HomeMy WebLinkAboutPermit Curb Cut 2009-6-17
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00879
ISSUED: 06/17/2009
APPLIED: 06/17/2009
EXPIRES: 12/17/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 558 WD ST
ASS!,SSOR'S PARCEL NO.: 1703341403000
Springfield TYPE OF WORK: Curbcut
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New driveway approach
Owner: HOWARD KATHLEEN W
Address: 558 W D ST
SPRINGFIELD OR 97477'
"
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License . Expiration Date Phone
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 Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:.
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard 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:
,~J!.~~T!ON: ~regon law requires you to
.., - ---... ..........""'1-"......... uy Lilt;; Ult:!:}un UlIIlty
I PUBLIC IMPROVEMENllS:,lflcation Center. Those rules are set forth
Street Improvements: oo~~\~~iieW1a1rPf~~J:hroU9h OAR 952-001-
Mn"',,,- '. uu Inay oDI<IIn copies of the rules by
Storm Sewer- Ayailable: calJrn~Do,"nspo'utslqi>ains: the telephone
Speciallnsil-:l[c\io.!]:;MIT S~J'I'l't'mMg~r?i on 6-17-2009 from James V!J,,7i'iJllr for the Oregon Utility Notification
AUTHORIZED UNDER HE WORK Center IS 1-800-332-2344).
Notes: COMMENCED 0 THIS PERMIT IS NOT
^ "" "~^ _ .. R IS ABANDONED FOR
.. -. 'vv unl r.cnlUU.
I Valuation Descriotion I
DescriPtion
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00879
ISSUED: 06/17/2009
APPLIED: 06/17/2009
EXPIRES: 12/17/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeetion Line
Total Value of Project
l Fee, Paid.
Fee Description
+ 5% Technology Fcc
Curbcut Permit
Amount Paid
Date Paid
Receipt Number
$4.40
$88.00
6/17/09
6/17/09
1200900000000000698
1200900000000000698
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 Reouired In,oeetion,.
Curbeut - Standard: After forms are erected but prior to placement of concrete.
By signature, I state and ag~ee, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furtber 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
tbat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance 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 conslruction.
---~!/' . .
jJ~///Y}{'~ /<
/ - /~
Owner or Contractors Signat/
~/(?/09
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00879
COM2009-00879
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #;
Description
Curbcut Penn it
+ S% Technology Fee
Paid By
KATHLEEN HOWARD
~'
.-- -. ... ....."" -.., -
City of Springfield Official Receipt
Developmerit Services Department
Public Works Department
1200900000000000698
Date: 06/17/2009
Item Total:
Check Number Autho...ization
Received By Batch Number Number How Received
Ikw
03893 I In Person
Payment Total:
Page I of I
11:16:19AM
Amount Due
88,00
4.40
$92.40
Amount Paid
$92.40
$92.40
6117/2009
. '.
. . .
. ".-' '..' '. .' :. ..: CityafI5princ/iald '. . ... .'. . ' J '.' ":",;t
,:<'_":,:;,:.>:' .:::. .,:~" /" -'<-" ':,.:. -, ". \: f,. ':\,..:: ,(,:"~',,'::; ~:."-~' ",: .-~::. ::'.' :,,' .:>:~~~\;:~t~
"ii"_,>: DRIVEWAY/SIDEWALK ',. : :\:~;, PERMIT APPLICATION ;:':.:';::-,jr;
225 FIFrH STREET IiP~JNQFlrn.D~
SPRINGFIELD. OREGON 97477
ENGINEERING DlVISJON
OFFICE TELEPHONE (503) 726.3753 . ~ ~
({J/i7lo~
, PERMIT NUMBER:
DATE ISSUED:
0J.w-~1 - 'iJ'77
&'17-0,,/
APPLICATION DATE:
SITE INFORMATION:
CLOCATION OF WORK, ~"'~ 11 h2""+ f) <;';/y,e~A...
