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Home My WebLink AboutPermit Sidewalk 2009-5-22 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00720 ISSUED: 05/22/2009 APPLIED: 05/22/2009 EXPIRES: 11/2212009 Y ALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS, 610 10TH ST ASSESSOR'S PARCEL NO.: 1703351303900 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: New Residential PROJECT DESCRIPTION: Sidewalk repair Owner: ALVORD-TAYLOR INC Address, 405 A ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type General Contractor TENAS CONCRETE License Expiration Date Phone 541-505-4075 BUILDING INFORMATION I # of Units: Primary Occupancy Group: , Secondary Occupancy Group: Primary Construction Type Secondary Construction Type, # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor,' Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENTlNFORMATION I REQUIRED PARKING Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Tota.l: Handicapped: Compact: " ~....... ,\...,,(' \/...... I t1 ^-r""!"r"lTl(\td' I)~'"'.'"'..... ..\" " Street Improvements: Storm Sewer Available: Special Instruction : ~r -......"""~ I. _ t .1.~1:: . . ..l~' . ~ .~. viI 1..1."" J I PUBLIC IMPROVEMENTS 'll'~E a_,lJ~ ~' '.'- u',c-':e setlorth : n Center Illu~C r . <.1 "uu",""',o .' " . ~h OAK 952-001- In OAR 952-~Jdewalk 'fype:~ ' I b Y ~\1 obtain cooles of the ru es y 0090, ou rrDownspouts/Drains: telephone calling the cem"-,, \"u,v', ': ,- , ' ' number lor the Oregon UtIlity Notlllcatlon Center is 1-800-332-2344). '. Notes: THIS PERMIT SHALL EXPIRE IF THE WORK 11.1 ITl ,,,''',-'''-'''' ".,.....~... _."... ___""_'_ .___ Description --:' ......, "............ Vl~i.lL..r I "111"..1"1 . ",,,,.. .., ,..." COMMENCED OR IS ABANDOI~MafJa'tion DescrilJtion I ANY 180 DAY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount Type of Construction Value Date Calculated Paee 1 01'2 _$eR,INGl':lltLD j \ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00nO ISSUED: 05/22/2009 APPLIED: OS/22/2009 EXPIRES: 11122/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ':ees P~id I $4.60 $92.00 5/22/09 5/22/09 Receipt Number 3200900000000000388 3200900000000000388 Fee Description + 5% Tecbnology Fee Sidewalk Permit Amount Paid Date Paid Total'Amount Paid $96.60 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 R,eouired hlsnections,l Sidewalk - Setback: After forms are erected but prior 10 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 tbat any and all work performed shall be 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 of the Community Services Division, Building Safety. I further certify tbat only contractors and employees who are in compliallce 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 , times during construe. n. < ~/ i)-22--01 Owner or Contractors Signature Date Paee 2 01'2 :, - """ _' - 'C ..,,' , ,,'/"., -.r,~ . .;'/i' lJ,; ,'" ", - " ...' ,," ,'" ,'_C:~ ,,"- ,;:'.~:""" ~....' ,:'" J "-",'. .1 T, 'LJ1T.!/OJ..JJpnflOJ~~/u ..~,.,''':;. .'c>.:.-~:' '..~' ,. 'V..'t::"'4 :" ~~~(:,;~ ~': .~ i.~~' .' - C~. ~ ~J. ~.t~; ? ;_:-./)t,:,:.L~~\ : ~~..::~~ :>.'; ..;.:'. '~~~:: ~~_ . ~':_'~-.~' ~'; ::.; ~'~_~?~.,:": ~'~::.:- .. ' ~.'~ " ;J " ~;:'~~~;~~;~:~;~, "'i>~(:,"'DBIVEWAY/SIDEWALK : :,:,: -::'; PERMITI:\PPLlGATlON :,>,:\:':}~ft PERMIT NUMBER: DATE ISSUED: e9 ~ f7;;Z 0 ..s~ d d-~o'7 APPLICATION DATE: SITE INFORMATION: LOCATION OF "YORK: APPUG.ANT 'D ~ Lfo O1y.s"""~ c._I! . , \"'"'^--~- I CJ'f'-- PHONE S~oJ- '70'7 S- ~IATE: cJ ,/ "- ZIP: 71"17..., TAX LOT: 1:2- (6 .J----:- Cf,J.. (J ADDRESS: TAX MAP: SUBDiVISION': OWNER' ADDRESS: PHONE: CITY: STATE: ZIP; Q SiDEWALK'..... ............... ................. AMOUNT OF SIDEWALK IN EXCESS OF 90FT. C; ')'\j 0 '- r-- $88,00 ..,............. @$O,08 SF. ... ............., .... $15,50 ... 