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Home My WebLink AboutPermit Curb Cut 2009-5-15 , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00677 ISSUED: 05/15/2009 APPLIED: 05/15/2009 EXPIRES: 11/15/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726"3753 Phone 541-726-3676 Fax 541-726-3769 Illspection Line SITE ADDRESS: 750 66TH ST ASSESSOR'S PARCEL NO.: 1702341300200 Springfield TYPE OF WORK: Curbcut TYPE OF USE: New Public PROJECT DESCRIPTION: curbcut Owner: Address: Phone Number: 541-746-0194 LUNDBLAD ROY W 1444 VERA DR SPRINGFIELD OR 97477 Owner: MIKE BLANKENSHIP CORP Address; 8063 THURSTON RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date. Phone BUILDING INFO~MA T~ON , # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary COllstruction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: W.ter Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft B.semellt: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMA nON I . Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees. Rqd: Paved Drive Rqd: % of Lot Coverage; REQUIRED PARKING Total: Handicapped: . Compact: Street Improvements: ATTENTION: Oregon law requires youto . . . '- ~,_ _ f'"'I.~~....,",,,,, Il-ht,hl '("".'''")IJ\f IUI'=';:) (;I.\"..Iv............. -J -. -..... - I PUBLIC IMPROVEMENi"!:i'fication Center. Those rules are set forth in OAR 9~idQ(l,1.1~o;tO tp.rough OAR 952-001- 0090. You may oDMR copies of the rules by callingli\~avo~p6uts/(jt.hiS:th.e telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Storm Sewer Available; Specia\,lnstiJ,utuon: ~UI lot: Notes;THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, . Page I on Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726'3676 Fax 541-726-37691Ilspection Lille Valuation DescriDtion I Description $ Per Sq Ft or multiplier Tvpe of Construction . Fee Description + 5% Technology Fee. Curbcut Permit Amollnt Paid $4.40 $88.00 Total Amount Paid $92.40 Square Footage or Bid Amount Total Value of Project Fe~.~ P~,id J Date Paid I Plan Reviews , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00677 ISSUED: 05/15/2009 APPLIED: 05/15/2009 EXPIRES: 11/15/2009 VALUE: 5/15/09 5/15/09 Value . Date Calculated Receipt Number 2200900000000000533 2200900000000000533 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 . R.~,.9lJired T~.sl.nections I Curbellt - 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 Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, aud that NO OCCUPANCY will be made of any structure without permission of the Community.Services Division, Building Safety. I further certify that only cont actors and employees who are in compliallce with ORS 701.005 will be used on this project. I further agree to ensure tha II required inspections are reqllested at the proper time, that each address is readable from the street, that the permit card located at the front of the property, and the approved set of plans will remain on the site.t all times during construction IIMI v ,; Owner orftontrac ors Signature Page 2 of2 ~ JJf1f; ( , Date 225 Fifth Street Springfield, Oregon 97477 541- 726-3759 Phone Job/Journal Number COM2009-00677 COM2009-00677 Payments: Type of Payment Check cReceintl ~~ RECEIPT #: . 2200900000000000533 Description Curbcut Permit + 5% Technology Fee Paid By MIKE BLAKENSHIP City of Spri~gfield Official Receipt Development Services Department Public Works Department Date: 05/15/2009 2:53:4IPM Amount Due 88.00 4.40 $92.40 Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw \ Page 1 of I 12424 Amount Paid In Person Payment Total: $92.40 $92.40 5/15/2009 . _'....... ,.' , - .,.:. .::r-" ;~,~ ,_~liil:J. .. '... .... c.. .,..",1;; ~,_ " 'I~...