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Home My WebLink AboutPermit Sidewalk 2008-9-16 Status Issued CITY OF ~rKmlJFIELD , Building/Combination,Permit PERMIT NO: cOM2008-01422 ISSUED: 09/16/2008 APPLIED: 09/16/2008 EXPIRES: 03/16/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 288 MILL ST ASSESSOR'S PARCEL NO.: 1703353201200 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: Repair . Residential PROJECT DESCRIPTION: Sidewalk repair 10 ft Owner: ISLAND PARK DEVELOPMENT LLC ' Address: PO BOX 7009 EUGENE OR 97401 I CONTRACTOR INFORM.ATW~ i contract~r Type Contractor License Expiration Date Phone BUI~DING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: , . # of Stories: . Height or Structure Type of Heat: Water Type: Range Type: Energy Path: - Sprinkle~ Building: j nfa Lot Size: Sq Ft 1st Floor: Sq .Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq FtOther: Occupant Load: ATTENTION: Oregon laWI''DIW!':'LI'JPMI!NT INFORMATION I follow rules adopted by t:,~ ~\ ~gt,rJ'd/"J" Notification Center. Those rules are set forth Front yard Setoack:;R 952-001-0010 through OAR !l'J:!JOOlIDist: _ Side I Setback:J090, YOll may obtain copies of thellr6'w~rrees Rqd: Side 2 Setback:, cailing ltw center. (Note. the tel~l<ll<IeDrive Rqd: Rearyard Setbatk:mber for the Oregon Utility Noti'l(Q;llflMt Coverage: Solar Sethacks: Center-is 1-800-332'2344). ' REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPRO~EMENTS , Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: _ Notes: NanCE: THIS PERMIT SHALL EXPIRE IF THE WORK i\UTHORIZED UNDER THIS PERMIT IS NOT ~;(JMMFW~rn nR Ie: MlAMnmlcn Cf'lD I j:';" 1 [ au llW PERIOD Valuation Des~riDtion . Downspo'utslDrains: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount 'value Date Calculated Page I on " SF!I\~NOlll'l_llI ' -...',r...'-'''-..-".._--,._,_....._.,--"-~-,,. IJ~ ;,b Status Issued CITY OF SPRINGFIELD ., Building/Combination Permit PERMIT NO: cOM2008-01422 ISSUED: 09/16/2008 APPLIED: 09/16/2008 EXPIRES: 03/16/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone , 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee~ Pai~ . Fee Descriptio," + 5% Technology Fee Sidewalk Repair Permit Amount Paid Date Paid Receipt Number $0.78 $15.50 9/16/08 9/16/08 2200800000000001407 2200800000000001407 Total Amount Paid $16.28 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, inspectio?s requested after 7:00 a;m. will be made the following work day. Renllirerl Tnsnections I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. By signature, 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 I 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 occur ANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701,005 will be used on this project. I further agree to ensnre that all required inspections are requested at the proper time, that each address is readable from the street, that thc permit card is located at the front of the property, and the approved set of plans will remain on the site at all time2trD~ Cj~ I G, ~ ()~ Owner or contract:r;aa~re Date Pae:e 2 01'2 f25 Fif~h Street Springfield, Oregon 97477 541-726-3759 Phone Job/JournaJ Number COM2008-01422 COM2008,0 1422 Payments: Type of Payment Cash cReceintl RECEIPT #: Description Sidewalk Repair Permit + 5% Technology Fee Paid By TOM ROGGE City of Springfield Official Receipt, DevelopmenfServices Department Public Works Department 2200800000000001407: Date: 09/16/2008 2:14:19PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 15.50 0.78 $16.28 Amount Paid lkw In Person Payment Total: $16.28 $16.28 Page I ofd 9116/2008 .(> " '" ,. ." '. "..../""p~.."r;I". ,'"J... "...;.,.,....