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HomeMy WebLinkAboutPermit Sidewalk 2008-9-10 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone' 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-0t375 ISSUED: 09/10/2008 APPLIED: 09/1012008 EXPIRES: 03/1012009 VALUE: SITE ADDRESS: 2750 MAIN ST ASSESSOR'S PARCEL NO.: 1703364100400 . Springfield TYPE OF WORK: Sidewalk PROJECT DESCRIPTION: new sidewalk removing approach Owner: BOMARK ROBERT L Address: 87746 BLEK DR VENET A OR 97487 Owner: BOMARK JEFFREY A Address: 87746 BLEK DR VENETA OR 97487 TYPE OF USE: Alteration Commercial I CONTRACTOR INFORMATION' Contractor Type General Contractor RICHARD DEHART License 11 0480 Expiration Date 12/18/2011 Phone 953-1410 BUILDING INFORMATION I . # of Units: Primary Occupancy Group: Secondary Occnpancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range T)'pe: Energy Path: Sprinkled Building: "fa Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Streei Trees Rqd: Paved Drive Rqd: % of Lot Coverage: '\vv8(:-(:88-00S-~ sIrW;IU''" UO!lllO!I!ION Al!l!ln U068JO ~qp.l~jl.OVEMENTS I Street Improvem8iitSi:4d8j81 841 :810N) 'J91U90 9416U!II"90 Aq s81nJ 84110 S8!doo U!IlIQO A1lW nOA '0600 Storm Sewer AYrH~~5\3l:J\lO 46noJ41 0 WO-~OO-(:96l:iVO UI SpeciallnstrucIWlOl18S 8m S81nJ 8S041 'J81U80 UO!IIlOY1ION AI!l!ln U068JO 841 AQ P81dop1l selnA MOIIOJ 01 noA s8J!nb8J Mill U068JO :NOllN311V Notes: Paee I of 2 REQUIRED PARKING Total: . Handicapped: Compact: Sidewalk Type: ; . -. TEi'l!i\vnspouts/Drains: i :.' PERMIT SHALL EXPIRE IF THE WORK . (. 'nRiZED UNDER THIS PERMIT IS NOT l [',-1l:NCm OR IS ABANDONED FOR :..::'1 13D DAY PERIOD. Status , Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0t375 ISSUED: 09/10/2008 APPLIED: 09/10/2008 EXPIRES: 03/10/2009 VALUE: I Valuation Description I Description TVDe of Constrnction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project F!,~s Paid J Fee Description + 5% Technology Fee Curbcut Permit Amount Paid Date Paid Receipt Number $4.40 $88.00 9/10/08 9/10/08 2200800000000001363 2200800000000001363 Total Amonnt Paid $92.40 I Plan Reviews I To Request an inspection call the 24 hour recording at 726"3769. All inspections requested before 7:00 a,m, will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day, I ReltlJired Insnections I Curbeut - Close & Repair: After forms areereeted but prior to .placement of concrete. Sidewalk - Curbside: After forms are erected bnt prior to placement of concrete. By signatnre, 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 [ 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 structnre without permission of the Community Services Division, Bnildiug Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensnre that all required iuspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all '.e7a~~/ 7~0r Date/ /" ~ Owner or Contractors Signature Paee 2 01"2 225 -Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-01375 COM2008-0 1375 Payments: Type of Payment Check cReceintl RECEIPT #: Description Curbeut Permit + 5% Technology Fee Paid By RICK'S EXCA V A TlNG City of Springfield Official Receipt Development Serviccs Department Public Works Department 2200800000000001363 Date: 09/10/2008 Item Total; Check Number Authorization Received By Batch Number Number How Received lkw 6746 In Person Payment Total: Page 1 of 1 8:21:14AM Amount Due 88.00 4.40 $92.40 Amount Paid $92.40 $92.40 9/10/2008 I G;fjl'(Jfc5pniigfiald 'D~Iv'~W~Y/$IDEWALK PERMIT APPLICATION 225 FIFTH STREET SPRINGFIELD;OREGON 97477 ENGINEERING DIVISION ,OFFICE TELEPIIONE (503) 726-3753 0'.:_':_ ~ ~6J, PERMIT NUMBER: DATE ISSUED: , . ., ~"}(rb~ --- 013>7:' APPLICATION DATE: " '. SITE INFORMATION: LC)f^TIONOFWORK',1 .