'i515 q--t6 REOUESTED PERMITS, ISl SIDEWALK REPAIR:........ =$ =$ ..=$ <t- o CUR8 CUTjORIVEWAY, NUMBER OF DRIVEWAYS X $88,00 1st Cut = $ o ,MULTIPLE P~RMIT DISCOUNT EA: ,.......,(MAX <) , .........$30,00 2nd Cut ~$_(. (MUL n PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE 8m: INSPECTION.f11YJ..Y APPLIES T9 2nd AND 3rd.PERMITS QNLY. NOT SIDEWALK REPAI~ . o 5% Technology Fee $ 4-. (PG TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM I( WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION: =$ LjJ-- 9G, GO CONTRACTOR: ---- ' , levto...'\ ?~-S<=z~ L ~~~~ ')f:::-( L",- t''''""'-c..... ADDRESS: :?/~ ';4- 0/ PHONE: Qdr'1'u7f~ CONTRACTOR REGISTRATION NO: PROJECT SUPERVISOR: '"7)~ EXPIRATION OA TE: PHONE, Si:J:P/,nJ 'T~ INSPECTIONS: AN INS?EGnON REOUEST SHOULD SE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CAll 72&3769 (RECORDER) STATE YOUR DESlGJNATED CITY JOB NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REQUESTED, AND WHEN YOU WILL BE READY FDA INS PECTION. CONl'AACTOR'S OR OWNER'S NAME AND PHONE NUMBER. . REQUESTS RECEIVED BEFORE 7:00 AM. WILL BE MADE THE SAME DAY, REQUESTS AFTER 7:00A.M. WILL BE MADETI-lE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO PQURINGCONCRETE. '. YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344' 48 HOURS BEFORE DIGGING SIGNATURE: ~~~ DATE PAID'.5-- d;;;" '- '0 '7 . ' RECENED kJO /Y7 t?;1 j?{ - , By Signatu." .1 slate and agee\lhal r have carefully examined !he compleled applicalioo and do he (~~lify mal. an infDfmalion h<<ein is /Jue and correct and I lurlher cerli lha an and all work"Qec1ormed shall be dcrJe in accardance wilh the Ordifl es of !he CiN of SpungtJeld, aPPli~Je Cily Slandard speCIfications and Drawings. and the laws of Ihe Slole of Oreg erlalfling 10 Ihe work described herein. I funner certify lhal only canlractors and empioyees who are in compliance Wllh GRS 701.055 Will be used on lhlsproject. . .. .' AMOUNT RECEIVED: RECEIPT NO: The CUy may inspect.the work si!e ,described in.lhis permit al.,!ny lime dun09 a one year period 10 lIov.ing l~e receipl by the City 01 no/ice of CCYr)~le!ion or [he deScribed work and speytly, al the City s sole dlsC/elien any additional, reslorallon work reqUired 10 relurn the slle 10 a standard acceRtable to the CI . The permlnee will be nolified In writing of any work required ana- will have lhlrty days (30) from Ihe dale of the notice 10 complele thewor1<.. Work nol comp eled allhe end of Ihe thirty days will be perlormed by the City and Ihe cosls will be bilied to tlie permittee. . I lurther agree to ensure thaI all requl inspecljoos are r ",,"U <>L .ill:! proper lime, Iha1 proj ect ada-ess is readable Irom lhe "co" "'d Ih, "'P'~" '" 01 PI::- ;; 00 Ih~ / I tim" '",oog ",,,,""clioo, " _ / 2- _ 0 q 5igo,u", /'_~ / VI.. -----" Dal'S /.?-. I . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00720 COM2009-00720 Payments: Type of Payment Cash cReceintl RECEIPT #: Description Sidewalk Permit + 5% Technology Fee Paid By TENAS CONCRETE ~r~"I~~FI._ELD. ",1.1,,'.' .;.. ~ ., , .lllii:O. .. ai' ' ~. '. ~ .- .....- ,..-..., City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000388 Date: 05/22/2009 Item Total: Check Number Authorization Received By B:ttch Number Number How Received njm In Person parment Total: Page J of I 1:10:44PM Amount Due 92,00 4,60 $96.60 Amount Paid $96,60 $96.60 5/22/2009