HomeMy WebLinkAboutPermit Sidewalk 2009-1-16
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00070
ISSUED: 01/16/2009
APPLIED: 01/15/2009
EXPIRES: 07/16/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1820 MAIN ST
ASSESSOR'S PARCEL NO.: 1703363100100
Springfield TYPE OF WORK: Sidewalk
. TYPE OF USE: Repair
, Commercial
PROJECT DESCRIPTION: Sidewalk Repair
Owner: JOHN HAMMER
Address: PO BOX 2266
EUGENE OR 97402
Phone Number: 541-683-1166
I CONTRACTOR INFORMA!ION ,
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Rauge Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist,:Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Setback:
Side I Setback:
Side Z Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMA no},) :J=N I/UN:Uregon law r~qUlrm
. ,':'\ rules adoptee.!!}Qm~ffiP , ff
1J0lltlcation Center T.h '. , el ililty
Overlay Dist: ''1 OAR 952-001-00' To,?l1@ru/esaresetton
. # Street Trees Rqd: 0090. You ml!1 ob 19t1Maj~w'ell\R 952-00'
Paved DrIVe Rqd: Calling th Y tal~~A\jlle.$ of tnQ rules b
% of Lot Coverage: l'Jumb f e Center. (Note:.fhe telephon
. er .orth~.?;ell^Of1l!.tility Notificati~n
I PUBLIC IMPROVEMENTS I ..:~. 3,,,,,-,,,,....,.
~lnT'''t'.
Street Improvements:~.
Storm Sewer 1V.1lfilif:f\1/T SHALL EXPIRE IF THE WORK
Special Instru~ti~ItPrmED UNDER THIS PERMIT IS NOT
, ,:,'JIFNCED OR IS ABANDONED FOR
Notes: " " ,: 'J~\ D/W PERIOD, '
Sidewalk Type:
Downspouts/Drains:
. .".
I Valuation Descri~tio~ I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY VI' ~rK1NGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00070
ISSUED: 01116/2009
APPLIED: 01/15/2009
EXPIRES: 07/16/2009
VALUE: '
225 Fifth Street, Spriugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, '
Total Value of Project
Fee~ Pai~ I
Fee Description
+ 5% Technology Fee
Sidewalk Repair Permit
Amount Paid
Ditte Paid
Receipt'Number
$0.78
$15,50
1/16/09
1/16/09
3200900000000000027
, 3200900000000000027
Total Amount Paid
$16.28
,
..'
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 Reouired t nsnections I
11171
Sidewalk - Curbside: After forms are erected but prior to placement of concrete,
By signature,! 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 lie done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY 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 ensure that an required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times during construction.
~ . Q^x/f J-JL,- tJ9
Owner or Contractors Signt~(j '---. Date
Paee 2 of2
225 Fifth Street ",
Springfield, Oregon 97477
541-726-3759 Phone
~ .,.. -
Job/Journal Number
COM2009-00070
COM2009-00070
RECEIPT #:
. Desc,ription
.. Side~alk Repair Permit
'+ 5% Technology Fee
Payments: '
Type of Payment. 'Paid By
Cash
cReceintl
TOM ROGGE
. .
'I j~,/ ~
j i:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000027
. Date: 01116/2009
i:45:08PM
!tern Total:
<":heck Number Authorization
Received ~y Batch Number Number How Received
Amount Due
15,50
0.78
$16,28
Amount Paid
lkw
$16.28
$16.28
In Person
Payment Total:
'J;
Page I of I
111612009