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Home My WebLink AboutPermit Sidewalk 2009-8-25 Status Iss u ed CITY OF SrKll'lGFIELD Building/Combination Permit PERMIT NO: COM2009-01244 ISSUED: 08/25/2009 APPLIED: 08/25/2009 EXPIRES: 02/25/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-.726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1271 CST ASSESSOR'S PARCEL NO.: 1703351413300 Springlield TYPE OF WORK: Sidewalk TYPE OF USE: Repair Resideotial PROJECT DESCRIPTION: Sidewalk Repair between 12 aod 17 feet -, Owner: Address: SCHROEDER-MARK & BRENDA L . 1271 C ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type, General Contractor TOM ROGGE License .Expiration Date Phone Bl!ILDlNG 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 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING , Total: Handicapped: ' Compact: Street Improvements: '(vV8G'G88-00S- ~ Sl1Slus::> II ()ITP'i1 111,...,... , ,f.""..... ,._r::.-_"_ _ . .. .....,. - '-' -"1T ~""~ .."''1......,u I PUBLIC IMPROVEMENTS l'U04dSIS! s41 :SION) 'lSlUSO SLI! BUll/SO , sSlnl !l41 jO sSldoo U!Bjqo ABW nOA "0600 - '00- ~(SldewalkcType: , v~v uvv ~~'--'yj OWO-WO-G96 8\>'0 UI ~lOj lSD~Wn'spoutSiDriliils:JiUs::> UOI\BOljljON lII!ln uObelO ell! Aq P<JjdOPB sarriJ MO-"Oj OJ nOA sSl!nbsl Mel uor3SJO :NOI1N3111t Storm Sewer Available: SpeciallnstructioniWTlCE: Notes' THIS PERMIT SHALL EXPIRE IF THE WORK . AUTHORIZED UNDER THIS PER~IT_~S_ NOT COlVlIVltNGtU UK I;:' /-It:"..." .....-.. .. ... ANY 180 DAY PERIOD. I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-37691nspection Line Fee Description + 5% Technology Fee Sidewalk Repair Permit Total Amount Paid Amount Paid $2.33 $46.50 $48.83 Total Value of Project Fees tlWU Date Paid I Plan Reviews I 8/25/09 8/25/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01244 ISSUED: 08/25/2009 APPLIED: 08/25/2009 EXPIRES: 02/25/2010 VALUE: Receipt Number 3200900000000000602 3200900000000000602 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 Reouiretllnsnecthms I Sidewalk - Setback: After forms are erected but prior to placement of concrete. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall he 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. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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 tiy;v:r]:2ML , - Owneror Codf.'actors Signature Paee 2 of 2 g-l5-D9 Date .__." ,.,.... '. ',..., ,'I"'h,J_~.._Ii_1J' ;,','.. '." ,"',' """,~ . N' ..c,.~ " ,', ,.!,-,," ,', LI/!tjoJ.VpnoWf(,!/u ....,...' . .' ..... . ,./",,'c'l;;I;{ ~:~ '~:~'~~"Y?' ,~<~.~~~ ::~;.: , :" ~.:: J~:~~_ ~~:,,:, ;/ L ~~~ .,::~. :,:",:. 't,::'., .;'; :_~~. < .;~:;. .(..~. ~~. ~.:' ;, !~~:. 5~~ : .~..i. ~<; ~>.~ ' . "~: ,:~:~~~:~~~~~;;~~~. ,i{;,:';\,' DRIVEWA Y/SIDEWALK .". ;; :.;~,:>:;.;.: PERMIT :APPLlCATION, J.'i.;'';':;lk~ PERMIT NUMBER (I ~,.- /2--'f<..( DATE ISSUED: APPLICATION DATE: SITE INFORMATION: ADDRESS: LOCA liON-OF \yORK: AP~L1CANT M M. K iA/1 orr.