HomeMy WebLinkAboutPermit Curb Cut 2009-4-21
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Status
Issued
CITY OF M'lUNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00528
ISSUED: 0412112009
APPLIED: 0412112009
EXPIRES: 10/21/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1218 QUlNALT ST
ASSESSOR'S PARCEL NO.: 1703264116200
Springfield TYPE OF WORK: Cnrbcnt
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Cnrb cut for driveway approach.
Owner: LANSBERY LARRY L & MARILYN
Address: 1218 QUlNALT DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
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 Structure
Type of Heat:
Water Type: ,
Range Type:
Energy P.th:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Lo.d:
n/.
I DEVELOPMENT INFORMATION I
ATTENTION: Oregon law requires yout.o
Frontrd~8~~adopted by the Oregon Utility Overlay Dist: NOTICE: Total:
Side N~M1t"Slibn Center. Those rules are set forth # Street Trees Rqd:TH/S PERMIT SHAll EXP/;!,'lPdic.!PJLed:
Side 1n'\<1.1l1'.<%2-001-0010through OAR 952-001-Paved Drive Rqd: AUTHOR/Z i!ilflJffaWt WORK
Rearw[!\f.><'t1l~lflay obtain copies of the rules by% of Lot CoverageCOMME ED UNDER THIS PERMIT IS NOT
Sol.r S~<<l'Igthe center. (Note: the telephone AN NeED OR IS ABANDONED FOR
.._..l~:: ':- ,~- ~^:^n "WillI ~1'1tifir.RI'on Y 1 RO nAY DERI~~
Center is 1-800-332-2344). I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Desc~iDtion I'
Description
Tvpe of Construction
$ Per Sq Ft
or mnltiplier
Sqn.re Footage
or Bid Amount
Value
Vate Calculated
Paee I 01'2
1
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00528
ISSUED: 04/21/2009
APPLIED: 04/21/2009
EXPIRES: 10/21/2009
VALUE:
225 Fifth Street, Springfield, DR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fe~s Paid 1
Fee Description
+ 5% Technology Fee
Curbcut Permit
Amount Paid
Date Paid
Receipt Number
$4,40
$88.00
4/21/09
4121109
1200900000000000285
1200900000000000285
Total Amount Paid
$92.40
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 l~s\Jfetio~.~.1
Curbcut - Standard: 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 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 Drdinances of the City of Springfield and the Laws of the State.of Dregon pertaiJ!ing to the work described herein, and
that NO. OCCUPANCY will be made of any structnre without permission of the Commnnity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with DRS 701.005 will be nsed on this project.
I further agree to ensnre 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. \
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726.-3=759 Phone
..:. ..
Job/Journal Number
COM2009-00528
COM2009-00528
Payments:
TYllt' of Payment
Check
cReccintl
RECEIPT #:
Description
Cuibcut Pennit
+. 5% Technology Fee
Paid By
SCOTT BROWN
CONSTRUCTION
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000285
Date: 04/21/2009
10:36:45AM
Item Total:
Check Number Authorization
Received 8y Batch Number Number How Received
Amount Due
88.00
4.40
$92.4U
Amount Paid
BJG
$92.40
5552
In Person
Payment Total:
$92.40
Pagc I of I
4/21/2009