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Home My WebLink AboutPermit Sidewalk 2008-8-20 Status Iss u ed 225 F,fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fdx 541-726-3769 IlIspectlOn LlDe SITE ADDRESS 353 PIONEER PARKWAY WEST ASSESSOR'S PARCEL NO 1703352311100 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01253 ISSUED' 08/20/2008 APPLIED 08/20/2008 EXPIRES: 0212012009 VALUE. Springfield TYPE OF WORK SIdewalk PROJECT DESCRIPTION S,dewalk Repair Owner WINDHEIM ROGER & SHARON E Address 84951 T1LLICUM PLEASANT HILL OR 97455 TYPE OF USE Repat r ReSIdential I CONTRACTOR INFORMATION I Contractor Type Contractor BUILDING INFORMATION I # of UDlts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary COllstructlon Type # of Bedrooms # of Stories HeIght of Structure Type of Heat Water Type Range Type Energy Path Sprinkled ButldlDg License EXpIratIOn Date Phone nla Lot SIze Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Gdrage/Cdl port Sq Ft Other Occupdnt Load I DEVELOPMENT INFORMATION I Front yard Setback S,de I Setbdck S.de 2 Sethack Rearyard Setback Solar Setbacks Overlay DlSt # Street Trees Rqd Paved Drive Rqd % of Lot Coverage Street Improvements Storm Sewer AVdllahle SpeclallD>tructlOn ATTENTION: ~~t&i'~~TS I follow rules ado~regon Utlrr, Notification Center. Those rules are set forth In OAR 952~1-OO10through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center Is 1-800-332-2344). Notes I ValuatIOn Descrmtion I DescriptIOn $ Per-Sq Ft or multiplier Square Footdge or B,d Amount Tvpe of Construchon I Pdl!e I of2 REQUIRED PARKING Total HandIcapped Compact Sldew dlk Type Downspoutsffiralns Value Date Calculated _~Go~ Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2008-01253 ISSUED: 08/20/2008 APPLIED 08/20/2008 EXPIRES. 02/20/2009 VALUE' 225 FIfth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 F dX 541-726-3769 InspectIOn Lme Totdl Value of ProJect Fees Pai~ I Fee Description + 5% Technology Fee Sldew dlk RepaIr PermIt Amount PaId Date PaId ReceIpt Number $078 $1550 8120/08 8120/08 3200800000000000587 3200800000000000587 Tot,11 Amount PaId $]628 Plan RevIews , To Request an inspectIon call the 24 hour recordmg at 726-3769. AllmspectIons requested before 7'00 a.m. Will be made the same workmg day, mspections requested after 7.00 a m WIll be made the followmg work day I ReoUlred I nspech~ns I Sidewalk - Setback After forms are erected but prior to placement of concrete By Signature, I state and agree, that I have cdrefully exammed the completed apphcalton and do hereby cerltfy that all mformdtlOn hereon IS true and correct, and T further cerhfy that any and all work performed shall be done m accordance wIth the Ordmances of the CIty of Springfield and the Laws of the State of Oregon pertammg to the work described herem, and that NO OCCUPANCY WIll be mdde of any structure wIthout permISSIon 01 the CommuDlty ServIces DIvISIOn, Bulldmg Sdfety I further cerltfy that only contractors dnd employees who are m comphance wIth ORS 701 005 WIll be used on thIS proJect I further agree to ellsure that all required mspecltons are requested at the proper ltme, that each address IS reddable from the :::e:~h::":~'::.';t~:;-'4ed at the front of the property, and the approved set of plans will remam on the Site at dll ~cy~/Lj/~ g-?-tJ~ ap v ~ . Owner orr--ontractors Signature Ddte Paee 2 of2 '. .' . .' "". .... .. "r',/" .r _~ . ,_ri IJ '. " ;,'. '. ,.:,. " .', ,'~ ,~\: . . ( "'~. ~ '. . . . I, "~'. .' LI/'!1 o.J.vpnnllJ'CfU ',':".. . ,..' . ~. ,,! ....,....~1,.. ,:40~: ,;' :: ~:('~' i : .i; . ~\.:.:~,~.:..~i,:~,.; ':',: ~l . >- :>:, . f::>:.:>: ::r'y ~_:: ,;:.' ~..'~ .,: ;~ .~'.: <<' '.: i. ,~::~; "',:- '::;~ ,;:-~/:~;j;:~~ :..:':/): 's, DRIVEWAY/SIDEWALK '.. .~:.\.: ;.;;PERMIT ;APPLlCATION " '-.:1:}trf:. 225 FIFTH STREET SPRINGFIELD OREGON 97477 ENGINEERING DIVISION OFFICE TELEPlIONE 1503) 726 3753 PERMIT NUMBER DATE ISSUED APPLICATION DATE SITE INFORMATION LOCA nON OF WORK ~, '7 '3 f),/fVI.L.L(L P /clA/A,~ !.U, APPUCANT t2..c.X" V" VI...< '^- ,HU.l ~ ADDRESS Po 'Q,o)<. X I J.. ~al,j.