HomeMy WebLinkAboutPermit Miscellaneous 2008-7-7
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CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED:
APPLIED.
EXPIRES:
VALUE.
COM2008-00881
07/07/2008
06/17/2008
01/07/2009
225 F,fth Street, Sprmgfie1d, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2485 F ST
ASSESSOR'S PARCEL NO 1703361113700
SprIugfield TYPE OF WORK MIScellaneous
TYPE OF USE
AlteratIOn
ResIdentIal
PROJECT DESCRIPTION Second drIveway
Owner
Address
MONTALVO JUAN R
2485 F ST
SPRINGFIELD OR 97477
I CONTRACTORINFORMATlON I
Contractor Type
Contractor
LIcense
ExpIratIOn Date Phone
BUILDING INF?R~ATlON'
# of UOIts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary ConstructlOu Type
Secondary ConstructIOn Type
# of Bedrooms
# of StorIes
HeIght of Structure
Type of Heat-
Water Type
Rauge Type
Euergy Path
SprInkled Buddmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
, DEVELOPMENT INFORMATION I
Frontyard Setback
SIde I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
Haudlcapped
Compact
Street Improvements
Storm Sewer Available
SpecIal InstructIOn
AffENT\~W!~Ql~:.Jl)I.Il~!ll to
lollow rules adopted by the uregon Ihtyhsldewalk Type
NotificatIOn Center Those rules are set fort
ID OAR 952-001-0010 through OAR 952-001-DowuspoutslDrams
0090 You may obtalD copies of the rules by
callmc the center (Note the telephone
numrc', Ir' the nregon ~tllity Notification
::'" ,td, '. 1-&JO-;;32-2344)
Notes
DescrIptIOn
Tvpe of ConstructIOn
I ValuatIOn DescnDtlO~ACfICE:
. . '11;) PERMIT SHAll EXPIRE IF THEWORl<
$ Per Sq Ft Square'Footag~ED UNDE~JifilJS PERMljI)J~ ~(;\Iulated
or multIplier or B,d Amountr,:n IJR IS ABANDONED FOR
,'~r.IJD
Page I of2
-ii..~
Status
Iss u ed
CITY OF SPRlNGnJ<.LD -
Building/Combination Permit
PERMIT NO: COM2008-00881
ISSUED' 07/07/2008
APPLIED 06/17/2008
EXPIRES: 01/07/2009
VALUE.
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3769 Inspe<llOn LlDe
Total Value of PrOject
Fees Paid.1
Fee DescrIptIOn
+ 5% Technology Fee
Curbcut - 2nd DrIveway
Overwldth ApplIcatIOn Fee
Amount PaId
Date PaId
ReceIpt Number
$650
$85 00
$45 00
717108
717108
717108
2200800000000001027
2200800000000001027
2200800000000001027
Total Amount Paid
$13650
Plan Reviews ,
To Request an mspectIOn call the 24 hour recordmg at 726-3769. All mspections requested before 7:00
a.m. wIll be made the same workmg day, mspectIOns requested after 7:00 a m will be made the followmg
work day.