-$P l<,lJb fJlollJ 1'J.7/. C ,,\f' <;('fi-l~[J( G. ~T STATE: ~ PHONE 7i.f1~SZ?6 TAX MAP: ZIP: Q74-'T7 TAX LOl: SUBDMSION: OWNER fv)Mk 4- 15(EI\J<)A ~tIl\i:.ld)f-1Z ADDRESS: 1)..,1 ( :::-1"'. em: ,<;PRtlJb-ftllJI PHONE __LY, 7 --5 2J 3 _ STATEo O~ ZlP: "'I7lj.71 REOUESTED PERMITS: o SIDEWALK: AMOUNT OF SIDEWAlK IN EXCESS OF 90FT. $88.00 @$O,08 SF, ..., $15.50 .. =$ =$ .. = $ Ga' SIDEWALK REPAIR:. o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS_ X,' ... $88.00 151 Cui = $ o MULTIPLE PERMIT DISCOUNT EA: ...__,....(MAX 2) , ...."..,$30,00. 2nd Cui =$..1' IMUl TI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION.!llilY APPUES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK AEPAJAl =$ o 5% Technology Fee $ TOTAL DUE WIT!-! PERMIT $ o PROOF OF INSURANCE; $500.000 MINIMUM IF WORK IS DONE BY PROPERTY OWNER CONTRACTOR INFORMATION: 1_ CONTRACTOR: ibM R.CJ&&C. ADDRESS: CONTRACTOR REGISTRATION NO' PROJECT SUPERVISOR: PHONE: EXPIRA nON DATE: PHONE: INSPECTIONS: AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO pOURING CONCRETE, AFTEA THE PROPOSED WORK HAS BEEN FO AMED AND MADE READYTO POUR. CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) 5T A TE YOUR DESIGINATED CITY JOB NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND VVHEN YOU WILL BE READY FDA INS PECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00AM. WILL BE MADE TIiE SAME DAY, REQUESTS AFTER 7:00A.M. 'vVIlL BE tv.AOE THE NEXT WOAKlNG 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 . 48 HOURS BEFORE DIGGING SIGNATURE: AMOUNT RECEIVED: RECEIPT NO: DATE PAID: RECEIVED BY: By signature, I state and agee, that I have CBfefully examined the completed appUCalion and do he retly cerUIy that aU ;nlcrmation herein is ttue and correct and I further certifY that af!Y and dll work ,Qooormed shall be done In accordance WIth the Ordinances 01 the City of Springlield, applicable City Standard speCifications and Dra'Mnqs, and the laws oUhe Stale oJ Oregon pertaining to Ihe work described herein. I furUler - cerMy lhal,only contractors and employ€es who are in compliance wllh ORS 701.055 WIll be used -. on lhfsp1ojeCl.. The City may inspect!he wOf\< sile described in Ihis permil at ,any time during a one year Period fo flowing Ihe receipt by the City 01 nolice of c~~eliOO ollhe d_escflbed work and.speaty, ai, the City's sole discretion any addl!lonal restorallon work requIred 10 return, the site to a standard accep,table to Ihe Ci . The . permlnee will be not!lied in writing of anylVOl1l reQuired.ind 'Mil have,thlrty oays (3D} lrom Ihe dale 01 the nollce 10 complete Ihework. WOfk not competed at the end 01 lhl:' thIrty days will be pello.'med the CIty and Ihe costs wil be billed to the permllce. II""",, '9'''' 10 e"'""iff' " "~f'l,:f~r'::;o,:~' ,"","",'ed I ,he p'op,;, "me tha' p'o, ,~ add""" "ada~' 'mm ,he "",:'-ya: J~~"'~'""-~- ~: ~-2"cOf . 225 Fiftl1 Street Springfield, Oregon 97477 541-726~3759 Plione'--- Gl!A.~~~:~ -..,---- --------JlL., -'--- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200900000000000602 Date: 08/25/2009 9:46:57AM Paid By MARK SCHROEDER Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 236 J In Person Payment Total: Amount Due 46.50 2.33 $48.83 Job/Journal Number COM2009-0 1244 COM2009-0J244 Description Sidewalk Repair Pennit + 5% Technology Fee Payments: Type of Payment Check Amount Paid $48.83 $48.83 cReceintl Page J of I 8/25/~009