~",," OTY 4l!.<tl<'0~"1- 1-\,11 STATE 0 K... ZIP PHONE i-\ ,II , 0It Q 7(( S.> TAX MAP TAX LOT SUBDIVISION OWNER f0.,c;,(.y- ~~ ADDRESS (f,o' ,~O-r- ~ ( (_ CITY PHONE 'i'S" 3-1 ( I () o [pq .>-1...11{(r( STATE. (>., rL ZIP a 7<fs. 9 REOUESTED PERMITS o SIDEWALK AMOUNT OF SIDEWALK IN EXCESS OF 90FT $88 00 @$O 08 SF $1550 =$ =$ =$ "~O ~ SIDEWALK REPAIR o CURB CUT/ORlVEWAY NUMBER OF DRIVEWAYS_ X $8800 lslCul = $ o MULTIPLE PERMIT DISCOUNT EA (MAX 2) $3000 2nd CUI =u (MULTI PERM!T DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION..Dt:ll..Y APPliES TO 2nd AND 3rd PERMITS ONLY NOT SIDEWALK REPAIR! =$ o 5% Technology Fee $ TOTALDUEWlTHPEAMIT $ o PROOF OF INSURANCE $500000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION CONTRACTOR ~~ c.,..S"t'/UJCi,:""" i? 0, lih..,.. ill\, PU>QC4k-i- 1-\11\ I lilt... t;<.2.1 /4"7~ w~.R. tJ............ C!.1<.lS:S- PHONE~J3'!lrc EXPIRATlONDATE Cl5"- io PHONE q C" '>,- 1l1..!L ADDRESS CONTRACTOR REGISTRATION NO PAOUECTSUPE~SDR INSPECTIONS AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE AFTER THE PROPOSED WORK HAS BEEN FO AMED AND MADE READY TO POUR CURS CUT AND SIDEWAll< lNSPECTlONS CAlL 726-3769 (RECORDER) STATE YOUR DESIGlNATED CITY JOB NUMBEAJPEAMIT NUMBER JOB ADDRESS TYPE OF INSPECTION REQUESTED AND 'M-iEN YOU WILL BE READY FOR INS PECTION CONTRACTOR 5 OR OWNER 5 NAME AND PHONE NUMBER REOUESTS RECEIVED BEFORE 7 00 AM WILL BE MADE THE SAME DAY REQUESTS AFTER 7 OOA M WlLLBE MADE THE NEXT WORKING DAY INSPECTIONS ARE TO BE CAlLED IN AFTER EXCAVATIONS ARE MADE AND FOAM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE YOU ARE REOUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 48 HOURS BEFORE DIGGING SIGNATURE [.11" AMOUNT RECEiVED f~ 'P I (" :< S" RECEiPT NO f') ~ f$ 7 DATE PAID g.1l-cif(}5J' RECEiVED BY ~ '>1t' ?A;~ I By signature I stale and agee tharl have carefully exammed!he compl(!led appllcatlOO and do he reby certify thal aH rnformal/on he-en IS true and correct and I further certifY Ihat any and dll work J;lertQ(med shall be dOle In accordance WIth the Ordmances of tlle City of SplInglield dpphcable Cily Standard specifications and DraWlnQs and the laws of the Sidle of Oregon pertaining to the work desCIlbed herein I further Cer1lty fhat only contraclors and employees who ilIe In compliance With OAS 701 055 'Mil be used on IhlspI'OleQ The Dty may lnspecllhe work SIle described In lhls permr! at any tllTle dunng a one ye8l" penod fa RO'NI11g the receipt by the City oi notice oJ com~ellon oIlhe descnbed wo-k and speoly 81 the Ory 5 sole dlsaellOO any addltJooal restoration woO<. requIred 10 retum the sfle to a standard accep'!able to the Cl The permlnec w,n be notified In writing 01 any w()(\<. reQWed and WIll have Ihll1y days (3D} ham the dale 01 the notice 10 complete the work Work nOl com eled allhe E'fld of Ihe Ihll1y days wllf be ped med by tlie City and the costs WIn be bllled 10 Ihe perffilUee are lequeSli::d al the propef time lhat pial eel address IS readable tram 1he ,Ie ~.I "~" do"ogo,"","",oo () r- W ~ 0 g Dale 0 Signature 225 Fifth Str~et Sprmgfield, Oregon 97477 541-726-3759 Phone GP. ~INQ"BLD I . , . ....---; , ~_._: ~ , CIty of Sprmgfield Officml Receipt Development ServIces Department PublIc Works Department RECEIPT # 3200800000000000587 Date' 08/20/2008 10 10 18AM Job/Journal Number DeSCriptIOn Amount Due COM2008-0 1253 Sidewalk Repair Permit IS 50 COM2008-0 1253 + 5% Technology Fee 078 Item Total $1628 Payments <":heck Number AuthonzatlOn Type of Payment PaId By Received By Batch Number Number How Received Amount Paid Cash ROGER WINDHEIM ctm In Person $20 00 Change ROGER WINDHEIM ctm In Person ($372) Payment Total $1628 Job/Journal Number DeSCriptIOn Amount Due COM2008-0 1253 Sidewalk Repair Permit 1550 COM2008-0 1253 + 5% Technology Fee 078 Item Total $1628 Payments Check Number AuthorlzJ.tlOn Type of Payment PaId By Received By Batch Number Number How Received Amount Paid Cash ROGER WIND HElM ctm In Person $20 00 Change ROGER WINDHEIM ctm I n Person ($372) Payment Total $1628 cRccelOtI Page I of I 8/20/2008