I Re/llllred Tnsnech~~sJ
Curbcut - Second After forms Me erected but prIor to placement of coucrete
By slgnatul e, 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 ID Jccordance WIth
the OrdlDJnces of the CIty of SprInglield and the Laws of the State 01 Oregon pertammg to the work desCrIbed herem, and
that NO OCCUPANCY will be made 01 any structure WIthout permIssIOn 01 the CommuDlty Services DIVISIOn, Buildmg Safety
I furthel certIfy that only contractors aud employees who are m complIauce WIth ORS 701 005 WIll be used on thIS project
I further agree to eusure that all reqUired mspectlOns are requested at the pi oper tIme, that each address IS readable from the
street, that the permIt card IS located at the front of the property, aud the approved set of plans Will remam on the SIte at all
~~_~ ~,\t\('<
Ownel or ContrJctors SlgnatUle Date
Pa2e 2 of2
, Cilg %p!-Jngfibld
I :
< ,DRIVEWAY/SIDEWALK jpERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD OREGON 97477
ENGINEERING DIVISION
OFFICE TELEPI10NE (503) 726 3753
APPLICATION DATE I( - ~
DP.:O':O :l1li
_o~~
PERMIT NUMBER
DATE ISSUED
e"H ~l.JD~ -aoft'1
'1-t")-oY
SITE INFORMATION
'J//r,{C;
~ ---;::;;;..J /2
ADDRESS """';"-,z.l/R ~ /:-
CITY ~'1a/'.c/L STATE
SUBDIVISION
OWNER _-----;-;'4";{( P---I/'iAI7I:i/,J/J
ADDRESS L/ .2-1/;;5- ~ CITY
LOCA nON OF WORK
;: r'r
/vII"J,J7'41J/1J
si
PHONE5'n - ,Z; J!;J -S'..>8'.f/
TAX MAP
APPLICANT
19~
ZIP
7"7-V/7
TAX LOT
PHONE ';-<r/- <;7,1 t:T!I-f
STATE ZIP
REQUESTED PERMITS
o SIDEWALK
AMOUNT OF SIDEWAlK IN EXCESS OF 90FT
$ 8500
@$O 08 SF
$1500
~$
=$
~$
o SIDEWALK REPAIR
~ CURB CUT/DRIVEWAY NUMBER OF DRIVEWAYS~ X
o MULTIPLE PERMIT DISCOUNT EA (MAX 21 $3000 2nd Cut =$,1
(MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTlON-DtlL.Y
APPLIES TO 2nd AND 3rd PERMITS ONLY NOT SIDEWALK REPAIR! =$
1Zi' 5% Technology Fee $ TOTAL DUE WITH PERMIT $
o PROOF OF INSURANCE $500000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER
,
$B500 lstCut ~$
CONTRACTOR INFORMATION
CONTRACTOR \ll-. "') C 0"'- \\"a..r-+~ UU\
AOORESS e:;-"1--;<;'" (~<",~ L.~ (' ('p<;,,-~~', Cl'\L q1<t'tCr-.
CONTRACTOR REGISTRATION NO \ -+-<.. \ <::./.. \ ' - , EXPIRAno~ DATE
PAOJECTSUPEAYlSOR ~ 1"'.~(ir~-~.r-..q\.~ f'.r-
PHONE ""L '\:, <;'--4 ~l ~
s/N/cA
PHONE a<;:;:'-tJ};I3
INSPECTIONS
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 SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR OESIGINATEO CITY JOB
NUMBER/PERMIT NUMBER JOB ADDRESS TYPE OF INSPECnON REQUESTED AND WHEN YOU WILL BE READY FOR INS PECnON CONTRACTOR S OR
OWNER S NAME AND PHONE NUMBER REQUESTS RECEIVED BEFORE? 00 A M WILL BE MADE THE
SAME DAY REQUESTS AFTER 7 00 AM WILL BE MADE THE NEXT WORKING DAY INSPECTIONS ARE TO BE CALLED IN
AFrER EXCAVA nONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE
YOU ARE REOUIRED TO CALL
THE LANE UTILITIES COORDINATING COUNCIL'S
"ONE CALL NUMBER" 1-800-332-2344
48 HOURS BEFORE DIGGING
SIGNATURE
AMOUNT RECEIVED
RECEIPT NO
DATE PAID
RECEIVED BY
By Signature I slale and agee that I have carefully examined the cOf1lPIeted appllcatloo and do he r~ certify thai alllnlQnnabon herem IS liue
and correct and llurther ceM" that dn-y and 0111 wOIk pe<tCKmed shdll be dooe In accorddllC€ WIth the Ofl:fJnances of
tile City of SpllngfJeld appfJcaole CIty Standard speallcatlons and DraWIngs and the laws 01 Ihe Stdte of Oregon pertaining 10 Ihe worl<. described herein I turther
cerllfy Ihal only coo!ldctrns and employees VYllo are In complidnce WIth ORS 701 055 WIll be used
onlhisptOJ&d
The CIty may Inspect the work site descrIbed In this palmlt at any lime during a one year penod fo JlOWJng the recetpl by the City 01 notice at com~lelllXI oIlhe
