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Home My WebLink AboutPermit Miscellaneous 2009-2-19 CITY OF SPRINLd'mLD Status Issued , 'Building/Combination Permit PERMIT NO: COM2009-00231 ISSUED: 02/18/2009 APPLIED: 02/18/2009 EXPIRES: 08/18/2009 Y ALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2283 lITH ST ASSESSOR'S PARCEL NO.: 170326II05300 Springfield TYPE OF WORK: Curbcut TYPE OF USE: Alteration Public PROJECT DESCRIPTION: Overwidth Driveway Owner: GRESSLER NANCY Address: 2283 N II TH ST SPRINGFIELD OR 97477 I ~ONTRACTOR INFORMATION' Contractor Type General Contractor CONCRETE UNLIMITED License 1I52" Expiration Date 08/12/2009 Phone 541-343-9773 , BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secoudary 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENTINFORMATION ,. REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: SoJar Setbacks: ATTi=NTION' ('l,ponn rHW re[1.uires vou to follow rules adopted by the oreg-l'pi:j~ilC IMPROVEMEl'!T~1 Notification Center. Those rules arE; In ,,,I'Ll .\T1TICE Street Imp..!i!l~el!1~l!I{!:)1-0010 through OAR 952-001- THI . .!>idewalk Type: ..noon VOI\roav obtain copies of the rules by S PERMIT .Clli. . Stor~ ~"W'i1~i~~aln~n~nter. (Note: the telephone AUTHORIZ~ow"'I"'u.~ip)lJimE IF T SpecIal I'IJ~J~W~P?6r the Oregon Utility Notification COMMEN 0 UNDER THIS PER HE WORK Center is 1-800-332-2344). ANY IBO.DCED OR IS ABANDONEM1T IS NOT Notes: ., . . :,. AY PERIOD. . 0 FOR Overlay Dist: ' # Street Trees Rqd: Paved Drive Rqd: .% of Lot Coverage: Total: Handicapped: Compact: II' , I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier I Square Footage ar Bjd Amount Value Date Calculated i: ,. !.' Paee I of 2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit ~ERMIT NO: COM2009-00231 ISSUED: 02/18/2009 APPLIED: '. 02/18/2009 EXPIRES: 08/18/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value ~f Project Fee~ P~irl I Fee Description + 5% Technology Fee Curbcut Permit Overwidth Application Fee PW Disc - 2nd Permit Amount Paid . Date Paid' Receipt Number $4.90 $88.00 $40.00 $-30.00 2/18/09 2/18/09 2/18/09 : 2/18/09 I 2200900000000000181 2200900000000000181 2200900000000000181 2200900000000000181 Total Amount Paid $102.90 I Plan Reviews I To Request an inspection calI the 24 hour recording at 726-3769. AII 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 folIowing work day. I RecJuirerl Tnsnections I ,,, Curbcut - Overwidth: 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 tbat all information hereon is true and correct, and I further certify that any and all work performed shall be done ill 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 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 all 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 of.the property, and the approved set of plans will remain on the site at all times during construction. ,.lJM_ (leu-r....'A..........- /V-~ it Owner or Contractors Signature .J.. - /'6 - 0 '7 Date Paee 2 01'2 . c.' ... .' j C, ... ". or',; J _~ ,_~Ii '1J . . ;. .'. ..".... -:. ('!jr; ,"., ..,,..~ '-. '"" ,..' ,. ,-, ,.., L1'r!Ja.J,LJpn/lf{Jla~~ .':. ''''''~ H " ~. . ~ . -. ',"';";:,;".u : . ~ ~~;', ':~'. ;;"~,:" > . ,'; . ,:~1~ :~ :-. '.~, ~~~~'.- f:- ,<. <;. ': :'; ?,. :"~':o, :"i'~~ :.,',~_ ; ::: '. ~:11'~ f,:" ~ -~,' . :"~ .~.: .> ': ~;,~,~, :\.-'. ~:~f;~~~~t ,::"\ "';d:)RIVEWAY/SIDEWALK : ';-" ~',.: ,. ::', 'PERMIT APPLICATION ':":"':':::~~; " 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION OFFICE TELEPHONE (503) 726-3753 .~=D ~ ~~ PERMIT NUMBER Co~ Jc:eA-OO:;)-S I . DATE ISSUED: APPLICATION DATE: SITE INFORMATION: -:.:lOCAT10N OF vyGRK: '2Z3~ f)b< ~fy ezr (APPLICANT (ADDRESS: 1./ A NtL.'J G fI' L= "S~i P=I'P . I- .").") &-.3 .11 ttA.. ," PHONE "'}''I t - /J 'I."'" TAX MAP: i7-0",'::<'i'P. -II .