~." '.;1f:"i.',' ,.'....,,, >,.'., .' ,',r. . tLJitu'a.JJvP!1nUJ.~aIU'" .,' t,' .,: , "f,". .,.~.. "':"",\I'J ";:~\f,\,~ .~~~!: ~i' ;:~[,~~}'j>~~~~'j~';~;~;";;'i' :'.~!'.;.-i' c.~:)::;':\':' ~;';'{;k" ,<{j:~~,,,!, '.,!~)3~~:H~~~ :':;:f:\;;t\,'PBI~EWAY/SIDEWAJ...K ';' .: A~';~~\~RERMIT;APPLlCA1:l0N ~;:"i~t~~lr 225 FIFTH STREET IIP~INo.F1E;LD' SPRINGFIELD, OREGON 97477 ~' ~~ ENGINEERING DIVISION . OFFICE TELEPHONE (5031 726.3753 ' ~ APPLICATION DATE~~\- \ ~ \ c:f6 I: SITE INFORMATION: PERMIT NUMBER: DATE ISSUED: ~?nq , 01127.-- LOCATION OF WORK' :>9. 'i< '''' , \ \ APPLlCANL.Q~(~ C"'^~ ,AODRESS,' \::'/~ ~,\~ CI1Y.s:~\J STATE 6!L. SUBDIVISION:' -,: "'-'.'\" UL <;,t ^ " "'-,.oi-\J... " ,r..., Is~\07S' PHONE TAX MAP:. ZIP: C\r'-t r'l TAX LOT: OWN~R' ADDRESS: PHONE: . CIl)': STATE: . ZIP: '.\,,' REOUESTED PERMITS: o SIDEWALK: AMOUNT OF SIDEWALK IN EXCESS OF 90FT, \lil SIDEWALK REPAIR: o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS~ X, , ........,......... $88.00 1st Cut = $ $88.00 @$O,OS SF. $15.50 =$ =$ =$ lE,~ o MULTIPLE PERMIT DISCOUNT EA ........(MAX 2). '.. ",......, ,..:$30,00, 2nd Cut =((. (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTiON .ill:ll..Y APPliES TO 2nd AND 3rd PERMITS ONLY, NOT SIDEWALK REPAIR! =$ o 5% Tec'hnology Fee $ TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK'IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION: CONTRACTOR~ (' .A'\O~ 02',\-e.,... ADDRESS j'/;;7 .,( ~ rn..c~r-... ~ CONTRACTOR REGISTRATION NO \~' 3. S ,'<j(' PRqJECT SUf'ERVISOR: ~ "'" X<' ~ ~<:.... 0 l_I" 'K-p ~ ('.fL.. . PHONE: EXPIRATIONDAlE:(,') 1\ - \0. PHONE: INSPECTIONS: AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FO AMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECnONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB NUMBER/PERMIT NUMBER. JOB ADDRESS, TYPE OF INSPECTION REOUESTED; AND \^MEN YOU WILL BE READY FOR INS PECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00AM. Will BE MADE THE SAME DAY, REQUESTS AFTER 7:00AM. W1LL BE 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 AREREOUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 48 HOU9,S BEFORE DIGGING ' SIGNATURE: AMOUNT RECEIVED: RECEIPT NO: DATE PAID: RECEIVED BY: ,:.y By signature, {slala and agree, lhatl have carefUlly e..-:amined the compleled application and do he reby cerlify Ihat all intormaUon hefein is lrue and correct and l.further certifY thai any and all work Qenormed shall be, dme in accordance with the Ordinances of the City or S, pringlleld, applicaole City ::;tandard speafications and DraW1nQs, and the laws of the, Slale 01 Oregon pertaining to the work described herein. 1 lurther cerlify ihat only contractors and employees who are in compliance wilh ORS 701.055 Will be use~ on Ihlsprolecl. . , The City may inspect.the work silepeso-ibed in Ihis permil at,any lime du'ri~g aone.year period 10 II~g I~e receiplbY Ihe City 01 nolice of can~lelion of lhe described work and speafy, al.lhe Oty s solediscrelion any addi(lonal restorallon ivaI1< reqUired 10 return lhe site 10 a standard accep.table 10 the CI . The permttlee Will be nolified in wrrllng of any work required and 'MIl have.thlrty days (30) Irom,lhe dale 01 the nOlice to complete thewark. Work not competed at Ihe end of the thirty days,will be performed by the City and the costs will be billed 10 the permllee I further agree 10 ensure lhat all required inspeclions are requested at th/proper time, that proj ect.address is re~da~Ei tram the streel, and Ihe approved sel of plans WIll remain on Ihe site al all times dUllng constluclion. . . ii '>>$) .' '. Signature Date