deSCribed work and speafy allhe CIty s sOle dlScretlOO any additional restolatlQrl WOlk leqUlrec:l 10 relum the Slta 10 d standard acceP.lcable to the Cl Ttle
permltlee Will be nollflPd In Willing of any work reQuired and WIll have thirty days (30) from the date of the notice to complele Ihe WO(k WOfk not comp eted at the end
ollhe thirty days will be per10rmed by Hie City and the costs will be blled to llie permlltee
I further agree 10 ansure Ukd all reqUired Inspections are requested at the proper time Ihal plOl ect address IS readable hem the
street and the apptOYoo set ot plans wdl remain on Ihe site at all times dUJlnQ COllslluchon
SlgnaLum
Dale
225 FIfth Street
Sprmgfield, pregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00881
COM2008-00881
COM2008-0088I
Payments
Type of Payment
Check
cRecclOtl
RECEIPT #:
Description
Curbcut - 2nd Dnveway
Overwldth ApplicatIOn Fee
+ 5% Technology Fee
Paid By
RGS CONTRACTING
iii~
CIty of Sprmgfield Officl3l ReceIpt
Development ServIces Department
PublIc Works Department
2200800000000001027
Date: 07/07/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
ew
1250
In Person
Payment Total
Page 1 of I
10 58 44AM
Amount Due
8500
4500
650
$136 50
Amount Paid
$136 50
$136 50
71712008
~~~
Address of Property Owner
Application For 9 Second Driveway or Overwidth Driveway
~ " ~~r~~ Date 6~~/h Y
2,j/fl S F' sf-
f-f/75 F
s-r
5~- 958'1
6J<-1'Ytcr-
Applicant (Property Owner)
Address of Property for Driveway Permit
BUilding Permit No
IB Second orlveway
o OvelWldth (Max 30)
FT
Apphcatlon Fee
S 45.QO
Received By
Receipt No
Please sketch the proposed driveway Include the folloWing applicable Items hQuse or bUilding, proposed driveway, and street names Include
dImenSIons and measurements to property lines, road Intersections and bordenng drIVeways (See attachment
for an example)
This is not a permit
_ When thiS application IS approved, you will need to obtain a Permit
before work can begin
All applications outside the City limits of Springfield that are Within the Urban Growth Boundary requlle a Lane County Permit
Note The City of Spnngfield Will not grant a second dnveNay permrt on an Artenal or Collector Street
Over WIdth drrveways up to 30ft may be approved by the transportation planning engineer provided that safety and traffic gUidelines are mel
Dnveways over 30 In Width requIre a Land Use DeCISion and are not handled on thiS application (Contact the Planning Depl)
The apphcatlon fee IS not refundable
1 Property type Single Family Dwelling
~UPlex_
Other
2 _The proposed dnveway will take access from which street?
.I
"t {/ x> S ;:::- ;' I
3 The distance from the edge of the drrveway to the nearest corner (measured to the curb retum) IS
feet
4 The second driveway Will give access to Garage_ Carport _ Side yard--t Other
5 The distance from the property line to the garage carport, fence wall or other (where the vehicle is to be parked) IS
feet
6 _WIll the proposed parking! storage area create a VISion obstruction to adjacent property driveways or to any vehIcular movement on a
publiC street? (See vISion clearance attachment) ,)",
See other Sloe Tor addltlonpl mforTmtlon
A permit will require that the applicant meet City and/or county standards specIfications and codes Generally this means that the area behInd
the sidewalk shall be surfaced to the property line and also a m1mmum of 18 leet behind the property line
When this application IS approved by the City the applicant must obtain a curbcuVdnveway permit from the Public Works Depart-
ment, Englneenng DIvISion WIthin 60 days or reappry
Property owner S sIgnature
~
::J//-/< ///I~
Dale
/1fk~7
Approved by
Abtr II ({;? .
(Traffic DIVIsIOn)
Dale
"-',/17/08
Staff Comments
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