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Home My WebLink AboutPermit Curb Cut 2008-8-4 Status Issued CITY OF SPRINGFu,Lu Building/Combination Permit PERMIT NO' COM2008-011 SS ISSUED: 08/04/2008 APPLIED' 08/04/2008 EXPIRES' 02/04/2009 VALUE' 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon LIne SITE ADDRESS 450 35TH ST ASSESSOR'S PARCEL NO 1702312411400 SprIngfield TYPE OF WORK Curbcut TYPE OF USE AlteratIOn ResIdential PROJECT DESCRIPTION Curb cut Owner AMES LARRY L Address PO BOX 1321 WRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Contractor License ExpiratIOn Date Phone BUILDING INFORMATION I # of Umts Pnmary Occupancy Group Second.ry Occupancy Group Pnmal y CoustructIon Type Secondary ConstructIOn Type # of Bedrooms # of Stones HeIght of Structure Type of Heat Water Type Range Type Energy Path Spnnkled BuddIng Lot S,ze 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 REQUIRED PARKING ATT Tot.' fOI/ ENnON OregOn!fa1ndlcapped Not rw rUles adopted 6Y'mfr'i!!1fres you to I Icat/on Center Th Oregon Utility ~~~t~9052-001-001O th~~~9ruh'eosAa:..e set forth u m~1I ....l..,..._ H Qel') "'1 NOTICE: I PUBLIC IMPROVEMENT& ,~';;.;~7r i~~ cente~-"(N~~'et~~ft~~e rUle~ by Street Improvem~Wif. PERMIT SHALL EXPlht I~ I nc ",unl\ s~~'Iz,r~ffion Utility Not~f,c~~ne OIIHl()RIZED UNDER THIS PERMIT IS NOT ~ - '00-332-2344) on Storm Sewer Avili\l:bhl CEO 0' R IS ABANDONED FOR Downspouts/DraInS' SpeCIal Instructuln MIVIEN ANY 180 DAY PERIOD FrontYJrd Setback S,de I Setback S,de 2 Setb.ck Rearyal d Setb.ck Sol.r Setb.cks Overl.y Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Notes I ValuatIon DescrmtIon I DeSCription Type of ConstructIOn $ Per Sq Ft or multIplIer Square Footage or BId Amount V.lue Date C.Icul.ted Page I of2 ~~~ CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED APPLIED' EXPIRES. VALUE' COM2008-01155 08/04/2008 08/04/2008 02/04/2009 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon LIne Total Value of ProJect Fees Paid I Fee DescriptIOn + 5% Technology Fee Curbcut PermIt Amount Paid Date Pdld ReceIpt Numbel $440 $88 00 8/4/08 8/4/08 3200800000000000538 3200800000000000538 Total Amount PaId $92 40 I Plan RevIews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspecttons requested before 7'00 a.m. WIll be made the same working day, mspections requested after 7'00 a.m. will be made the followmg work day. I ReoUlred InsoeCllOOS I Curbcut - Stdnddrd Alter forms are erected but prior to placement of concrete By sIgnature, 1 state and agree, that I have carefully examIned the completed appllcahon and do hereby certify that all InformatIOn hereon IS true dnd correct, and I further certify thdt any and all work performed shall be done In accorddnce with the OrdIndnees of the City of SprIngfield dnd 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, BuddIng Safety I further cerhfy thdt only contractors and employees who arc In compliance wIth ORS 701 005 Will be used on thiS prOject I further agree to ure that dll reqUIred InspectIOns die requested at the proper hme, that edch address IS readdble from the street, that the erm t cdrd IS locdted dt the front of the property, and the approved set of pldns WIll remaIn on the site at all hme7~Ing nstr chon H~LI-oR ~f" . ---! Owner r Co tractors Signature Date Page 2 of2 225 FIfth Street Spnngfield, Oregon 97477 541-726-3759 Phone ii:~ CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department RECEIPT #, 3200800000000000538 Date: 08/04/2008 9 43 25AM Job/Journal Number Descnptlon Amount Due COM2008-01155 Curbcut PermIt 8800 COM2008-0 1155 + 5% Technology Fee 440 Item Total $92 4U Payments Check Number AuthorlLatlOR Type of Payment PaId By Received By Batch Number Number How ReceIved Amount Paid CredltCard LARRY AMES Ikw 105257 105257 In Person $92 40 Payment Tot.1 $92 4U cRecelOtl Page 1 of 1 8/4/2008 ..c'-". ,.....