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Home My WebLink AboutPermit Sidewalk 2008-10-29 " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01586 ISSUED: 10/29/2008 APPLIED: 10/28/2008 EXPIRES: 04/29/2009 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2]] CST' ASSESSOR'S PARCEL NO.: ] 7033523 11000 Springt1eld TYPE OF WORK: Sidewalk TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Sidewalk Repair Owner: DA VIS KEVIN LANE Address: 3330 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Contractor Type General I CONTRACTOR INFORMA nONi Contractor License DA VIS BROS GENERAL CONTRACTORS IN63275' ,BUILDING INF?RMAT~ON I Expiration Date 03/31/20]0 Phone 54] -683-9309 # of Units: Primary Occnpancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft ]st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 'n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: -..,,,. I PUBLIC IMPRo.Y"iMENW!I: Oregon ' . ~ .. 'u,.,s ad' law regyfr ,Notification C OPSltlliJvll/}er~e:es you to 10 OAR enter, Tho egon Utility Storm Sewer Available: . 0090 952-001-001f2;'t11:rm6ll1S$~Qi9!!tfo th Special In~rr;>.;r!lU'r. cal", You may obtain ro ,gh OAR 952-00rl TH 0;. 109 the copies of th . Notes: 11U;~ PERMIT SHA' .' nUmber for t~~n~:~gr:!note:. the teJ:;~~~Se by ,'r, \".~RIZED /tAl,,!/; EXP/FIr: ,r-~Ti' . Center is 1-8()n_~~t~l!y' Notification ,',Ny'1""'VI..;ED OR I ~ I I HIS PER Jl-rj( I --~~/. 80 DAY PER S ABANDON I;v,aloatron Descriotion 100. cUI-UR . $ Per Sq Ft SqQ,are Footage 0: mnltiplier or Bid"Amonnt\ Street Improvements: " Description Type of Construction Value Date Calculated Pa2e I 0\'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01586 ISSUED: 10/29/2008 APPLIED: 10/28/2008 EXPIRES: 04/29/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726'3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Vaiue of Project Fees Pairl , ,. Fee Description + 5% Technology Fee Sidewalk Repair Permit Amount Paid Date Paid , Receipt Number $0.78 $15.50 10/29/08 10/29/08 3200800000000000714 3200800000000000714 Total Ainonnt 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, inspections requested after 7:00 a.m. will be made the following' work day. . I ~~rJII,irerl Tnsn~ction~ ~ , Sidewalk - Setback: After forms are erected bnt prior to placement of concrete. By signatnre, I state. and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is-true and correct, and I further certify thataoy 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 structure withont permission of the Community Services Division, Building Safely. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he nsed on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at th'e front of the properly, aud the approved set of plans will remain on the site at all times during construction. . (;~~~ / Owner or Contractors Signature '/!)-?o,-6A )bate . ~j Paee 2 of 2 .. , ~ ",,,,","',, ..,.. .', .....,..' ,:",/"", ,.r,'iI~'...Ii,1J' . ;. ',," ..:' ..',' .'i""'S ,-. ;.- . " " " ~'. . .:'. ;'~'."o.", :';-'.J', ",~_,,; I:JIlJ/ oJ._~nnl{)J(j/q. ,':', ",,' J .' ." :..' :.:..~' .' '._. ,.I :'1'~''C/) ;o:.:~::;,,~:~i:t:;;:.: .\:', ;:,~:~';.~';:/:;,)t;t.1";: f,:: ~;;;;~ t~',}:~"J.f' :;'~;~>:,':. ;: Yo' :/:f'; ,:,(\:.>. \;; ~.~):::~;~;~: :;;:!.tcE:t:;;DRIVEWAY/SIDEWALK ~:' ,;,;'~:\.