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HomeMy WebLinkAboutPermit Sidewalk 2009-7-31 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01107 ISSUED: 07/31/2009 APPLIED: 07/31/2009 EXPIRES: 01/31/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 665 MAIN ST ASSESSOR'S PARCEL NO.: 1703353110100 Springfield TYPE OF WORK: Miscellaneous TYPE OF USE: Alteration PROJECT DESCRIPTION: , Encroachment and close and repair sidewalk Public Owner: SPRINGFIELD PUBLIC Address: 525 MILL ST SPRINGFIELD OR 97477 Owner: SPRINGFIELD SCHOOL DISTRICT 19 Address: 525 MILL ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ 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: Heigbt 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 DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: u to I w requlI es yo %,ofLotCoverage:ATTENTION: Oregon a Utility " ' , , d by the Oregon ' foil0w rules_ ad??,e Th~oP rules are set forth I PUBLIC IMPROVEME1\rTS'I~~~52_00;-0010 through Utt~e";u\~~vbY NOTICE" , y ''''flV nhtain caples 0 h e Street Improvemenis: . , 0020" olSide\"alk :ryp~:;te: the telep on . I HIS PERMIT SHALL EXPIRE IPTHE WORK caillng me 2~~\l;;;~';~n Utility Notification, Storm Sewer AvaIl~.\J~efHORIZED UNDER THIS PE' numberDownsl'outs~~~~'J,s,:_2344). Special Instruction"O RMI1IS NOT Center IS 1-8 v MMENCED OR IS ABANDONED FOR Notes: ANY 180 DAY PERIOD. Frontyard SetbaCK: Side 1 Setback: Side 2 Setback: . Rearyard Setback: Solar Setbacks: Pa2e I 01'2 SP-AINGl'rllill.:O ' ~ ~~' "'"C~;;",""" ~"'1"':/' -.:" "" ....,.,..,'" : 't,' -~ -.."... CITY OF ~rK11~GFIELD ' Building/Combination Permit Status Iss u ed PERMIT NO: COM2009-01107 ISSUED: 07/31/2009 APPLIED: 07/31/2009 EXPIRES: 01/31/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I ValuationDescriDtion I Description , Tvpe of Construction $ Per Sq Ft or multiplier , Sqnare Footage or Bid Amonnt Value Date Calculated Total Value of Project Fees, Paid I fee Description + 5% Technology Fee Curbcut Permit Encroachment Permit PW Disc - 3rd Permit Amount Paid Date Paid Receipt Number $6.98 $264.00 $139.50 $-45.00 7/31/09 7/31/09 7/31/09 7/31/09 2200900000000000863 2200900000000000863 2200900000000000863 2200900000000000863 Total Amount Paid $365.48 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, 6~r\"ir~tl Tnsnedions ~ Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Encroachment: After item(s) have been removed to inspect condition of public right of way. By signature, T state and agree, that T have carefully examined the completed application aud 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 Springlield 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 Divisiou, Building Safety. T 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 construction. , ~l::i~~ / - . j vractors Ign~re 1 l~ J /0 ~ I Date Paee 2 01'2 225 Fifth Street Springfield, .oregon 97477 541-726-3759 Phone Job/Journal Number C0M2009-0 II 07 COM2009-01107 COM2009-01107 COM2009-0 11 07 Payments: Type of Payment Check cReceintl RECEIPT #: Description Curbcut Permit PW Disc - 3rd Permit Encroachment Permit + 5% Technology Fee L;G~; '" iii: It: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000863 Date: 07/31/2009 Item Total: Check Number Authorization Paid By Received By Batch Number Number How ~eceived SPRINGFIELD SCHOOLSDlST lkw 83709 In Person Payment Total: Page 1 of 1 2:58:23PM Amount Due 264.00 (45.00) 139.50 6,98 $365.48 Amount Paid $365.48 $365.48 7/3 ]/2009