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
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