My WebLink AboutPermit Sidewalk 2008-7-3 '.. /'" "'..'... .' ',: .,," ..;'{"" .J,~ ;r. .',;,',. :-.'." .,'", '-;~ ."'- ,," f"~",:" '-"" ~ "'r' - ,,' \J1lJ/o.J"vpn ':'.'~'." ;', '" . . ." " ,\n',t:~ .l\':',\~:.;.;': .-:",:, t;~~:~:;":"l;:'r~';:~~.,:::,:~>.,!,:..\.,~~:". ':1 ~,>~.J'-;~::~l ',~:~"::"~I' .....;~,j..t~;~~~:!i ':,~,}~j;;;:;'DRivEWAYiSlbEWALK';. .:','-.t::;,_ , ~RMii\~~PLICATIC)N'\;t;:~?~ PERMIT NUMBER DATE ISSUED CoM 2..008-,ao9?(" '1-5-06" APPLICATION DATE SITE INFORMATION LOCATION OF WORK \9,; W<9"~\,^Nt.. APPLICANT 1\ rN'nli> t'V ~r-\, e .r- ADDRESS I i'J", 'A I,M.) I" . H' V/- CllY ~p{:: IJ STATE OK T\r PHONE "',DC\,) 7:1..&'-7<.pOO TA.XMAP ZIP Q71./77 TAX LOT SUBDIVISION OWNER ADDRESS 1)""""\ d R:-.r-\..u-- PHONE "V-~ ~ CllY STATE ZIP REOUESTED PERMITS o SIDEWALK AMOUNT OF SIDEWALK IN EXCESS OF 90FT $88 00 @$O 08 SF $1550 ~$ "$ "$ I r;; ., D ~ SIDEWALK REPAIR o CURB CUTIDRIVEWAY NUMBER OF DRIVEWAYS x $8800 1st Cut" $ o MULTIPLE PERMIT DISCOUNT EA (MAX2) $3000 2nd Cut ~$_( (MUL Tl PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION..DM.Y APPLIES TO 2nd AND 3cd PERMITS ONLY NOT SIDEWALK REPAIR) Ji( 5% Technology Fee $ (9. 1'b TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE $500000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION =$ It, z...B CONTRACTOR \,-\" lM-L 0 v0-vV-f .6.DDRESS CONTRACTOR REGISTRATION NO PROJECT SUPERVISOR PHONE EXPJRA TION DATE PHONE / INSPECTIONS AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE AFTER THE PROPOSED WORK HAS BEEN Fa RMED AND IJ.AOE READY TO POUR CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED Cln' JOB NUMBER/PERMIT NUMBER JOB ADDRESS TYPE OF INSPECTION REOUESTED AND Wi-lEN YOU WILL BE READY FOR INS PECTION CONTRACTOR S OR OWNER S NAME AND PHONE NUMBER REQUESTS RECEIVED BEfORE 7 DO AM WILL BE MADE THE SAME DAY REQUESTS AFTER 7 00 A M WILL BE MADE THE NEXT WORKING DAY INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332,2344 48 HOURS BEFORE D1GGJNG SIGNATURE AMOUNTRECE'-'ED / (;" '2. jY OJ 2.S I '" (! ..,....,11+ G.rJ L DATE PAID RECEIVED BY t[ - S E{', t at) WI!-.... \+..(r- RECEIPT NO By slgnalure I slate and agee that I have cafelully exammed!he compleled application and do he reby certify that alllnforma~on herem IS true and cau€e! and I further certlN Ihat any and all 'NOrkperformed shall be done In accordance wllh the Ordinances of lhe City of Spllngfleld applicaole City Standard speCIfications and OraWlnQs and the laws of the Stdle of Oregoo pertaining to Ihn work des01bed herem I further cerllly !hal only contractors and employees who are In compliance WIth GRS 701 055 1'.'111 be used OfllhlsprOjeCl The City may Inspecllhe work Slle descnbed In Ihls permit at any time dUring a one year period fo 1I0W1T1g Ihe fecetpl by the City 01 nO!ice 01 com~lellon 01 Ihe described work and specify allhe Diy 5 sde discretion any addJhonaJ (estor.a'Jon work reqUired 10 relurn the 511alo a standard acceptable to Ihe Ci The permlllee will be notllled In writing of any work required and 'Mil have thirty days (30) from the date ollhe notice to complele lhework Work nOl camp eled at Ihe e!ld of Ihe Ihlf1y days Will be perlorrTled by llie City and Ihe cosls Will be billed 10 the permittee I further agree 10 ensure that alllequlred Inspections are requested at the proper lime that prO) ect address IS readable Irorn the "'''~,g:~c::' V\:':;S'~O on '~' "" ,,., Ome; dW<09 ooo",cchoo Da" ') I ~ I cJ 65 ~ ., . --'~~ WI: Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00986 ISSUED, 07/03/2008 APPLIED: 07/03/2008 EXPIRES: 0l/03/2009 VALUE: 225 FIfth Street, Sprmgfield, OR 541,726-3753 Phone 541,726-3676 Fdx 