~, '. ',' " ....,:.... '~;:' L.J~ljJo.J.,vpnIlQJ'CJIf! ._4.'J~~ .;' .'~ ~J":"~ ..'j,1 ':h..'t:~!I .:_;~~. ;.:.:\~' ,~~i~ ,." : -'. < .'~<. ~~ .;~': ");{': :.~ ~~ ~~.> .:;:~~ , ? }.... : :.'~:~~:" ~:. R .~'~ - ':~ ~,' ~~,~ ~ :,,:~:~': ~..: , ,-' :": :: .'~:', ',}\~, :~.r.~~:;.~~f~.~, .;"':L<' ;.'DRIVEWAY/SIDEWALK .:. ':.\/,:i'..PERMITAPPLlC::AlION ~'.c'::.:,\f;; 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION OFFICE TELEPHONE (503) 726-3753 APPLICATION DATE 5/10 .~=o ~ ~~ '7 PERMIT NUMBER: DATE ISSUED: ~")n9 -00(,.77 SITE INFORMATION: LOCATION OF WORK: A/vA-U ,I){! /J_I/~A '" /of V ,..-,y /;/)...2/)j!?,~ PHONE ? '1ft') (t/ 2- ~7<;V N!'Dr:; 4 '7 t,- 7 f5 TAX LOT: ., APPll~T ADDRESS: TAX MAP: all': ST~TE: ZIP; SUBDIVISION: OWNER: ADDRESS: SAvt . ~ A ) <7.JI1 J PHONE: REQUESTED PERMITS: o SIDEWALK ............... AMOUNT OF SIDEW.A.lK IN,EXCESS OF 90FT. CITY: STATE; MPPo'Af )-J.- 'i I ZIP: o SIDEWALK REPAIR:. $88.00. . @$O.OB SF. $15.50 ..... ........... ~$ "$ ... ~$ 1'f. , --- o CUR8 CUTjORIVEWAY: NUMBER OF DRIVEWAYS o MULTIPLE PERMIT OISCOUNT EA: . .......(MAX 21 . x .. $88.00 1st Cut ~ $ . . .. .........$30.00 2nd Cut ~$_(' . t (MULTI PERMIT DISCOUNT GOOD 'FOR ONE Sm: AND ONE SITE INSPECTION ~ JAPPLlES TO 2nd ANO 3rd PIOflMITSONL Y. NOT SIDEWALK REPAIR) . l:::d" 5% Technology Fee $ 't,'~D . . TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500.000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION: =$ '0 . 4 q....-- . CONTRACTOR: () h_r-dA"ll_ ADDRESS: CONTRACTOR REGISTRATION NO: PROJECT SUPERVlSOR: PHONE: EXPIRATION DATE: PHONE: INSPECTIONS: AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE. A8ER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CALL 72&3769 (RECORDER) STATE YOUR DESIGlNATED CITY JOB NUMBER/PERMIT NUMBER. JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND \rVHEN YOU WilL BE READY FDA INS PECHON, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECENED BEFORE 7:00 A.M. WILL BE MADE THE SAME DAY. REQUESTS AFTER 7:00A.M:'WlLL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT P!110A TO POURING CONCRETE. YOU ARE REOUIRED TO CALL 1HE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 48 HOURS BEFORE DIGGING SIGNATURE: AMOUNT RECEIVED: RECEIPT NO: DATE PAtO: RECEIVED BY: By sigmllure, I stale and agree, that I have carefully examined the completed application and do he reby certify that all information hEl'"ein is true and correct and I further cenifY thai an'y and all work Qedormed shall b!" dCWle in accordance with the Ordinances of !he City 01 Springlield. applicaele Gill Standard speCifications and Dl:awinQs. and tile lam 01 the Slate 01 Oregon pertaining to the wark described herein. I further cerMy thai ,only conlradOls and empoyees who are in compliance With GRS 701.055 WIll be used . . on IhlsprojeCl. - T!1e Diy may inspect.the work si!e ~esc:rjbed in this permit at,I!ny.lime duri09 a one year period 10 nowing the receipt by the City 01 nolice 01 com~lelion oj the desCllbed V!<Xk and speafy. al the Oly S sole dIscretion any additional reSIOIBllOtl WO(\( reqUired to return the 511810 a standard accep.table to the CI . The p.ermlttee will be notified in writing of any w, equired and 'MIl have thirty days (30) Jrom the dale o! the notice to compele the work Work not camp eled al the end ollhe Jrony days will be perla/mea by Ihe CI nd Ihe cosls will be billed to the permillee. ., j further agree to ensure that all requlr d nspectlO/1S are requested at the proper lime, Ihat prol eel acldress IS readable from the "'~:-(jA~' ~""......_.~"--" ~. >(t;1)