HomeMy WebLinkAboutPermit Curb Cut 2001-5-2
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I Job# 01-00065-01 I
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Page 1 of 2
TRANS#:01-0005140
DATE:MAY 02 2001
AMT RECD:2 $ 44.00
CHANGE:
CASHIER: 061
SPRINGPIELD
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00065-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6935 Main St Spr
Assessors Map#: 17023533
Lot: Block: Addition:
Tax Lot #: 06100
Subdivision:
Owner:
Artie Mae Harlow
1919 22nd Street
Phone Number: 541-746-4060
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Curbcut
driveway 20 ft throat. Driveway is a condition for subdivision approval.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
r,---c...n..I'" \" ~'..,DSq:'F.ootage:~s ~IO:J t:)
,.-.! ,I-. . v .'-. oJ~" .. '-. .. ...
YC!:J\'J ;;.i:C3 &U,) l.cC t...}' lil~ \..;'it::~UII '-'ill1i.1
To request an inspection call the 24 hour recording at 726-376~'oAIU!!~I1~ctiQns'requestedb'efore'7:00 1:Jrth
a.m. will be made the same working day, inspections requeste~,a!)~[;:hQ.~a..:[!1!.w~I~l:1e.imad~:th'e:f6I1oWingJi-
working day. 0080. You may obtain C00::33 01 \:'2 rules ty
R . d I t........tlinrf i:,J:\ "":.,,1'qr. (;\Io'm: th9 telzm"0i13
equlre nspec Ions .. U"t"" '1 t.f. a'on
~~::"mt'lr for the Qrago" "I'J ,,0 I IC 1I
Plumbinq I Cenlcr 13 1-8(JO-3~.::>.::>344).
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- Prior to filling trench.
Sanitary Sewer Line
Curbcut
CC-Standard
I Public Works I
-After forms are ereceted but prior to placement of concrete.
- After forms are erected but prior to placement of concrete
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
C\'~~~~.
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,:-,': ~ l:::.;TT SHALL EXPIRE IFTHE WORK
AUTP'::';:l!ZF-D UNDER THIS PERMIT IS Nor
# Of Storie.s: _ _ . : H~lgta.t~~WT~)~.8p.~~~:;: :~) :=~!=l
Current Units: ~~".".-Proposed Units:
, - /:.. -:-- . .
Census Code: Does not.apply-- -,.. . -".--'
Total:
Fee
Paid On Receipt#
Plumbinq
05/02/2001 5140
05/02/2001 5140
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
$.00
$2.80
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Job# 01-00065-01
Paid On Receipt#
Plumbing
05/02/2001 5140
05/02/2001 5140
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Page 2 of2
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Fee
Value/Quantity
Fee Amount
Sanitary Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
100
$40.00
$1.20
$44.00
New Curbcut
Total Public Works
Grand Total
Public Works
01/24/2001 4304
1
$60.00
$60.00
$104.00
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information herein is true and corect, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield, applicable City
Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work
described herein. I further certify that only contractors and employees who are in compliance with
ORS 701.055 will be used on this projeot.
The City may inspect the work site described in this permit at any time during a one year period
following the receipt by the City of Springfield notice of completion of the described work and specify,
at the City's sole descression, any additional restoration work required to return the site to a standard
acceptable to the City. The permittee will be notified in writing of any work required and will have
thirty (30) days from the date of the notice to complete the work. Work not completed at the end of
the thirty days will be performed by the City and the costs will be billed to the permittee.
I further agree to ensure that all required inspections are requested at the proper time, that the project
address is readable from the street, and the approved set of plans will remain on the site at all times
during nstruc~~ A _ . ..1/ _
H~ ~ S-:2..,-t:'/
Date