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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