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HomeMy WebLinkAboutPermit Sidewalk 2009-4-21 , _'ll:IiJ!I\I!~pFIS!H):i Il', . ~, 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