HomeMy WebLinkAboutPermit Sidewalk 2008-8-1
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CITY OF SPRIr\j\.Jl'IELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED:
APPLIED.
EXPIRES:
VALUE:
COM2008-01152
08/01/2008
08/01/2008
02/01/2009
225 FIlth Slreet, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 4017 Stellar Way
ASSESSOR'S PARCEL NO 1802061416300
SprIngfield TYPE OF WORK SIdewalk
TYPE OF USE Repair
ResIdentIal
PROJECT DESCRIPTION NEW ADA SIDEWALK RAMP
Owner GVHH LLC
Address 15314 135TH AVE E
PUY ALLUP WA 98374
Owner MIKE BLANKENSHIP CORPORATION
Address 8063 THURSTON RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
LIcense
ExpiratIOn Date Phone
BUILDING INFORMATION I
# of UUltS
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
Sprmkled BUlldlllg
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
Frontyald Setback
SIde I Selback
Side 2 Setback
Rearyard Setback
Solar Setbacks
I DEVELOPMENT INFORMATION I
j,47T;
Overlay DlSt -t' Ol/Ofl/ (?tvl/, Total
# Street Trees Rqd Obt,{' /"(J/o Otv 0 HandIcapped
Paved DrIve Rqd f)'if)' ~!IO? ~ qO'o )'"$9'0 Compact
% of Lot CoverageC 'J k' :5"2'0" $1)!$'.O!$(/6'1} Iq",
r. t" Olj V! 'I" 1; 1-' /"$
-VI'II,}9 !!,~ 0C1y ~ ~OO, f"l /)o,.~ !/)$ )!1I1r,,~
I PUBLIC IMPROVEMENTS:t !/):el)!$;'ClII) ;;oll;I}%S ~;'9'OIJ "tll,o
'€Or O~ (1\1, '.01$ O"1r-. $ So ~m._
loS ~11l'~})tk'Ji.Y'~ftJ. '7 Bs~t Io;{
-~ '8" VI 'Jj~ '1$ "'" VI
Do~~~lI'i9.6/"%sV01.
'<0)'1'1 O!/~c. ~01J9 6;-
~. i?tlOI1
REQUIRED PARKING
Street Improvements
Storm Sewer A valfable'ICE
. u, .
Spec131 InstructlOft HIS .
I PERMIT SH
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Notes
Pa2e I 012
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01I52
ISSUED 08/01/2008
APPLIED' 08/01/2008
EXPIRES. 02/01/2009
VALUE:
225 Filth Slreet, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
I ValuatIOn DescrIotion I
DescrIptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multlpher
Square Footage
or BId Amount
Value
Date Calculated
Total Value of ProJect
Fees ~al/I J
Fee DescrIptIOn
+ 5% Technology Fee
SIdewalk PermIt
Amount Paid
Date PaId
ReceIpt Number
$440
$88 00
8/1108
8/1108
2200800000000001187
2200800000000001187
Total Amount PaId
$92 40
I Plan RevIews I
To Request an mspechon call the 24 hour recording at 726-3769. Allmspechons requested before 7:00
a.m. will be made the same workmg day, mspectlOns requested after 7:00 a.m. will be made the followmg
work day
I RepUlred Insnechons I
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cel IIfy that all
mformatlOn 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 C11y of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY WIll be made 01 any structure WIthout permls>Ion of the CommuUlty ServIces DIVISIOII, BUlldmg Safety
I further certify thaI 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 mspectlOns are requested at the proper time, that each address IS readable from the
street, that the permit card located at the front of the property, and the approved set of plans will remam on the sIte at all
tImes dUrIng constructIOn
IA v1
t (.j~
Owner or Contractors SIgnature
Date
Paee 2 of2
2:'-5 Flft.h Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-01152
COM2008-0 I 152
Payments
Type of Payment
Check
cRecelOll
RECEIPT #.
DescnptlOn
Sldewalk Permit
+ 5% Technology Fee
Paid By
MIKE BLAKENSHIP CORP
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City of Sprmgfield OffiCial Receipt
Development ServIces Department
Public Works Department
2200800000000001187
Date: 08/01/2008
2 45 56PM
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
Amount Due
8800
440
$92 40
Amount Paid
LKW
$92 40
$92 40
11816
In Person
Payment Total
')
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8/1/2008