-:;/? ') r) //j /~.r./l./ Q . APPLICANT ~,~ /-h'Y{-.../foL_Ph- PHONE ADDRESS (/ .c:- q=--- r) ~ (-CITY S~ C 'STATE r')/? f"" (ZIPfl9c;,-?~ .- , 7/r 6-1") ~ ~b TAX MM': TAX LOT; SUBDIVISION: OWNER: ADDRESS' " PHONE: CITY: 5T ATE: 71P: 1\"-' REOUESTED PERMITS: (l( SIDEWALK... ..... .......... AMOUNT OF SIDEWALK IN EXCESS OF 90FT. .....$ 85.00 @$O08 SF. .... .....$15.00 ................ ~ $. ~$ ........................... ~ $ q;( . - o SIDEWALK REPAIR:. o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS_ X .........$85.00...1stCut ~ $ o MULTIPLE PERMIT DISCOUNT EA .........(MAX 2). ........ ..........$30.00. .2nd Cut ~$j-' \_ (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTlON..QM...X APPLIES TO 2nd AND 3(d PERMITS ONLY. NOT SIDEWALK REPAIR). =$ o 5% Technolo9Y Fee $ U ;}..,- TOTALDUEWITHPERMIT $ 't;0.,J-O:::- o PROOF OF INSURANCE: $500,000.MINIMUM IF WORK IS DONE.BY PROPER1YOWNER CONTRACTOR INFORMATION: /,.J./ C' / C_ CONTRACTOR ~ c:'....4'i C' Cy:.[J/),. ;A-;;,L/./( ~ C-:'ADDRES~~t::,/-) ,,>..vO/.2C'/7}-P'1../ ~4E C'CONTRACTORREGISTRATIONN~.. . _ r';::;;:7.-//../' ..~. Q-r) r~PAOJECTSUPERVlSOR: ~ I/_).~ .1lh~,:"l~ , PHONE: 7 ~;?-/ P5 cJ '7~1;7' V/d ,... EXPIRATION DATE: PHONE: INSPECTIONS: AN INSPECTION REOUEST SHOULD BE MA(:lE 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 DESIGlNATED CITY JOB NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE READY FOR INS PECTlON, CONTRACTOR'S OR' , OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00 A.M, WILL BE MADE THE SAME DAY, REQUESTS AFTER 7:00 A.M. WIll BE MADE THE NEXTWORKlNG DAY. INSPECTIONS ARE TO BE CAlLED IN AFTER EXCAVATIONS i?JiE MADE AND FORM 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: DATE PAID: RECEIVED BY: , By signalure, I slale and agree, thaI! have carefully examined the cOf"!1Pleted application and do he reby cerl(ly lhal all inlormalion herein is Irue ' . . and COfrect and 1.'urlher carlifV lhat an-y and all workf?€rlormed shall be dOne in BCCOo'dance with Ihe Ordinances of . the City of SpringfJeld, applicaDle City Standard speclficallons 8Ild Drawings, and the laws of the Slale of Oregoo peJtaining 10 the WOIk described herein. I further ceMy Ihal.Ol1ly contractors and employees wI10 are in compliance WIth ORS 701 ,055 WIll be used . onthlspco]ect. . - . The City may inspecl ,lhe work site described in Ihis permil at any tiine during a one year Period fo ttOVt'ing the receipt by Ihe City 01 notice 01 c~~etion 01 the descnbed work andspeClly: al.the City's Sol. e dISCf~tiOl1, any addllion. at resloratlon INOlk requlfed to relurn 1M site 10 a slandaJd accep'!abIe to the Ci ,The permlnee wlll be nolilied in wntlng or any work requIred and 'Mil have thirty days (30) Irom the dale a! the notice to complete the WOl1c:, Work no! com eted atlhe end ofllle Ihilly days w~l be performea by ttie City and the costs will be billed 10 ttie permittee. . , I further agr~hal all feqUlred Inspecllons are requested at the plop time that prO] eel address IS readable trom Ihe '''''~,g~~:?;;?:2~:;;2;&'d"''O~.;''/ Oat. 9hk)~ , / / /