HomeMy WebLinkAboutPermit Sidewalk 2008-11-6
CITY OF SPRINGFIELD
. ,
Building/Combination Permit
,
Status
Issued
PERMIT NO: COM2008-01600
ISSUED: 11/06/2008
APPLIED: 10/30/2008
EXPIRES: . 05/06/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 5154 E ST
ASSESSOR'S PARCEL NO.: 1702332402000
Springfield TYPE :OF WORK: Sidewalk
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: 2nd Driveway
Owner:
Address:
HUNTOON RALPH & JANIE L
5154 E ST
. SPRINGFIELD OR 97478
I CONTRACTOR ]NFORMA TlON I
Contractor Type
Contractor
License
Expiration Date Phone
~m]LDlNG INFORMATION I
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy 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:
LotSize:
. Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
i, .
ro/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
.Solar Setbacks:
Overlay Dist: .
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
.j!
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROV~MENTS I
Street Improvements: .
Storm Sewer Available:
Special Instruction:
,Sidewalk Type:
:'DownspoutslDrains:
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footag~
or Bid Amount
,I"
Value
Date Calculated
Page] of2
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753, Phone
541-726-3676 Fax
541-726-3769Inspection Line
Fee DescrilJtion
+ 5% Technology Fee
Curbcut - 2nd Drivewa~
Overwidth Application Fee
Total Amount Paid
Amount Paid
$6.65
$88.00
$45.00
$139.65 .
Totalyalue of Project
Fees Paid ~
Date Paid
1116/08
11/6/08
1116/08
Plan Reviews I
CITY OF SPRINGl'lELD
Building/Combination Permit
PERMIT NO: COM2008-01600
ISSUED: 1110612008
APPLIED: 10/30/2008
EXPIRES: 05/06/2009
VALUE:
Receipt Number
3200800000000000732
3200800000000000732
3200800000000000732
.1,
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.
Reouired Jnsnections I
Curbcut - Second: After forms are erected but prior to placement of concnite.
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 ofthe 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 Safety.
I further certify that only contractors andemployees who are in compliance.with,ORS 701.005 will be used 011 this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from tlie
street, that the permit card is located at the front of the property, and the appro~ed set of plans will remain on the site at all
times during construction. . .
~ tL-~
Owner or Contractors Signature
Paee 2 of2
J I~lo,-W.
Date
, .,., .. . '.. ,..p .f,~;' .-,/1 1J . ,,' -" .. '. .' ,. c,
.P"'~~, /'...;....,'.. : :' ',r ;;:' /'t' LJ;f!{oJ(~rintfJ~'CfU': ~ "'.:' '.,'. '" - .'~' >\ ,i-,::~"'1ill
,':' (~:.~ ':,:At':';:T , ; ~ :~;l:{i:_';;;;:;{~i~ ~'~>'!:;;;.' ;':)'?'~}~i::- \" ,; :~~ ;: ~~:;':~j;':;;:f: .... ,,-:; '.;\ ~:.~: '.' .:.:i~;;rV:~ji;~~;~
:if:',~~::~;7DRIVEWAY/SIDEWALK :f.'/~.:;,i;\iO_i:'PERMIT,~PPLlC~TIQN :'~: '~:W~~
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 ~
ENGINEERING DIVISION
OFFICE TELEPHONE (503) 726-3753 ~
APPLICATION DATE: I ( / (..IV!
I l
PERMITNUMBER_I:'M,2A!!J'& - O/~~
DATE ISSUED .. '1/ ~//) t> .' . . I
I
SITE INFORMATION.
LOCATION OF W"RK: ..c; I "', t.J " E .. S~IZ.<2.e'+
APPUc,,;.T ~ A. , C> t,.., t-\. u."A1)O~ ':.
c:; I):; t.:I E <i-4-.2.e.e.-!-., . r-
CllY S\:IQd STATE 6/liqON
SUBDIVISION: .
OWNER ~A- \o'^- \-.\,.o\I-\-ry,1J
ADDRESS <:1 <: t.l E :') t-, CITY
9, pl:'1 "r
PHONE.3dJ.-otjR(~
TAX MAP;
Q:eJl CJ./<='y2Iofa"t
':1~~c(
STATE:
PHONE:
tll)
I_~ 1"-n<lR~ _
ZIP: Zf7LFj R .
~.
-,..~
ADDRESS:
lIP:
Cj 7lf7B
TAX LOT:
. REOUESTED PERMITS:
')l!t S]DEWALK:
. AMOUNT OF SIDEWAlK IN EXCESS OF 90FT
..$88.00 . ........... = $
@$o.oir SF, ..J> = $
,.
... ...... $15.50 .......:.. ............. = $
~$l,A€J
o SIDEWALK REPAIR..
"
.:~;'l" .
il9- CURB .CUT/DRIVEWAY: NUMBER OF DR]VEWAYSl x.
