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"':/'
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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