CAPPUCANT Ka.-#il -t (J /11 L \ 1. pJ.ai I J a.vd
00DRESS <'..;- <i;' wa.;+ n' c;#i!eT'
Cdrr,50YIIIO,(,.LJ',.L,STATE' lOR ,,,p,JJ...4 "1'1
SUBD~.
COV,,"ER 5,cL. c:.' - ,(') u) VI ~I? (PHONE '1/~- - 'I'Itf?CJ
CADDRESS, n.os ab.o I.LJ' CITY 5p1/" Vlh~';/ ~'~TAT'" -#fC- ZiN Q7'-i....77
/
PHONE
5'41-
'11.,-- 'IIldtJ
TAX MAP:
TAX LOT:
REQUESTED PERMITS:
o SIDEWALK: ,....,...
AMOUNT OF SIDEWAlK IN EXCESS OF 0ClFT.
$88.00
@$O,08 SF.
..,........... $15,50
'....... =$
=$
,....,: = $
o SIDEWALK REPAIR:..
o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS
x....
...... $88.00 1st Cut = $
o MULTIPLE PERMIT DISCOUNT EA: . ..,....,{MAX 2). .,..$30,00 2nd Cut =$_(.
{MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION..ooLY
APPLIES TO 2nd AND 3rd PERMITS ONLY, NOT SIDEWALK AEPAJRl =$
o 5% Technology Fee $ TOTAL DUE WITH PERMIT $
o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERlYOWNER
CONTRACTOR INFORMATION:
Q"";'CTOR'
'rADDRESS: '
( C~TRACTOR REGISTRATION NO:
\ P~ECT SUPEAylSOR:
i","",
(:IjONE:
EXPlRATIONDATE:
~NE:
INSPECTIONS:
AN INSPECTION REOUEST SHOUIJ) 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 726-3769 (RECORDER) STATE YOUR DES1GlNATEO CITY JOB
NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REQUESTED, .A./'I.ID V\lHEN YOU WILL BE READY FOR INS PECTJON, CONTRACTOR'S OR
OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00 A.M. INIlL BE MADE THE
SAME DAY. REQUESTS AFTER 7:00A.M. 'MLl., BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALlED )N
AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURINC? CONCRETE.
YOU ARE REOUJRED TO CALL
THE LANE UTILITIES COORDINATING COUNCIL'S
"ONE CALL NUMBER" 1-800-332-2344
48 HOURS BEFORE DIGGING
SIGNATURE:
AMOUNT RECENEO:
RECEIPT NO:
1P9fJ.. &--
DATE PAID:
RECENED BY:
&-1'7-07
oL.r(...u
"
By signature, I slale and agee, lhatl have carefully elI1Imined the com~eled applicatioo and do he re!JY cerlify that al information hErein is l1ue
and correCl and Uurther certifY that af!r' and all vvork .eeclormed shall be dooe in accordance with lhe Ordinances of
the City of Spflngfleld, applica6le C1t~ Slanoard speCifications and Di:awinQs, and the laws of the State of Oregon perlaining to the work described herein. lluntier
Cer1ity fhal,only contraclors and employees who are in compliance V\1lh ORS 701.055 WIll be used -
onlhisprojea. .
The Diy may inspecl,lhe work sHe described in this permi! at any lime during a ooeyear period to Rowing Ihe receipt by U1eClIy 01 nollce 01 COIllxetion of the
described \I'{OI"k and sPeQly, ai_the Oly's sole discretion, any additional restoration v.orI< requIred 10 relum the sIte 10 a standard acceptable to Ihe Ci ,The
permltlee will be notified In wrlhng of any wQ(j( required and will haye thirty oays (30)lrom the dale of the nolice to compele the work, Work not cornp eled at the end
ollhe !J:ln1Y days wiU be pertormea by the Ci~ and Ihe costs wiU be billed to tlie permillee. \
str~t~u~~r t~ t proj eCl,add'ess is readalje frcm the
- Dale
(;,//7 leF!
I I .
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