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Home My WebLink AboutPermit Encroachment 1997-11-4 ,- . , , :,: , CITY OF SPRING(ElD ' .,'" ,:' '. r~',RMIT APPLICATION . r" . .226 FI H STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION OFFICE TELEPHONE (503) 726.3753 ENCROACHMENT PERMIT NUMBER: PERMIT NUMBER: -9' 7 ~~ 4::i INSPECTION LINE SEE INSPECTIONS ON BACK SIDE ' APPLICATION DATE: If / ~I '1,1 " DATE ISSUED: \ LOCATION OF WORK APPLICANT ~ Gv~^ SITE ADDRESS: "1 n ') CITY: W, SUBDIVISION: OWNER: C~ ADDRESS: 3 ?Sr-I' I+> / (J Gvv.. rt-el CITY: JjI-.{1/ cl CONTRACTOR: e~ b"" C'. 7h' ADDRESS: o/ZJ1J IV S"12! CONTRACTOR REGISTRATION NO: /') 0 I ~ I") '3 EXPIRATION ,DATE: \ PROJECT SUPERVISOR: / ~ (J t €J (}'h. /' ,PHONE 7V"633w ,TAX MAP: TAX LOT: 17-02- SI-2-/ ~31(J{; .... STATE: (') /tJu. .P'VL R , ZIP: q 7 V7 P .PHONE: STATE: OV\t '~ 7Y.( 3J7.c ZIP: 9) Y?P PHONE: J So< J l)Dr PHONE: ?yr- fro J REQUESTED PERMITS: INSPECTIONS REQUIREDI APPUCATlON FlI, DEPOSIT ACCOUNT NO: l\?r ENCROACHMENT PERMIT NO: ............................:.. n ,..... VALID FOR SIXTY 1801 DAYS FROM DATE OF ISSUANCE l1t CUT STREET Q BORE Q OTHER n Q DUST CONTROL (TYPE OF CONTROU , ~ $20.00 I Q$ "::2 tt:>. ~ Q CONSTRUCTION. STORAGE. STAGING Q OTHER \, , J1 .n Q$ Q$ a$ o ASPHALT DEPOSiT...................... ................. ............. ...... .:........ ............'.................... .!..... , ~RITY IJEfQ.S.[[ Cl BLANKET SURETY BOND Q SURIITY BOND Q CASH I CHECK 1il CURB CUT PERMIT NO: ................~... FT..,,~ Q INllPF~ON. CURB' APPROACH AFTER FORMS AREIRECTID BUT MIDIt 'to POURING CONCRETE. , VALl) FOR 110 DAYS FROM DATE OF ISSUANCE. Q SECON'O DRIVEWAY (SEE SEPARATE APPLlCAnON) ~ SIDEWALK PERMIT NO: .................... FT. ....3e> ' fl VALID FOR 180 DAYS FROM DATE 0' ISSUANCE. Q NEW Q REMOVE / REPAIR Q PAVE PLANT STRIP Q'SETBACK m CURBSIDE Q LENGTH IN!l:PFI"TlnN' lllDEWALK 'ORIVEWAY FOR AU CONCRm "AVING WITHIN THI STREET RIGHT OF WAY. TO BE -,_ MADE AFTER AU EXCAVATING IS COMPLETE. AND FORM WORK AND SUB-BASI MATERIAL IS IN PLACI. ~ SANITARY SewER CONNECTION PERMIT: ................ n VALlO FOR SIXTY C801 DAYS FROM DATI! 0' ISSUANCE. , i3 TO STUB 0 MAIN LINE IEASEMENT.R/W} 0 OTHER ~ STORM SEWER CONNECTION PERMIT: .................... n VALID FOR SIXTY 1801 DAYS FROM DATE OF ISSUANCI a CATCH BASIN' BUBBLER Q STUB JD MAINUNE . $600,000 MINIMUM Q ATTACHED Cl REQUIRED AMOUNT Q$ ,J;Et $10.00+$.16/FT. , , /~~ Q $10.00~$.16/FT. I&/,~ " , a $6.do / . /V~, , Q $5.00 I ~~e> ...-'. TOTAL DUE: $ TOTAL DUE WITH PERMIT. '?'<Y. 7~ DESCRIPTION OF PROJECT: . PERIOD OF USE OR TIME OF CONSTRUCTION: o PLANS (TWO SETS) ATTACHED AREA: LENGTH: TYPE OF WORK: CUT: OTHER: EXISTING SURFACE MATERIAL: A-c.....