~;-; RERMIT,APPLlCATlQN.:;,:::\~~::~~ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION OFFICE TELEPHONE (503)'726:3753 . . APPLICATION DATE: iof :>-s\ PERMIT NUMBER 0~;}(rV '( ..- 0 IS8;' <- DATE ISSUED: i I SITE INFORMATION: LOCATION OF "'YORK: '2. i } r <.-r APPLICANT k'~ " '^ DAI ,;( ADDRESS: CITY; STATE: SUBDIVISION: OWNER ADDRESS DIY: PHONE <; "1 J ^ Sa ( .. crB 7 '/ TAX MAP: ZIP: Tt\;(LOT: PHONE: STATE: ZIP: I, REOUESTED PERMITS: o SIDEWALK:... ..... ............. ' AMOUNT OF SIDEWAlK IN EXCESS OF 90FT. .!l] SIDEWALK REPAIR:...2.QL.i.~ ....1.::-,..1.... o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS_ X: .. ,......... $88!00 1 5t Cut = $ $88.00 @$0.08 SF. $15,50 =$ =$ =$ 1"5.C;O o MULTIPLE PERMIT DISCOUNT EA: .......(MAX 2). .........$30.00. . (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE MD ONE SITE INSPECTION ~ /PPlIES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAIR). . Ij{ 5% Technology Fee $ . TOTAL DUE WIll-l PEAM1.T $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERlYOWNER 2nd Cut. =u- =$ ,~ I f...l-'b . I CONTRACTOR INFORMATION: ~f'c5' 700\:.(, CONTRACTOR REGISTRATION NO: . ~ ~ 'L -:;p:::::- PROJECTSUPERVlSOR; ke.,Ui A {}a. \J'\ S:' ()A\ ,.~c CONTRACTOR' ADDRESS' ~o I 1S~x .~O""P"""II G(\ Oiil{D) PHONE: EXPIRAllONOATE: INSPECTIONS: PHONE, 9'-1 - {)fI, t-::J, I' AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE. AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO PouA, CURB CUT AND SIDEWALK INSPECTIONS CAll 72&.3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB . NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTIONREOUESTED, AND IfMEN YOU WlLL BE READY FOR INS PECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER REOUESTS AECENED BEFORE 7:00 A.M. WILL BE MADE THE SAME DAY, REQUESTS AFrER 7:00 A.M. WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ME TO BE CALLED IN ' -:FTER EXCAVATIONS ARE MAqE AND FORM 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 RECEIVED: RECEIPT NO: DATE PAID: RECEIVED BY: . .. By signalure,1 Slale and agree, that I have carefuny examined the compleled application and do he reby certify that all in/Ormation herem is true and correcl and I flJfll'1er ceflifY mat any and all wolk pedormed shall be dme in accordance WIth the Oldlnances 01. . the City of Springlield, applica6le City Slandard speCifications and Orawinqs, and fhe raws olll'1e Slate oJ Oregon pertamjllg 10 the work described herein. I funher certify !hal.ooly contraclOfs and employees who are in compliance With GRS 701.055 WIll be used onlhlsprolecl. . . . .... The City may in"specl,the WOfk site described in this permit ~t.any time during a one year period fo,lIowifig Ihe receipt by IheClty 01 notice of com~letion ollhe described wClfk and spealy. al the City's soie discretion any addllional,restorallOfl work required to relurn lh.e sile to a standard acceptable to the CI . The permlMee will be notilied In writing 01 My work required and WIll have.lhlny days (30) 110m Ihe dale of the nOllce 10 complete thework. Work not camp eted allhe end ollhe Ihlrty days Will be perlormed by the City and Ihe cosls will be billed to lhe permiUee. ." . . I f~rtller agree to ensure that alllequired inspectiOf1s are re~ueSfed at Ihe propef lime, that proj eel address is readable trom the "'''', ~d th, "PP:~;:;' 0' ~""' ~att tom", :': "'eo' I "me> d"'''9 ''''''"'''0'. . 6na~~re ~ ,....' i lo .- z.B. 0'0