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Home My WebLink AboutPermit Sidewalk 2009-9-29 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01430 ISSUED: 09/29/2009 APPLIED: 09/2512009 EXPIRES: 03/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1678 KELLY BLVD ASSESSOR'S PARCEL NO.: 1703274100101 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: Repair PROJECT DESCRIPTION: Phase I of sidewalk repair of 1678 & 1696 Kelly Residential Owner: Address: HOUSINGAUTHORITY & URBAN I 77. DAY ISLAND RD . EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type General Primary Contact Contractor License PROFESSIONAL UNDERGROUND SERVICE BRIAN SHAFER Expiration Date Phone 541-343-2238 . 541-682-2584 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 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 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: Notes: NOTiCE' THIS PERMIT S ' \UT!10RIZED HALL EXPIRE IF '(),~1'''IENCED ~~DER THIS PER~~E WORK . .y 180 DA\I PER:g ABANDONED F6~ NOT D. '" 'CN liON I PUBLIC IMPROVEMENTS 101l0w r I .' Oregon fa . "orif II es adnotArj b w reqUires . ICSidewalk Ty,pe: Y the 0 you to In OAR 952_nn-;),el. Ihose ru regon Uti/it 0090. 'DownspotltslDrains:, hies are Set fortYh 'vU In' . "vvg OA' calling the ~~ obtain Copies of R 952-001_ nUmber for th nter. (Note. the tthe rUles by e Oreg (. eleph Center' on Jtllity N ... one . IS .1-eOO-332_2344):ITJcatlon Street Improvements: Storm Sewer Available: Special Instruction: Pa2e I of2 -~~!~+~!!m'~~':"~i\'~'r~~\';" Ji ~l~~ :1"';,:', '. '" ",":';'<' _f:' Status Issued , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01430 ISSUED: 09/2912009 APPLIED: 0912512009 EXPIRES: 03/2912010 VALUE: 225 Fifth Street, Springfield, OR .541-726-3753 Phone 541-726-3676 Fax! 541-726:3769 Inspection Line I V~I~~Ho~ Descri~tion I .'.". Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated '~( Total Value of Project Fe~s P~irl. Fee Description ,. + 5% Technology Fee Sidewalk Permit Sidewalk Permit + Addtl Sq Ftg Amount Paid Date Paid Receipt Number $4.84 $88.00 $8.80 9/29/09 9/29/09 9/29/09 - 3200900000000000681 3200900000000000681 3200900000000000681 Total Amount Paid $101.64 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 Re'luired lnsnections I II I ,,:H I 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 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 construction. 6~SLI._ Owner or Contractors Signatrre t!J9h.C"i~/1"q Date I / Pa2e 2 of2 225,Fifth Street,..,_ .... , Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number.. COM2009-0 1430 COM2009-01430 C0M2009-01430 ,; COM2009-0 1431 COM2009-0 1431 COM2009-0 1431 COM2009-0l432 COM2009-01432 COM2009-01432 C0M2009-01433 COM2009-01433 ,'. C0M2009-01433 COM2009-0 1434 COM2009-0 1434 COM2009-0 1434 Payments: Type of Payment Check Change Job/Journal Number COM2009-01430 COM2009-01430 COM2009-01430 COM2009-0 1431 COM2009-01431 COM2009-0 1431 COM2009-01432 COM2009-01432 COM2009-01432 COM2009-0 1433 COM2009-01433 COM2009-01433 COM2009-01434 COM2009-0l434 COM2009-0 1434 Payments: Type of Payment Check Change cReceiotl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200900000000000681 Date: 09129/2009 Descr:iption 'Sidewalk Permit + Addt) Sq Ftg Sidewalk Permit " + 5,% Technology Fee Sidewalk Permit + Addtl Sq FIg Sidewalk Permii + 5% Technology Fee Sidewalk Permit + Addtl Sq Ftg Sidewalk Permit ,+ 5% Technology Fee Sidewalk Permit .. Sidewalk Permit + Addtl Sq Ftg , + 5% Technology Fee Sidewalk Permit + Addtl Sq Ftg Sidewalk Permit + 5% Technology Fee Paid By HOUSING AUTHORITY HOUSING AUTHORITY Received By LKW LKW Description Sidewalk Permit + Addtl Sq FIg Sidewalk Permit + 5% Technology Fee Sidewalk Permit + Addtl Sq Ftg Sidewalk Permit + 5% Technology Fee Sidewalk Permit + Addtl Sq FIg Sidewalk Permit + 5% Technology Fee Sidewalk Permit Sidewalk Permit + Addtl Sq Ftg + 5% Technology Fee Sidewalk Permit + Addtl Sq Ftg Sidewalk Permit + 5% Technology Fee Paid By HOUSING AUTHORITY HOUSING AUTHORITY Received By LKW LKW Page I of I Item Total: Check Number Authorization Batch Number Number How Received 69466 In Person In Person Payment Total: Item Total: Check Number Authorization Batch Number Number How Received 69466 In Person In Person Payment Total: 10:42:37AM Amount Due 8.80 88.00 4,84 105,20 88,00 9.66 61.20 88.00 7.46 88.00 91.60 8.98 68,00 88.00 7.80 $813.54 Amount Paid $813,59 ($0.05) $813.54 Amount Due 8.80 88.00 4,84 105.20 88.00 9.66 61.20 88,00 7.46 88.00- 91.60 8.98 68.00 88.00 7.80 $813.54 Amount Paid $813.59 ($0,05) $813.54 9/29/2009