HomeMy WebLinkAboutPermit Curb Cut 2009-6-11
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00844
ISSUED: 06/1l/2009
APPLIED: 06/11/2009
EXPIRES: 12/11/2009
VALUE: .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 470 S 2ND ST
ASSESSOR'S PARCEL NO.: 1703353300500
Springfield TYPE OF WORK: Curbcut
TYPE OF USE: Repa,ir
Industrial
PROJECT DESCRIPTION: Driveway
Owner: HEXION SPECIALTY CHEMICALS INC
Address: 180 E BROAD ST
COLUMBUS OH 43215
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
AUGUST CONSTRUCTION COMPANY
License
148196
Expiration Date
06/29/2011
Phone
541-979-3327
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:
Occup~nt Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage.:
, Total:
Handicapped:
, Compact:
. "-:r::\r;':'...uregvn I
. tJJ/~W Jl./I.c ado t d Q i'l'e'glll~~8WEJ\;'''1' '" I
"'-tlfIA ' p e by t.. J, dl,Ollll ~ 'I..
Streetlmproyi!lrl~at'on Center. Those rul "lY NOTICrSidewalk Type:
. 'nOA~.952-OO eS8reaetfor t:
Storm S4wer~'f<: '-G01~throughOAA9&2-QO ' THIS PEf~m'I"ffilrl\~Llf~fRE IF TH
s~eclaIM~truc ~:~:'taift .....I."8QftAetulils ,f AUTHORIZED UNDER THIS PERMI/I:~~~
N~tes: oc n~rforthe~' ~.t.,.Phcne COMMENCED OR IS ABANDONED FOR
. . --von Utility N<<if~ ANY 180 DAY PERIOD .'
. lCO 1 O^,:, A~: ~.--J.";'.. .
I Valuation Descriotion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pace 1 01'2
, ,
'~W1r~fRI:IC!F.JII!i'?I' , .
i .
................:...../
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00844
ISSUED: 06/11/2009
APPLIED: 06/11/2009
EXPIRES: 12/11/2009
VALUE:
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
":ees Paid I
Fee Description
+ 5% Technology Fee
Curbcut Permit
Amount Paid'
Date Paid
Receipt Number
$4.40
$88,00
6/11/09
6/11 109
1200900000000000664
1200900000000000664
Total Amount Paid
$92.40
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. will"be made the following
work day.
I. Reo,;,ired Insnections I
Curbcut - Standard: 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, and I further certify that 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 wil'l be used on this project,
/._1 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 construction.
./
,} UNE-J/- 2DO C?
- '---" //
r or ContraCtOrs Signalu
Date
Page 2 of 2
225 Fiftli Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00844
COM2009-00844
Payments:
Type of Payment
CreditCard
cRcceintl
RECEIPT#:
Description
Curbcut Permit
+ 5% Technology Fee
Paid By
HEXlON SPECIALTY
CHEMICAL
8t.~,!'.''''..Q.F1..IEtU)...... '."..... '........
- , ~
~~.. ;
,~,~ ,:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000664
2:34:33PM
Date: 06f1lf2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
88.00
4.40
$92.40
Amount Paid
Ikw
$92.40
007102 In Person
Payment Total:
$92.40
Page I of I
6/1 1/2009
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:):'~-,'\' D~IVEWAY/SIDEWALK ',;::'.';' ;:,'PERMITAPPLlCATlON :'.;''::;;;~\TI~
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
ENGINEERING OMSION
OFFICE TELEPHONE (503) 726-3753
APPLICATION DATE:.J tA\Jil'
'~=D~
~~
t q - 15 tfy
PERMIT NUMBER:
DATE ISSUED:
',^/ ~ 'I
.)0<10)(&1 S"-'
32'no".. )2.~
-'(32" " SLit) VL
(a.~. t S:2.")yL.
SITE INFORMATION:
LOCA liON OF ~RK:
APPUC.ANT
ADDRESS:
Hef..\Cl<\\ 5hlC.,\At::l'l C.\.\tIYIIlf\l.~
'410 i; 2./lI.D !l-r
. PHONE
5lf\-14j,- 8~ip I
TAX MAP:
CITY:
PHONE:
STATE.: ZIP:
::.. .9
'" "'-"
':'''1
~~
,_. 1 I
. .
an'~r_ rll:!'lD..STATE,
SUBDIVISION:
OWNER:
ADDRESS:
OR
71P:
q7l/-=11 TAX LOT: il SoO
I'
REOUESTED PERMITS:
o SIDEWALK. ..........,................. ..................
