HomeMy WebLinkAboutPermit Curb Cut 2008-7-15
Status
Issued
225 FIfth Street, Sprmgfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541-726-3769Inspechon Lme
SITE ADDRESS 1473 5TH ST
ASSESSOR'S PARCEL NO 1703264201300
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01060
ISSUED' 07/15/2008
APPLIED, 07/15/2008
EXPIRES' 01/15/2009
VALUE'
SprIngfield TYPE OF WORK Curbcut
PROJECT DESCRIPTION Curb cut/drIveway
Owner OLSON KEN & MARILYN
Address 87417 HALDERSON RD
EUGENE OR 97402
Owner OLSON MATTHEW AARON
Address 87417 HALDERSON RD
EUGENE OR 97402
TYPE OF USE AlteratIOn
ReSIdentIal
Phone Number 541-514-4507
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
BUILDING INFORMATION I
# of VOltS
PrImary Occupancy Group
Secondary Occupancy Group
PrImary ConstructIon Type
Secondary ConstructIOn Type
# of Bedrooms
# of StorIes
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
SprInkled Buddmg
License
ExpIratIOn Date Phone
nfa
Lot S.ze'
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
OccupJnt Load
I DEVELOPMENTINFORMATlON I
Frontyard Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved DrIve Rqd
% 01 Lot Coverage
REQUIRED PARKING
Total
HandlcJpped
COmpact.
I PUBLIC IMPROVEMENT~;~ l:N IIUN' uregon law requIres you to
. . 1 l'W rules adopted by the Oregon Utility
Notlf,catlQlldeWflrTYpese rules are set forth
In OAR 952-001-001 Q t/Jrou./lh OAR 952-001-
0090 YoJ>lmirBBI!/Ih't:~les of the rules by
calling the center (Note the telephone
number for the Oregon Ulility Noliflcallon
Center IS 1-800-332-2344).
Street Improvements
Storm Sewer AvaIlable
SpeCIaII'JilYi'flcE:
Notes THIS PERMIT SHAll EXPIRE IF THE WOR
~~~~E~ZED UNDER THIS PERMIT IS NO~
ANY 180 gX$ ~E~:~tBANDONED FOR
Paee I of2
..~SPRI!;laI'IEI-I)
1
III.:
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01060
ISSUED: 07/15/2008
APPLIED' 07/1512008
EXPIRES: 01/1512009
VALUE:
225 F,fth Street, Sprmgfield, OR
54] -726-3753 Phone
54]-726-3676 Fax
54]-726-3769 ]nspectlOn Lme
I Valua\,lOn DescrwtJOn I
DeSCriptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multIpher
Square Footage
or Bid Amount
Value
Date Calculdted
Total Value of Project
Fees Pau) ,
1111 .
Fee DeSCriptIOn
+ 5% Technology Fee
Curbcut PermIt
Amount Paid
Date Paid
Receipt Number
$440
$88 00
71] 5/08
7/]5/08
]200800000000000780
]200800000000000780
Total Amount Paid
$92 40
I Plan ReViews I
To Request an mspection call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00
a m will be made the same workmg day, inspectIOns requested after 7:00 a,m, will be made the following
work day
I Reomred I nsnectJons ,
Curbellt - Standard After forms are erected but prIOr to placement of concrete
By SIgnature, I state and agree, that] have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformatIon hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 dccordance With
the Ordmances of the CIty of Spnngfield and the Laws ollhe State of Oregon pertdmmg 10 the work descnbed herem, and
Ihat NO OCCUPANCY will be made of any struclure wllhout permISSIon ollhe CommuDlty Services DIVISIOn, BUlldmg Safety
I lurther cerllfy thdt only contractors and employees who are 10 comphance with ORS 701 005 will be used on thIS project
I further agree to ensure that all reqUIred lII'pectlOns are requested at the proper tIme, that edch addres> IS readable Irom the
street, that the perm.t card IS located at the front 01 the property, and the approved set of plans will remam on the SIte at all
times dunng construction
71111 A~~_
-. .-
7- If- oS
I
Owner or Contractors Signature
Date
Paee 2 of2
n5 Flftl1 Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~._ ~~Q~ao ~
"J~ 11
~.