....... $88.00 151 CuI .=.$
R'~ . eo
. ,
~..
.. ,
o 'MULT]PLE PERMIT DISCOUNT EA .........(MAX 2) .. ...,.....$30.00. 2ndC~1 =$J
(MUlTl"PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE'INSPECTlDN..ill:IlX
APPLIES TO 2nd ANO 3rd PERMITS ONLY. NOT S]DEWALK REPAIR) =$
o 5% Technology Fee $ TOTAL DUE WITH PE~MIT $
o PROOF OF INSURANCE. $500,000 M]N]MUM ]F WORK ]S DONEBY PROPERTYOWNER
CONTRACTOR INFORMATION.
~. . ~..
",...--
. ,
4-~.s:1 &..-.~
/J..U2.J2-":> -c; II fi ~ D 11
CONTAACTOR REGISTRATION NO J ~-I <. / /'"
PROJECT SUPERVISOR: /Y/4Q+<-. /Y1~-
EXPIRA TI(?N DATE:
PH";.EiI,:J/~-'O ~6fo
PHO.!E 1,?,-- %<6.~ ~
I
CONTRACTOR:
. /V}-ClQ €.oQ..
r<'{L
I,
ADDRESS:
.,.
INSPECTIONS:
AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN Fa RMED AND MADE READY TO
POUR. CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR OES1GlNATED CITY JOB
NUMBER/PERMIT NUMBER:-JDB ADDRESS, :TYPE OF INSPECTION REQUESTED, AND WHEN YOU Wlll.:'BE READY FOR INS, PECTION, ,CONTRACTOR'S OR
OWNER'S NAME AND PHONE NUMBER REOUESTS RECEIVED BEFORE 7:00 AM, WILL BE MADE THE
-SAME DAY, REOUESTS AFTER 7:00A.M. WILL BE MADE THE NEXT WORKING DAY, INSPECTIONS ARE TO BE CALLED IN
AFTER EXCAVATIONS ARE MADE AND FORM WOAKIS IN PLACE BUT PRIOR TO POURJNG CONCRETE
t.~~
.'
, YOU ARE REQUIRED TO CALL
THE LANE UTILITIES COORDINATING COUNCIL'S
"ONE CALL NUMBER" 1-800-332-2344
48 HOURS BEFORE DIGGING
/'
I . SIGNATURE:
M10UNT RECEIVED
RECEIp,T NO:
.~/"s ,,~~
"
DATE PAID:
RECEIVED BY:
M/~/96
I I
.-
.' By signature, I stale and agree, that I have carefully examined the completed application and do he feby certify !hat all information ha-ein is Jrue
and correel and I,further certifY that any and all work performed shall be done in accordance with the Ordinances of
Ille City of Spllnglield, applIcanle City ::'itendard speCifications and Drawinqs. and the laws of the Slate 01 Oregon pertaining to Ihe work described hElfein. I furlher
cerllly thai only contractors and employees who are in compliance Wllh GRS 701.055 'Mil be used :,
on this projecl. " ,
, , , " , I" , .
The City may inspecI,the work site de'solbed in this permit at any tir'ne dllllng a one year penod fo 1I0wing the recetpt by the City 0/ nolice of com~lelion of the
described work and spealy, i:jt.the Oly's sole dlsclellonany additional restoration work reqUlfed to relum th.e sile to a standard accep.table 10 ltle CI ,The
permittee will be nolitled in wrrttng of any work lequired and will have thlr1y days (30) from lhedale olllle notIce 10 complele the worX. Work not comp eted allhe end
of Ihe lhirly days Will be performed by the City and Ihe COSIS will be bil.led to the permittee. . '. <.
I further agree to ensure lhat all reqUired I SpectlonS are requested at the proper lime Iha\ pro] eel address IS readable tlom the
"ce"'Md~~ID~' ,mll>em:calaJlllm8SdUlJn9constrUCllon
, r .
Slgnatu -'; .' Date J J - L~ '-D5r
.
225 Fifth Strcet
Springficld, Oregon 97477
541-726-3759 P.hone
Job/Journal Number
COM2008-0 1600
cOM2008-0 1600
cOM2008-0 1600
Payments:
Type of Payment
Check
cRcceiotl
City of Springficld Official Rcceipt
Development Serviccs Department
Public Works Department
RECEIPT #:
32008000q0000000732
Datc: 11/06/2008
Description
Overwidth Application Fee
Curbcut - 2nd Driveway
+ 5% Technology Fee
Paid By
RALPH HUNTOON
Received By
dim
Page 1 of I
Item Total:
Check Number Authorization
Batch Number ,Number How Received
2303 )
In Person
Payment Total:
.;;
II :50:55AM
Amount Due
45.00
88.00
6.65
$139.65
Amount Paid
$139.65
$139.65
11/6/2008