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Home My WebLink AboutPermit Sidewalk 2008-7-25 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO ISSUED: APPLIED, EXPIRES: VALUE COM2008-01119 07/25/2008 07/2512008 01/25/2009 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 54 I -726-3676 F dX 541-726-3769 InspectIOn Lme SITE ADDRESS 1108 7TH ST ASSESSOR'S PARCEL NO 1703351203700 Sprmgfield TYPE OF WORK S,dewalk TYPE OF USE Repair ResIdentIal PROJECT DESCRIPTION Sidewalk Repair Owner HARSTAD LESLIE Address 1108 7TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Contractor LIcense Expiration Date Phone BUILDING INFORMATION I # of Umts Primary 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 Bulldmg Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Bdsement Sq Ft Gdrage/C.lrport Sq Ft Other Occupdnt Load nla I DEVELOPMENT INFORMATION I Front yard Setback SIde I Setback S,de 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Cover dge REQUIRED PARKING Total Handicapped Compact .'ll'\~ \~<tI'jl;U~W~IllWlmVEMENTS I I W leQUIles 'i~\I\~Y \.tI-'i'l l:\""~' n \ ~regol1 a n OlegOI' 1 (\n Street Improveml:l\.~~.. CO~f>.\: .,.u~'O?'- c\) to" p.'Ti\:.f1fd6'.tal 3:y.p..e: b'i \ e I sale set 0 ~_ 1>.'0' \ ~\-lI\\ \)\:.~ \ y' \)O~'- uleS a P 1,",ose IU e Po 952-00 Storm Sewer ^".;1.l'3Ij1'i: x.\) \\~ f>.'Of>.~ 10\\OWDo8in6'.!llitSr~b,\,n1\JUgn 01' uleS bY speCldllnstruc1t~'\ t\O~\-r \:.\) O~ \'0 \) tlO\IIICa~5~'OO~'OO~ \~oples 01 \n~ ~nol1e Notes f'CO\~~~~~f>.i ?\:.~\O . \~o~6? '(o~:ea~e~~~~\I1~~~\~\~~~ ~i)'\ICa\IOl\ f>.,\\i I ca.IIIl\9 1 I ,\'Ie Oleg o.aaz.za4 . _"'of 0 . ",_9.0 "-,. cen\~' .- I ValuatIOn DescrlOtion I DescrlptlUn Tvpe of ConstructIOn $ Per Sq Ft or multIpher Square Footage or BId Amount Value Ddte Calculdted Paee I of2 -~ ....' '"' CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED, EXPIRES: VALUE COM2008-0Il19 07/25/2008 07/25/2008 01/25/2009 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 InspectIon Lme Total Value of Project Feps PaId I I 17. Fee DeSCllptlOn + 5% Technology Fee SIdewalk Repair Permit Amount PaId Date Paid $078 $1550 7/25/08 7/25/08 Receipt Number 1200800000000000811 1200800000000000811 Total Amount Paid $1628 I Plan RevIews I To Request an inspection 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 followmg work day, I Reolllred Insnect!ons. Slde"alk - Setback After forms dre erected but prior to placement of concrete By signature, I state dnd agree, that I have carefully exammed the completed apphcatlOn dnd do hereby certify thdt all mformdtlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance With the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work described herem, and that NO OCCUPANCY will be made of dny structure Without permissIOn of the CommuUlty Services DIVISIOn, BUlldmg Sdfety I further certify that only contractors and employees who are m comphance With ORS 701 005 wIll be used on thiS project I further dgree to ensure that all required mspcchons are requested at the proper time, that each address IS readable from the street, that the permit cdrd IS located at the front of the property, and the approved set of plans wIll remam on the site at all times dunng constructIOn Owner