HomeMy WebLinkAboutPermit Sidewalk 2009-4-21
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00531
ISSUED: 04/21/2009
APPLIED: 04/21/2009
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: 370 64TH ST
ASSESSOR'S PARCEL NO.: 1702343102900
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Sidewalk and driveway approach
Owner:
Address:
NICHOLS KIP
2323 OLYMPIC SPACE PMB 109
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 Bedfooms:
# of Stories:
Height of Structure
Type of Heat:
oWater Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
!Nfi).Tfml:>etback:
~i1t9 t'E1IM " SHAll EXPIRE IF THE WORK
. JI~~}:U,N.I DER THIS PERMIT IS NOT
, . Mt~tfA IS ABANDONED FOR
RO "nAY pl=Rln('
..; .",
~DEVELOPMENT INFORMATION I
, ATTENT' REQ\iIRED PARKING
ION, Oregon Jaw reqUires you to
Overlay Dist: foll.ow rules adopted by tl'l'Jl(}/egon Utility
# Street Trees Rqd:NotlflcatlOn Center. Those IDIl1!iiml'p,gPlorth
Paved Drive Rqd: In OAR 952-001-0010througbIfi\l'lR1&l52_001_
% of Lot CoverageP090,. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Orp..n..nn I ltilihl t\lf"Itifi....1ti--
I PUBLIC IMPROVEMENTS I "enter is 1-800-332-2344). ...
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Setback 5'
Curb and Gutter
Notes:
I, yaluation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2009-00531
ISSUED:. 04/21/2009
APPLIED: 04/21/2009
EXPIRES: 10/21/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid I
Fee Description
+ 5% Technnlogy Fee
Cnrbcnt - 2nd Curbcut
Curbcut Permit
Overwidth Application Fee
Sidewalk Permit
Amount Paid
Date Paid
Receipt Number
$8.80
$-45.00
$88.00
$45.00
$88.00
4/21109
4/21/09
4/21109
4/21/09
4/21/09
3200900000000000258
3200900000000000258
3200900000000000258
3200900000000000258
3200900000000000258
Total Amount Paid
$184.80
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 Reouirecl lnsnections I
" ,
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
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 that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in ~ccordance 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
"m"]j '::'fil" L
Owner or Contractors Signature
u--;}I~oCJ
Date
t
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541~726-3759 Phone
Job/Journal Number
COM2009-0053I
COM2009-0053I
COM2009-0053I
COM2009-00531
COM2009-0053I
Payments:
Type of Payment
Cheek
cRcceintl
RECEIPT #:
Description
Sidewalk Permit
Curbeu! Permit
Curbcut - 2nd Curbeu!
Overwidth Application Fee
+ 5% Technology Fee
Paid By
KIP G, NICHOLS,
City of Springfield Official Receipt
Development Services Department
Public WorksDepartment
3200900000000000258
Date: 04/21/2009
Item Total:
Check Number Authorization
Received By Batch Number' Number now Received
BJG
5297
In Person
Payment Total:
Page I of 1
I :33:49PM
Amount Due
88.00
88.00
(45.00)
45.00
8.80
$184,8U
Amount Paid
$184.80
$] 84.8U
4/21/2009