CIty of Sprmgfield OfficIal ReceIpt
Development Services Department
PublIc Works Department
RECEIPT #, 1200800000000000780 Date' 07/15/2008 2 29 47PM
Job/Journal Number DescrIption Amount Due
COM2008-0 1060 Curbcut PermIt 8800
COM2008-0 1060 + 5% Technology Fee 440
Item Total $92 40
Payments <":hcck Number Authorization
Type of Payment PaId By Received By Batch Number Number How ReceIVed Amount Paid
Check KENNETH OLSON Ikw 5933 In Person $92 40
Payment Total $92 40
cRecemtl
Page 1 of 1
7/15/2008
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;';'\;;<'.:~.DRIVEWAY/SIDEWALK ".: :."r,.'},:'; PERMIT,APPLlCATION ""~,;::':i!1l:~,
PERMIT NUMBER
DATE ISSUED
~8 _010190
rr /1'5'/O<{,
APPLICATION DATE
"
SITE INFORMATION
/'1'73 S-<k.. 'Jr
Mtt:t:r &/$,-.-,
5?? 1-((7 M"Jri "-d.-'>1
v"'lY ~~
,
.....-sUBDIVISION
_STATE
LJI1'
:5/~,~'7 ,4,.- U.
"l'lfONE . S'/<( ~ -:rS-", 7
rZ.d.. TAX ~AP
-<1P ?1 7'1"<:/ ~ TAX LOT
vt:OCA TION OF WORK
....APPllCIINT
.ADDRESS
o.8WNER I,((~ 01 AM
.P"ORESS J2<117/-h-tw*,- dOIlY
~~
-"HONE "ig?'-llil2-
;;fATE o.e.. -->IP '7 7f'''~
REOUESTED PERMITS
o SIDEWALK
AMOUNT OF SIDEWALK IN EXCESS OF 90FT
$88 00
@$O 08 SF
$1550
=$
=$
=$
o SIDEWALK REPAIR
Qt6URB CUT/DRIVEWAY
NUMBER OF DRIVEWAYS_ X
$8800 1st Cut = $
<6(, -
o MULTIPLE PERMIT DISCOUNT EA (MAX 2) $3000 2nd Cut ~$_(
(MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION..G..lli.Y
PPPLlES TO 2nd AND 3rd PERMITS ONLY NOT SIDEWALK REPAIRl =$
IS?' 5% Technology Fee $ L\- 4-D TOTAL DUE WIn-< PERMIT $ tl/>q;:). LfO
o PROOF OF INSURANCE $500000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER
CONTRACTOR INFORMATION
CONTRACTOR
ADDRESS
PHONE
CONTRACTOR REGISTRATION NO
PROJECT SUPERVISOR
EXPIRA liON DATE
PHONE
INSPECTIONS
AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE AFTER THE PROPOSED WORK HA.S BEEN FO AMED AND MADE READY TO
POUR CURB CUT AND SIDEWALK INSPECTIONS CALL 726.3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB
NUMBER/PERMIT NUMBER JOB ADDRESS lYPE OF INSPECTION REOUESTED AND Vvl-lEN YOU WILL BE READY FOR INS PECTION CONTRACTOR 5 OR
OWNER 5 NAME AND PHONE NUMBER REOUESTS RECEIVED BEFORE 7 00 A M IMlL BE MADE THE
SAME DAY REQUESTS AFTER 7 OOA 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 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
d1
DATE PAID
RECEIVED BY
rrlls /0 t)
dcK,1/J
By Signature I state and agee that I have carefully examined tile compleled application and do he reby cerhry that alllnrQ{ma~on herem IS true
and correct and I fur1her certify that al1Y and dll work Qeriormed shall be dme In accordance wllh the Ordinances of
the CIty 01 Spflnglield applicable City Standard speCifications and DraWlnQs and !lle laws of the Sidle 01 Oregon pertalntrlg to the wark descnbed herein Ilurlher
certify lhal of1ly conlr8ctors and employees who are In compliance wllh QRS 701 055 WIll be used
on this pOleCl
The City may Inspect the work slle descnbed In thiS perml! at any time dUllng a one year penod 10 nOWll1g the recetpt by the City at nollce 01 com~lehon of lhe
descnbed wO(k and specty dllhe City 5 sole disclellan any additional restoration work required to letum the site 10 a standard accep.table 10 the Cl The
permittee Will be nollfled In wilting 01 any work reqUired and WIll have thlrly days (30) 110m the dale of the nOllce to complele Ihe work Work not camp eted al tile end
of Ihe thirty days Will be performed by tlie City and the costs Will be billed to the permittee
I further agree to ensure lhal all reqUired Inspections are requested at the proper time that prOI ect address IS readable flom the
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