541-726,3769 InspectIOn Lme SITE ADDRESS 185 WOODLANE DR ASSESSOR'S PARCEL NO 1703262200204 Sprmgfield TYPE OF WORK TYPE OF USE PROJECT DESCRIPTION SIDEWALK REPAIR DUE TO NEEDING TO FIX A WATER LEAK Owner BARBER DAROLD W & JANICE K CHASE Address 185 WOODLANE DR SPRINGFIELD OR 97477 I CONTRACTOR INF?RMATION . Contractor Type Contractor LIcense ExpIratIon Date Phone BUILDING INFORMATION I # of UOIts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIon Type # of Bedrooms # of Stones HeIght of Structure Type of Heat Water Type Range Type Energy Path Spnnkled Buddmg Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Cdrport Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMATION I Front yard Set hack SIde I Sethack S.de 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Dnve Rqd, % ot Lot Coverage REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMPROVEM~NT~ I Street Improvements Storm Sewcr A vaddble SpeCIal InstructIOn SIDEWALK REPAIR Sidewalk Type Downspouts/Drams Setback 5' Notes ~rrENTlnN' n'D~^'" f...... r'L'q'rfr98 YB~ ta I ., I follow rules adopted by the Oregon Utility NOTICe- ValuatIon DescnntIOn Notification Center, Those rules are sel forth . In OAR 952-001-0010 through OAR 952-001. DTHI$_P.atMIT stW.1..~!?1~ IE THE WORKer Sq Ft Square Foota@!l90. You ~Xlll~taln cOPI~Rf thftd'oIIi:fmcb AUmtlltlzED UM:lt~'1'FI1S>~~RWlI'r IS f@'jilUlllpher or BId Amount calling the center, (Note, the telephone 'I COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification 1 ArN 180 DAY PERIOD. Center IS 1-800-332-2344). Pa2e I of 2 . ... -Wi~ Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO, COM2008-00986 ISSUED: 07/03/2008 APPLIED: 07/03/2008 EXPIRES: 01103/2009 VALUE' 225 FIfth Street, Springfield, OR 541-726,3753 Phone 541,726,3676 Fax 541-726,37691nspectlOn Lme Total Value of ProJect Fee, PaId I Fee DeSCriptIon + 5% Technology Fee SIdewalk Repair PermIt Amount PaId Date PaId ReceIpt Number $078 $1550 7/3/08 7/3/08 2200800000000001020 220080000000000J020 Total Amount PaId $1628 I Plan ReViews I To Request an mspection call the 24 hour recordmg at 726-3769, AllmspectlOns requested before 7 00 a.m, will be made the same working day, mspectlOns requested after 7 00 a.m, will be made the followmg work day, I Remlired Tnmection" By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIon and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 accordance WIth the Ordmances of the CIty of Springfield and the Laws of the State of Oregon pertammg to the work deSCribed herem, and that NO OCCUPANCY wIll be made of any structure WIthout permIssIOn of the CommuDlty SerVIces DIVISIOn, BuIldmg Safety I further certIfy that only contractors and employees who are 10 complIance WIth ORS 701 005 wIll be used on thIS project I further agree to ensure that all reqUIred mspectlOns are requested at the proper tIme, tbat each address IS readable from tbe street, that the permIt card IS located at the front of the property, and the approved set of plans wIll remam on the sIte at all tImes dunng construction (D~\~r-.... ~r Contractors Slg-;'ature - ...... 7-~! 0 q Date '---.) Pa2e 2 of2 225 FIfth Street Spnngfield, Oregon 97477 541,726-3759 Phone Job/Journal Number COM2008,00986 COM2008-00986 Payments Type of Payment CredltCard LRecemt I RECEIPT #. Description Sidewalk Repair Penn It + 5% Technology Fee Paid By DAROLD W BARBER ~~ CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department 2200800000000001020 Date: 07/03/2008 Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received EW 072515 In Person Payment Total Page 1 of 1 102523AM Amount Due 1550 078 $1628 Amount Paid $1628 $1628 7/3/2008