AMOUNT OF SIDEWAlK IN EXCESS OF 90FT.
<>
~
g"SIDEWALK REPAIR:.
................. $88.00
@$O.08 SF.
........ $15.50 ...........
.... =$
=$
............... =$
..~,.;;
~ . "
-
o CUR8 CUT/DRIVEWAY: N~MBER OF DRIVEWAYS-L X...................... $88.00 1 sl Cui = $
IS,S:'>
, era,OO
o MULTIPLE PERMIT DISCOUNT EA: ..........{MAX 2) .... .........$30.00
(MUL Tl PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION...mn..Y .
APPUES TO 2nd AND 3rd PERMITS ON~Y, NOT SIDEWALK REPAIRl .
ifs% Technology Fee $'~ C+.IUll) TOTAL DUE WITH PERMIT $
o PROOF OF INSURANCE: $~,OOO MINIMUM IF' WORK IS DONE BY PROPERTYOWNER
2nd CUI =$J
=$
1021150
,qa"W()
CONTRACTOR INFORMATION:
CONTRACTOR A/A.&v.s1". c..OtJ&TRU0l\fM) COMPI1.w
ADDRESS: Y'o.Box 41]'\: ~~IlI~~tl\U.k' ~
CONTRACTOR REGISTRATION NO: . '14 fll '1("
PROJECT SUPERVISOR: ~T}.r\j ~ c,* II 1.1 "r L
q732 1 PHoNE:~I-~~j,-3qi.t
EXPIRATION DATE: 0\'-2.'1-1 q 11
PHONE:.5qi~ q7H3:l;
INSPECTIONS:
AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED Vv'ORK HAS BEEN FO RMED AND MADE READY TO
POUR CURB cur AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB
NUMBERlPERMIT NUMBER, JQBADDRESS, TfPE OF INSPECTION REQUESTED, AND Vvi-lEN YOU Will BE READY FOR INS PECTION, CONT'RACTOR'S OR
OWNER'S NAME AND PHONE NUMBER. REQUESTS RECENED BEFORE 7:00 A.M, WIll BE MADE THE
, SAME DAY, AEOUESTS AFTER 7:00 A.M. VV1ll BE MADE THE NEXT WORKING 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
THE LANE UTILITIES COORDINATING COUNCIL'S
"ONE CALL NUMBER" 1-800-332-2344'
<B HOURS 8EFORE DIGGING
'SIGNATURE:
AMOUNT RECEIVED:
RECEIPT NO:
DATE PAID:
RECEIVED BY:
By signalure. 1 state and agee, thaI! have carefully examined lhe completed application and do he reby certify Ihal all information hlMein is lIue
and correct and I further cerlifVlhat a~ and all workllerlormed shall be dona in accordance wilh the Ordinances of
the GiN of Springfield. applicable DIy Standard spea1icalions and Dra~nqs, and Ihe laws cllhe Sliiie 01 Oregon pertaining fo \he work described he-ei'l, I further
certify {hal.only conlradas and employees who ate in canpijance Wllh ORS 701.055 'Mil be used .
on thiS PloleCl. -
The City may inspecl_the wOO<: s~e described in Ihis permit at any time during a ale year period fa Rowing Ihe receipl by theOty at nollce oj COlTIXelion oIlhe
described ~ork and speafy,_atlhe City's sole discrelion, any additional, restoration work requIred 10 retUl"n lhe site to a standard accep'!able to file Ci . The
p"ermlrlee Will be notilied in wliting 01 any work required and will have lhlrty days (30) Iramthe date a! lhe nOlice 10 complete thewor1l., Work not competed al the end
ollhe Ihu1y days win be per101'med by lhe CIty and lhe costs will be billed to tlie permittee. \
. I further agree \0 ensure that all [equired inspeclions are requested alltle proper time. Ihal proj ect adctess is readabje 110m the
slleet, and the approved sel 01 plans 'Mil remain on Ihe sile at all ~mes duling construclion. "
SignaLure
D~re