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HomeMy WebLinkAboutPermit Curb Cut 2009-6-3 _S~A.'I\I~f;J!'iI~R;' f Status Issued 225 Fifth Strect, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspcction Line SITE ADDRESS: 300 FAIRVIEW DR ASSESSOR'S PARCEL NO.: 1703274100101 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00774 ISSUED: 06/03/2009 APPLIED: . 06/03/2009 EXPIRES: 12/03/2009 VALUE: Springfield TYPE OF WORK: Curbcut PROJECT DESCRIPTION: repair cxisting drivcway entrance TYPE OF USE: Owner: HEAD START OF LANE COUNTY' Address: 221 B ST SPRINGFIELD OR 97477 Owner: RENEWAL AGENCY OF LANE CO Address: 177 DAY ISLAND RD EUGENE OR 97401 Owner: HOUSING AUTHORITY & URBAN Address: 177 DA Y ISLAND RD EUGENE OR 97401 Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I. CONTRACTOR INFORMATION I -License BUILDING INFORMATION I # of Stories: ( Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinklcd Building: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Expiration Date Phone Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Bascment: Sq Ft Garage/Carport Sq Ft Othcr: Occupant Load: REQUIRED PARKING Total: Handicappcd: Compact: Sidewalk Type: Downspouts/Drains: Paee I of 2 _,=..e"~'!'4.....,g.'!!'.'IEL.,.,....~.....J",""""" .1'......... "A ' ;::. '.'.., : .,. .11 " ,,-. '"-".;,.0.' ..' ."","",,-_,""'",--,-._, ..... ---' ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00774 ISSUED: 06/03/2009 APPLIED: 06/03/2009 EXPIRES: 12/03/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541_726,3676 Fax 541-726-3769 Inspection Line , Valuation DescriDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Pai~ I Fee Description Amount Paid Date Paid Receipt Number Total Amount Paid $0.00 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. wij( be made the following work day. I, Relluired Insnections I . 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 cedify that any and all work performed shall be done in 'accordance with the Ordinances of the City of Springfield and the Laws ofthe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY lYill..!!,e made of any structure without permission of the Community Services Division, Building Safety. I further certify that only cont); ctors and employees wbo are in compliance with ORS 701.005 will be used on this project. [ further ~ensure that al required inspections are requested at the proper time, that each address is readable from the s~reetn'dth l the pe, mit ~ard is loc ted at the front of the property, and the approved'set of plans will remain on the site at all times A 109 constru?n. r-- . ;1 (' 6 ~ 09 ow~o~~r Contractors Signature Date I Page 2 01'2 225 Fifth Street Springfiel.d, Oregon 97477 541'-726-3759 Phone Job/Journal Number COM2009,00774 COM2009-00774 Payments: Type of Payment Check cReceintl RECEIPT #: Description Curbcut Pennit + 5% Technology.Fee Paid By SNAPPER CONSTRUCTION City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000599 Date: '06/03/2009 9:07:34AM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 88.00 4.40 $92.40 Amount Paid bank $92.40 $92.40 8140 In Person Payment Total: Page I of I 6/312009 .. .' .. . '. .. ",. .,~ ,~~ . .nklJ. '.. '.' ; ". '.. . . " . ..,' "uilg OF"-'1.JR"lil'C!lU' .. . . <",' t" . :",,':,'. :~..:. >::;; ,.~;:'::>\,,:~: :'.~ .~.:~.. ;..;;.. .,',. . :" ~::-., ::.