HomeMy WebLinkAboutPermit Sidewalk 2009-6-16
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00868
ISSUED: 06/16/2009
APPLIED: 06/16/2009
EXPIRES: 12/16/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3315 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1702300001917
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Repair
Industrial
PROJECT DESCRIPTION: SIdewalk repair
Owner: KINGSFORD MANUFACTURING CO
Address: PO BOX 24305 ATTN TAX DEPT
OAKLAND CA 94623
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
WILDlSH CONSTRUCTION CO
License
695
Expiration Date
10/22/2011
Phone
541-485-1700
BUILDING INFORMATION I
# of Units:
Primary Occupaucy 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
. REQUIRED PARKING
ATfENTION:Ore~t\ID'J reqUlrlils you t:J
follow JUles adoplNI~afpRmgon LAility
IJotilication Center. Tcho8111Il~lIles are set 101
n OAR i52-OO1..oo10 ttlmugh OAR 9&2-QO
)090. You may ~taiIl ClOPie5 (;II Ute r.s I
I PUBLIC IMPROVEMENTS I ......'''tI motrl;e,_. {lW\9: m. '."pnGfMil
ntmeer Igr the OPeton utility Notil~
Sidewalk Ty~" -AOO-'~:2-23.tA),
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instru~~fICE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AlJTHORI7Fn IINnFR THIS PFRMIT IS NOT
COMMENCED OR IS ABANulJl~tU rUIi I
ANY 180 DAY PERIOD. I Valuation Descrintion
Downspouts/Drains:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 0\'2
225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
:~A7F; jj,. '"
~_..'
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00868
COM2009-00868
COM2009-00868
Payments:
Type of Payment
Cash
cReceintl
RECEIPT #:
3200900000000000457
Date: 06/16/2009
Description
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
+ 5% Technology Fee
Paid By
WILDlSH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw
In Person
Payment Total:
Page I of I
10:05: ISAM
Amount Due
88.00
24.00
5.60
$11 7.60
Amount Paid
$117.60
$117.60
6/] 6/2009
~~LJ?,!
--:
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00868
ISSUED: 06/16/2009
APPLIED: 06/16/2009
EXPIRES: 12/16/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726.3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid I
Fee Description
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
Amount Paid
Date Paid
Receipt Number
$5.60
$88.00
$24.00
6/16/09
6/]6/09
6/16/09
3200900000000000457
3200900000000000457
3200900000000000457
Total Amount Paid
$117.60
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 Reoll~red InsDections I
Sidewalk - Curbside: 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NOOCCUP ANCY 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 th[eont of the property, and the approved set of plans will remain on the site at all
times during construction, ,
(!f7/L r-2. ' Cl () /16 / 0 <)
10~r orcontra~ig~ [Date
Paee 2 of2
" ..,' . , . " . ': , , : f"J :r ,~~ . .~Ii JJ .;,. ". :', -:,' ',-,
,~:. "', :-. ,'. '_ "~.',..' " <." LJlfJJ(J.I,'vpnnf[Pa..~u '".-". ,~' :'0'" ',:.". ..' ....'~:.,~+ii:
, .<:' .::.':':. ~ '~.~'.:~ ~ '., >:'.::, /;. ~ -" ~~"~ ~::~' +::- .. ".: -~!. . <.:~ ~~, "~r: ~" _ '~~~ . ~l: !,~>':'" ::- ';..:. ,:.::.~ ~1~' '._~/ :'.")::~~~'.':~.~~;
,:~;:_i;'!,'DRIVEWAYISIDEWALK f ;":"'~:~>..:"'PERMITAPPLlCATION' .:;::::~\t'J
225 FIFfH STREET
SPRINGFIELD, OREGON 97477
ENGINEER1NG DIVISJON
OFFICE TELEPHONE (503) 726-3753
PERMIT NUMBER:
DATE ISSUED:
APPLICATION DATE:
SITE INFORMATION:
LOCA nON OF "YORK:
f4:d
APPLICANT
ADDRESS:
PHONE
7 '-fe, ~ '7{'0!