- BACKFILL MATERIAL TO BE UTILIZED: SURFACE REPLACEMeNT MATERIALS TO BE UTILIZED: TYPE OF OUST CONTROL TO BE UTIPZED: NAME OF OTHER UTILITIES IF THIS IS A JOINT PROJECT: WARNING DEVICES TO BE UTILIZED: ./ __., ._'"_..,.. ,'~ Advance .Ignlng and work zona ,protactlon to b. In compllencl with tha ManU~lform TraUlc Control Davlca. (MU~ FROM DATE: TO DATE: A-L- WIDTH: C'u/... , DEPTH: TIME: TIME: HEIGHT: ,~ BORE: BACKFILL MATERIAL: ~/?,-1) DESCRIPTION: 1/ WORK SHALL, COMPLY WITH CHAPTER X ARTICLE 6 OF THE CITY CODE. CONTRACTOR TO, COMPLY WITH MUTCD'. REVISIONS 8/2419& FORM , 118 I . , .;. .,,, Job Number: 971463 Receipt Number: Date Paid: Amount Received: Received By: --- VALIDATION 7($P$B. / ,A-:2/'-7 '-;:> . ?)~2~'S"" V -?/&,./. ~. ( Page 3 .;;:. ~ Job Number: 971463 Page 2 BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin 158.50 12.69 0.00 0.00 145.00 11.60 SUBTOTAL PERMITS 327.79 TOTAL PERMIT FEES EXCLUDING ELECTRICAL ~.fJ4I.( ~ ~/r? 327.79 "fY. ~ :r.e2 G~ REQUIRED INSPECTIONS It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call 726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m will be made the following work day. Special Inspections: In accordance with a special inspector shall be employed by construction of any following n*n work. shall be furnished to Building Safety. Section 306 of the State Specialty Code the Owner/Contractor during A copy of the special testing reports In addition to the inspections specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. UNDERGROUND ELECTRICAL - Prior to Cover. FOOTING - After trenches are excavated. SLAB - To be made after all inslab building service equipment, conduit piping, 'and other equipment items are in place but prior to concrete - - - ADDITIONAL COMMENTS DRC 97-05-112, PLANNER IS SARAH SUMMERS FOUNDATION AND SITE UTILITIES ONLY FOR PROPOSED SHOP & OFFICE FOR MILL SPROCKET SITE PLAN REVIEW JOURNAL #97-05-112, SARAH SUMMERS, PLANNER STREET TREES REQUIRED Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 11/14/97 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 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans ill remain on the site at all times during construction. (r( l7-I?7 , v j; -- ....- Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 971463 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3539 COMMERCIAL AVE Assessors Map #: 17023121 Tax Lot #: 03100 Owner: KEVIN GIELISH Address: 37558 HILLS CREEK RD Phone #: 746-3320 City/State/Zip: SPRINGFIELD, OREGON 97478 I Description Of Work: SHOP BYILDING NEW Value: 0.00 Name Architect: BILL BRACKMANN Address PO BOX 50801, EUGENE Phone 343-8613 Contractor Const. Contractor # Expires Phone General: OWNER Plumbing: OWNER Electrical: MARHSALLS 3410 N Pacific Hwy #31 CROW VALLEY PO Box 22201 Eugene OR 0098061 Medford OR 9 0095910 974020000 08/04/95 857-0933 Mechanical: 01/06/96 729-5108 PLUMBING No. Fee Charge 25.00 25.00 85.00 10.00 Sanitary Sewer Water Service Storm Sewer BACKFLOW DEVICE 40 45 432 ft. . ft. ft. TOTAL PERMIT 145.00 HANDICAP ACCESS: Y # OF BLDGS: 1 OFFICE USE QUAD AREA: 3INC ZONING CODE: LMI LAND USE: 3999 Item FOUNDATION Square Feet 7296 x $/Square Feet = Value 23,000.00 ~OTAL VALUE OF PROJECT 23,,000.00 Plan Check Fee: 471.58 Rec #: 27599 Date: 10/06/97 Rec By: LORNE PLEGER