~ ;:.'::. ..,; /.: '>,. ,;. ':{:.::: 4/;:~~~ ;',';;,~"';"~~DRIVEWAY/SIDEWALK" .;:~;,' ::,~ "PERMIr'APPLicATIPN .;, :){~~:\ , ' 225 FIFTH STREET .P~.NQFlE1.D SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION OFFICE TELEPHONE (503) 726.3)53 . ~ ~I APPLICATION DATE 'J 'r.,! c:> '1 . / 1 ' PERMIT NUMBER: C/;!'1bO DATE ISSLlED: ;x 007 '()0771" SITE INFORMATION: LOCA liON OF WORK, 5....() (' ) v--) <2." ". APPLICANT ';\ C- \,1;. ~ cp v-<--.. _"'- \j " ADDRESS Va . ~~, y ~ ,"t ,., .l~Ad (') <", . ~) PHONE ~WI '5'l~ l.q' 6 \ TAX MAP: CITY: <; v--Z STATE: (oj. r ZIP: 0\,< lot c L\ TAX lOT: SUBDIVISION: '1A1,/l C-';>1At L-; QJJ OWNER ~\ "" C.S', PHONE: ADDRESS: \'CC" CITf; <;,,~v,--<c SlATE: d') ,/ ZlP: "11477 rill'. u~"-" /' REOUESTED PERMITS: o SIDEWALK,.. AMOUNT OF SIDEWAlK IN EXCESS,OF 90FT, ............... $BB.OO @$O.OS' SF. . $15.50 .. = $ =$ ....:.... =$ o SIDEWALK REPAIR:.. ...................... / 12] CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS t x ......... $B8.00 1 5t Cut = $ lA[)<t1- o MULTIPLE PERMIT DISCOUNT EA .. .......(MAX 2) ..............$30.00 2nd Cut =$J (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPEC1l0N..ill:ll.X APPLIES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAI~ =$ o 5% Technology Fee $ TOTALDUfWITI-lPERMlT $ o PROOF OF INSURANCE, $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER . I CONTRACTOR INFORMATION: CONTRACTOR: ADDRESS. CONTRACTOR REGISTRATION NO: PROJECT SUPERVISOR; PHONE: EXPIRATION DATE: PHONE; INSPECTIONS: AN INSPECTION REQuEST SHOULD BE 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 OESIGINATED CITY JOB NUMBER/PERMIT NUMBER. JOB ADDRESS,"TYPE OF INSPECTION REQUESTED, AND \tVHEN YOU YVlLL BE READY FOR INS PECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7:00 A.M. YVlLL BE MADE THE SAME DAY, REQUESTS AFTER 7:00 A,M. WILL BE MADE THE NEXTWOAKING DAY. INSPECTIONS ARE TO BE CALLED .IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE. YOU ARE REOUIRED TO CALL. ( ()LANE IES COO.RDINATING COUNCil'S A "ONE CALL: UMBER" 1-800-332-2344' . Ii <:..... ~ 48 OURS BEFORE DIGGING .. SIGNATURE: Ii I ?--- Y \ '1'1 a...0 AAlOUNT RECEIVED' : p(.. 7 . RECEIPT NO, ;<{,l,Odl(,cx;,.o~1 '5'1'( DATE PAID: .G-3 -;J.oCJ9 C .,.I'I RECEIVED BY: and ~~~a1:/i~'1 !,~~:, ~;I~~I~al ~~~v:U ~~kull~a;a~~~h~F b~o:r~~l~da~~~~~~ :l~ d~~b~~~ag~~~~Qlhal all informa~on ha"ein is !rue the City 01 Springfield, applicaole City ~andard speCl~calions and Ora".,.;nQs, and Ihe I~ ol/he Slate 01 Oregon parlaiMg 10 the Y\lQrk described herein.! furlnel caMy lhal ,only conlraclQ(S and employees who are in compliance v.ilh ORS 701.055 .,.,,11 be used on Ihlsprolecl, . The City may inspecllhe work sile described in this permit al any lime during a one year period 10 lIowing the reCeipt by the City of notice 01 com~lelion of the desCTlbed wex-k and spool)', ai, the City's sole dIscretion any addiUonal, restoration work required 10 return tile sile 10 a standard accep,lable 10 the Cl . The p.ermlttee will be notified in writing of any work required and will hilve_lhlny days-(30llrom the dale 01 the notice 10 complete Ihework. Work ne{ competed althe efld of Ihe (~Irty days will be performed by tne City and the costs wi~ be billed \0 Hie permlUee. , Ilurther agree to ensure thai all required inspeclio/lS are requested al the prOper time, that proj ect address is readable from Ihe streel, and the approved set 01 plans will remain on the sile at all times dwing construction, .. ~ .::..~., J' /' ._'~- '1od1' 1. ~ (9../ ..:;^... Date Sign':lture C.a; .~. ~J{/.. /J