I~J
TAX MAP'
CITY:
ZIP:
Cj '7 1/1
TAX LOT:
OWNER:
ADDRESS:
PHONE:
crr)':
STATE:
ZIP:
REQUESTED PERMITS:
o SIDEWALK:
AMOUNT OF SIDEWALK IN EXCESS OF 90FT.
....,..'......,.... $88.00
@$O,OB SF,
, $15.50
... =$
"$
.... =$
o SIDEWALK REPAIR:..
o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS_ X
..,..,.. $88.00 1 st Cut = $
o MULTIPLE PERMIT DISCOUNT EA: "......(MAX 2) ... $30,00 2nd Cut =u-
(MULll PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECnON..Qbl.l...:t ,
APPUES TO 2nd AND 3rd PERMITS ONLY, NOT SIDEWALK REPAIRl. =$
o 5% Technology Fee $ . TOTAL DUE WITI-l PERMIT $
o PROOF OF INSURANCE: $500,000 MINIMUM IF'WORK ISDONE BY PROPERTYOWNER
CONTRACTOR INFORMATION:
1-
CONTRACTOR:
( .) " I rll_ ,\^
Po f.!x",
(' ^" <;..1:
ADDRESS:
7'i~Y
bb") r-\
('; ,.( ,,"', !\A.,. ('l MI1A/'-
o
EXPJRATIONOATE:
PHONE: L/k\5:'_j ),<<)
/(--;/2-2 1201 J -
PHONE: '7/ s-- ~ '16.5
\
CONTRACTOR REG/STRA TION NO:
PROJECT SUPERyJ~OR; (l,---. \ I LA...
INSPECTIONS:
AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, .AFTER THE PROPOSED WORK KAS BEEN FO RMED AND MADE READY TO
POUR. CURB CUT AND SIDEWALKINSPECTlONS CALL 72&3769 IAECOADER) STATE YOUR OESIGINATED CITY JOB
NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE REA(J'( FDA INS FECTlON, COHfRACTOR'5 OR
OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00 A.M. WILL BE MADE THE '
SAME DAY, REOUESTS AFTER 7:00A.M. WILL 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 REQUIRED TO CALL
THE LANE UTILITIES COORDINATING COUNCIL'S
"ONE CALL NUMBER" 1-800-332-2344
48 HOURS BEFORE DIGGING
SIGNATURE:
AMOUNT RECE!VED:
RECEIPT NO:
DATE PAID:
I RECEIVED BY:
By signature, I stale and agee, that I have careMy examined !he completed application 8f\d do he reby certify tha! all inlormation hQ"ein is [rue
and coned and I further certifY that illY and all work per10rmed shall be, dene in accordance wilh the Ordinances of
the City of Springlield. applica6le Gill' :51andard speaTicaJians and Dra....,n~s, and the raws of l/1e Slale 01 Oregon pertaining to the work described he-ein. I further
certify lhal.only COntraclas and employees who are in compliance wllh ORS 701.055 WIll be used
on Ihls proJect. .
The City may inspecl,lhe work sile described in this parmil alany lime during a one year period 10 lIowing Ihe receipl by !heCily at notice of COl1l~le1iQ{J oIlhe
descflbed wQ(k and Specify, aIthe City's sole discretion, any additional, restorallQJ1 WDfk required 10 return the siletQ a slandrod acceptable 10 the CI . The
permlnee will be notified In writing of any work required and will nave lnlrty days (30) Irom Ins dale of the nalice to complele the work. Work no! camp eted 011 the Efld
_ at the thIrty days Will be perlormed by tlie City a':lo Ihe cosls will be billed 10 !tie permil!ee. \ ,
t lurther agree 10 ensure thal all required inspections are requesled althe proper lime, Il1al prol eel aduess is rS8da!je from the
slreet, and Ihe approved set 01 plans WlII remain on Ihe site el aJlllme~ during construclion. .
Signature
Dale