<"1 (CITY: ~Ptt. JIV'IM-"'IEi 6o;rATE: b;P SUBDIViSJON': ~ZJP; 47'-/77 TAX LOT: t'? S"?x:>o ' e-clwNER: ("ADDRESS: ~AM/~ It .~ AL9b1/":=- /'CI1Y: . PHONE: STATE: _r ZIP; REQUESTED PERMITS: ~DEWALK: . AMOUNT OF SIDEWAlK IN EXCESS OF 90FT o SIDEWALK REPAIR:... ................ ~RB CUTjORIVEWAY: NUMBER OF DRIVEWAYS--,- X ................ $88.00 @$008 SF. ..... $15.50 ................. .~~ ... =$ .=$ ..=$ o MULTIPLE PERMIT OISCOUNT EA: ..... ...(MAX 2) ... ...................$30.00 (MUl Tl PERMIT DISCOUNT GOOD FOA ONE Sm: AND ONE SITE INSPECTlON..QM.Y )'PPUES TO 2nd AND 3rd PE9MITS ONLY NOT SIDEWALK REPAJ~ . g' 5% Technology Fee $ J-/., W TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF' WORK IS OONE BY PROPERlYOWNER 2nd Cut =u- 88 . z')cJ .50 . ............ $8S.00 1st Cut = $ =$ C12. I/o . CONTRACTOR. INFORMATION: 'CONTRACTOR: (iJ)K.tf""P.-1-L -4.r1//;nv' k...~ ADDRESS: CONTRACTOR REGISTRATION NO' PROJECT 5UPEAVlSOR; PHONE: EXPIRATION DATE: PHONE; INSPECTIONS: AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FO. AMEO AND MADE READY TO POUA.'CURB CUT AND SIDEWALK INSPEcnONS CAll 726-3769 (RECORDER) STATE YOUR DES!GINATED CITY JOB . NUMBER/PERMIT, NUMBER, JOB ADDRESS, 1YPE OF INSPECTION REOUESTED,' AND WHEN YOU WlLL BE READY FOR INS PECTJON, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REOUESTS RECE!VEO BEFORE 7:00 AM. WILL BE MADE THE SAME DAY, REOUESTSAFTEA 7:00AM. WILt BE MADE-THE NEXT WORKJNG DAY. INSPECTIONS ARE TO BE CAlLED .iN AFTER EXCAVATION5ARE MADE AND FORM WORK IS IN PLACE BUT PAIOR TO POURING CONCRETE. YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCil'S "ONE CALL NUMBER" 1,800-332.2344' 48 HOURS 8EFORE DIGGING 'SIGNATURE: AMOUNT RECEIVED: RECElPT NO: DATE PAID: RECEIvED BY: By signature. I slale and agee, that I have carefully examined the completed application and do he reby cerlify thal all infcrmaUon herein is true . and COfrect and Ih.Jllher certilY Ihat any and all workRerlormed shall be done In accordance wilh the Ordinances of the City 01 S. pringlield, applicable City Standard speCIfications and Drawinqs. and the laws 01 the State of Oregon pertaining to the work described herein. Ifurlner cerlify lha! only contractOfs and an1p1oyees who are in compliance with ORS 701.055 'Nl1I be used . on this project. . ~e City may inspect ,the work site described in this permil at ,~ny lime durif'!g a O'le year Period to Ilowing l~e receipt by the City at notice of ~[Ie!ion cllhe d.escnbed Viork and,~P€9fy, <!-I.the Oly's sole discretion, any add\lional_fesIOfatlon work required to return Ih.e site to a standard accep,table to Ihe Cl . The permltlee WIU be nOhhed In wnhrlg of any work required and will have rhlfty days (30) from the dale of the notice to complete the work. Work not camp eted allhe end ollhe thirty days will be performed by ttie City and (he costs wi~ be billed to tlie permiUee. - . \ I further agree 10 ensure thai aU required inspeclions ar8 reQu8sted atl:t1e proper lime, that proj ect ada-ass is readable from the street, and lhe approved sel ot plans will remaIn on the sile at all bme~ during COnSI!uclion. .. [Sign";;;, 7~?L-v?-U; ,~-~ Date'. ;;:L-/?-/Jq 225 Fifth .Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009.00231 COM2009-00231 COM2009-0023I COM2009.0023I COM2009-00232 COM2009-00232 Paymellts: Type of Payment CreditCard cReceintl RECEIPT #: Description Curbcut Permit Overwidth Application Pee PW Disc - 2nd Permit " + 5% Technology Pee Curbcut Permit + 5% Technology Pee Paid By JOHN HAAG 2200900000000000181 Received By Ikw Check Number Ba~ch Number Page 1 of 1 City of Springfield Official Receipt Development Services Department Public Works Department Date: 02/1812009 , Item Total: :Authorization Number How Received 030691 In Person Payment Total: 1:15:09PM Amount Due 88.00 40.00 (30.00) 4.90 88.00 4.40 $ J 95.30 Amount Paid $195.30 $195.30 2/18/2009