or Contractors Signature Date Paee 2 of2 225 Fifth Strcet Sprmgficld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1119 COM2008-011l9 Payments Type of Payment Cash LRecemtl RECEIPT #: DescrIption Sidewalk Repair Pennil + 5% Technology Fee Paid By ANDERS HARSTAD-BELL ~ CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department 1200800000000000811 Date' 07/25/2008 Item Total Check Number AuthOrization Received By Batch Number Number How Received Ikw In Person Payment Total Page 1 of I 104938AM Amount Due 1550 078 $1628 Amount PaId $1628 $1628 7/25/2008 " .' .' I'. .' '.'Q' -J_~ "~~1i1J '. ....,'~ '. r - . ,"r:" . . . . " '" '-. luaJ.vpnllfU~aIU . ". .' .."..' .) ,~i;t,J ::: t >(~~, ~.;,; i:" \:. :, .,,;,;; J<::~~,,~~.) .~,;,- :<:; ,:",;:: ~;,~; (, ~:< ~': ;':;)'J~ ," ):~ :<, ',,>,:;(,:~~~~~l" '$'::'''/':'~;; DRIVEWAY/SIDEWALK' ':":: ::~;::.; :~;:::PERMIT;APPLlCATION, >,A~~'f~; 225 FIFTH STREET .ph'No,,"eD ~ SPRINGFIELD OREGON 97477 ... ___ ENGIN[ERING DIVISION OcFK:E TELEPIIONE (503i 726 375:3/ j, ~ ~ APPLICATION DATE '7/2C: bK I PERMIT NUMBER DATE ISSUED ~?! ~OJIJ Cf 7/2";-/0 g: SITE INFORMATION LOCA liON OF WORK APPLICANT A.,,.\Pl'l: C;<;"A~ IIO'i iff ,'b .s-t- }-J c. f"<. -kcl~ ISP II <"-Or-"Irr_1-N> W, C){l. PHONE '?;"Cf/~ C, 1')-1 '1--1 f ADDRESS TAX MAP CITY STATE ZIP Cj J q. 7 I TAX LOT SUBDIVISION OWNER Le <, I ~ I-P ll.r<. -+"'.J- '1.<.1 ( ADDRESS 5 G1 ~ CITY PHONE STATE ZIP REOUESTED PERMITS o SIDEWALK AMOUNT OF SIDEWALK IN EXCESS OF 90FT ;iJ SIDEWALK REPAIR o CURB CUT/DRIVEWAY NUMBER OF DRIVEWAYS_ X $88 00 @$O 08 SF $1550 ~$ ~$ ~$ J~ ~o $8800 1slCut ~$ o MULTIPLE PERMIT DISCOUNT EA (MAX 2) $3000 (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION...ill:il..Y APPLIES TO 2nd AND 3rd PERMITS ONLY NOT SIDEWALK REPAIFlJ. o 5% Technology Fee $ D"/9. TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE $500000 MINIMUM IF WORK IS OONE BY PROPERTYOWNER 2nd Cut ~U =$ 1k'1<;( CONTRACTOR INFORMATION CONTRAC rOR ()L() tl.Q.JL-.- ADDRESS CONTRACTOR REGISTRATION NO PROJECT SUPERVISOR PHONE EXPIRATION DATE PHONE 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 OESIGINATED CITY JOB NUMBER/PERMIT NUMBER JOB ADDRESS lYPE OF INSPECTION REOUESTED AND WHEN YOU WILL BE READY FOR INS PECTION CONTRACTOR S OP OWNER S NAME AND PHONE NUMBER REQUESTS RECEIVED BEfORE 7 00 AM WILL BE MADE THE SAME DAY REQUESTS ARER 7 OOA M WIll BE MADE THE NEXTWORKJNG DAY INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FOAM 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 ~ 110 d-'6 DATE PAID RECEIVED BY '11.?-d 0 ~ I~IA ) By Slgnalure I slate and agee thai I have carefully examined the completed application and do he reby cerllly that alllnformalJon hffem IS lrue and correct and I further certifY Ihat any and dll workflertormed shall be done In accordance wltn the Ordinances of tile City of Sprlnglleld applicable City ::Jlll.odard speaficallons and Ora'Mnqs and the (qWS o( the Stdle 01 Oregon perlalnlng to the work des01hed herem i lurlller certify fha! only conlractors and employees who ate In compliance WIth ORS 701 055 Will be used on lhlsPfoleCl Dal, -2{;; "}fOf (!ct - /{J tJ / / tJ 8 P- st , \ , , >- !, I \~ '! 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