-. .'. -.':: ":'Q'h,J-~ '.A;1J ,... .' ':'-" . :~,~ ,.. -::'., .' f, -. . ,,:' I, ,_ " ,~," .T.," '11 oj.vpnnWiOIQ :' .',' ..:' .:" ~.:. .' .' ,~II~~ :; -~: ~r'~l. ~,;, ';;:~"~,'}'. :,\~~ ',.~\:J. -:w;~:<: i:5~ ,"l;":: ~~;~, ,.' ~:.:: ~~:,~!~~~\ <j', -"~' ;.,.':~ ,: '.:': ~;.u'~~ '::~~ 1 ,;.:: >:' u ";:'<: . ....;,\.,~,:: ~~~~~tJ;i:.~i~ ,~:":~,,;::~ DRIVEWAY/SIDEWALK:', ;'}~.~ .~. ~:;':'PERMIT APPLICATION. ~>x':;;'fi 225 FIFTH STREET SPRINGFIELD OREGON 97477 ENGINEERING DIVISION OFFJCE TElEPJ JONE (503) 726 3753 PERMIT NUMBER DATE ISSUED APPLICATION DATE SITE INFORMATION LOCATION OF WORK u.t:;l;J ~Sh-.. APPlICAi'JT ~\ Av,vc... PHONE 74-1- if34 3 ADDRESS ?,.<; 't-!..- TAX MAP CITY ~ STATE o.tZ-- ZIP Cf7L/. 7'6 TAXLDT SUBDIVISION U' OWNER PHONE ADDRESS CITY STATE ZIP REOUESTED PERMITS o SIDEWALK AMOUNT OF SIDEWALK IN EXCESS OF 90FT o SIDEWALK REPAIR f.jJ{URB CUT/DRIVEWAY $88 00 @$O 08 SF $1550 ~'3,---- ~$ ~$ ~$ NUMBER OF DRIVEWAYS_ X $88 00 1st CuI = $ o MULTIPLE PERMIT DISCOUNT EA (MAX 2) $3000 2nd Cut ~$_( (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INsPEcnON..D!::R..Y APPLIES TO 2nd AND 3rd PERMITS ONLY NOT SIDEWALK REPAIRl. o 5% Technology Fee $ u.., I.Ln TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE $500000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER =$ q:J lLr) CONTRACTOR INFORMATION CONTRACTOR ADDRESS CONTRACTOR REGISTRA liON NO PROJECT SUPERVISOR PHONE EXPIRATION DATE PHONE INSPECTIONS AN INSPECTION REOUEST SHOULD BE MADE PAIOR TO POURING CONCRETE AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR CURB cur AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB NUMBER/PERMIT NUMBER JOB ADDRESS TYPE OF INSPECTION REOUESTED AND 'NHEN YOU WILL BE READY FOR INS PECTION CONTRACTOR S OR OWNER S NAME AND PHONE NUMBER REOUESTS RECEIVED BEFORE 7 00 A M WILL 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 FO!=lM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800.332-2344 48 HOURS BEFORE DIGGING SIGNATURE AMOUNT RECE)YED RECEIPT NO $ q,;, l/-D DATE PAID RECEIVED BY 'Dl Ii r 0 ~ wtw By signature I slale and agee that I have carefully examined the completed applicallon and do he reby cerMy that a~ IntormalJon hl2fetn IS lrue and correct and' further cerllN that any and dll work perlor-med shall be done In accordance With the Ordinances 01 the City of Springfield dppirca6le ClI~ Slandard specl/Jcatlons and DraWlngs and the laws 01 the Sldte of Qregoo pertaining to the wark desOlbed herein ceMy fha! only contraclors and employ€es who are In compliance With GRS 701 055 Will be used onlhlspt0j8cl The City may Inspect the work site described In Ihls perml! at any time dunng a one year pened 10 ftoWlflg the rec81pt by the City at nohee 01 com~letlan a! the descflbed work and speaty at the City 5 sole discretion any additional restoratron work required to return Ihe site 10 a standard accep.table to the CI The permittee Will be nOlih~d In wilting of any wOrk leqwed and WIll have thirty days (30) Jrom Ihe dale oj the nOllee to compele the work Work not cornpeteq at Ihe end ollhe HlIr1y days Will be pertorrned by tlie City and the costs 1'11111 be billed to tne permrUee tfurther slre~tru~~rl~~r~~~o~~aU~:!!~F~~~rsea~W;a~~~rf~tl~sS%e;l~p~~~~ ~~~~~P~~~r~I~~nthal pro) eet address IS reada~e from the Signature Date ~ ./ ~ o \ 'bD ~ b .-- ( I ~ I . ! 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