HomeMy WebLinkAboutPermit Sidewalk 2009-4-23
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00543
ISSUED: 04'23/2009
APPLIED: 04'2312009
EXPIRES:. 10/23/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 805 G ST
ASSESSOR'S PARCEL NO,: 1703351208900
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Repair
, Residential
PROJECT DESCRIPTION: Sidewalk Repair
Owner: HOUSER STEVEN B & DENISE A
Address: 1164 OLYMPIC ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUIL[)(NG INFORMATION'
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structun;
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Front yard Setback:
Side I Sctback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
n/a
A!T1=I\''J',r'f '. -
~ .. - ......."'yon I
I DEVELOPMENT INFORM/\tl'fOO/!Js adopted b aw requ, Ires YOMh\t
. ,Jtlf,tltHonCente Th Y~P~ ING
n OAIl( , r. " OSe ~ ' y
Overlay Dist: )090 ,952-001-0010 throTo a~A~e set tOH
# Street Trees Rqa: . .TOU may Obtain co M atl'lrflllaJ?2-o0'
Paved Drive Rqd: cal/ltlfI the center P~tbe rul8s t
% of Lot Coveragl,Wlfltler for the ari,JNote:, t!J. telephone
; 011 UtIlity ~iticati-
s 1-fl()n_.,..,~ ,:3-;~" ",.
I PUBLIC IMPROVEMENTS I
Street lni.provements:~
l. \J: H';E;'
Storm Sewer Available:'MI
Special Instru~~i?ll':OR7zE; 3~~LL EXPIRE IF THE WORK
Notes:;OMMENCEQ OR I~~~~~;ERMIT IS NOT
ANY 180 DAY PFRlnn ONEQ FOR
Sidewalk Type:
DownspoutslDrains:
I Valuation Descriotion ,
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
Building/Combination Permit
PERMIT NO: COM2009-00543
ISSUED: 04/2312009
APPLIED: 04'23/2009
EXPIRES: 10'2312009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 5% Technology Fee
Sidewalk Permit
Amount Paid
Date Paid
Receipt Number
$4.40
$88,00
4/23/09
4/23/09
2200900000000000424
2200900000000000424
Total Amount Paid
$92.40
I Plan Reviews I
To Request an inspection call the 24 hour recordiug 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 ~~m!ir~d, In.~ne~tj~nsJ
Sidewalk - Setback: After forms are erected but prior to placement of concrete,
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, aud I further certify that any and all work performed shall he done in 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 oflhe Community Services Division, Building Safety,
I further certify that only contractors and employees who arc in compliance with ORS 701.005 will be used on this project.
I furtheragree to ensure that all required inspections are requested at the proper time, that each address is J"eadable from the
stree:'dt;J;~he permit card is located at the front of the property, and the approved set of plans will remain on the site at all
til~eJii:~S~7i"J/oU/d//? ' y;~~ ()q
0':;;'.' C..".,,;" ,;.:"." 0'" f1, f
Pace 2 of2
225 Fifth"Street
Springfield, Oregon. 97477
54i-726-3759 Phone
Job/Journal Number
COM2009-00543
COM2009-00543
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Sidewalk Permit
+ 5% Technology Fec
Paid By
STEVEN HOUSER
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000424
Date: 04/23/2009
Item Total:
Check Number Authorization
Received8y Batch Number Number How Received
ew
2346
In Person
Payment Total:
Page 1 of 1
II :05:40AM
Amount Due
88,00
4.40
$92.40
Amount Paid
$92.40
$92,40
4/23/2009