HomeMy WebLinkAboutPermit Sidewalk 2009-9-29
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01431
ISSUED: 09/29/2009
APPLIED: 09/25/2009
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: 1708 PRESCOTT LN
ASSESSOR'S PARCEL NO.: 1703274200100
Springfield TYPE OF WORK: Sidewalk
PROJECT DESCRIPTION:
TYPE OF USE: Repair Residential
Phase 2 of sidewalk repair of 1708,1722,1730,1738,1748,t'756 Prescott, 517,527 W
Quinalt,1461,1459,1441,1429,1427,1407,1405 McPherson Street
Owner: HOUSING AUTHORITY & URBAN
'Address: "300W FAIRVIEW DR
SPRINGFIELD OR 97477
Contractor Type
General
Primary Contact
I. CONTRAC~ORINFORMATlON I
Contractor License
, PROFESSIONAL UNDERGROUND SERVICE
BRIAN SHAFER
Expiration Date Phone
541-343-2238
541-682-2584
, B~ILDING INFORMATION I
# of Units:
Primary Occnpancy 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Notes:
NOTICE: '
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 1 SO DAY PERIOD.
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: ' Compact:
% of Lot Coverage: ,
ATTENTION: Oregon law requires you to
fOI/OI/\/ r"lIlae o:lrln...L....-J 1.... H ~
~. ."..... . . -J ...- ...........~\Jll UlIlllY
1 PUBLIC IMPROVEMENTS.I.atlon Center, Those rules are set forth
. . 1 952-901-0010 through OAF1952-001-
0090, You Sldewalk,Type"1 f th
.. '.....1 ....... \Yl I . ""Vl" es 0 e rule~ b
calling tr^ ~on'M '" h." t I 0 Y
nu b f DownspoutslDrams:3 e ephone
ITl er or the Oregon Utility Notification
, Center IS 1-800-332"2344).
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Pa2e I 01'2
-,.6,f~~~~~!~{
" ,.' _....~
....,'".....,..,i'."l. '"
\: ' ~,
",~~ , iB:t ~~,
.,...'.. " ., ' ~,_"~'""f
CITY OF ~I'Kll'\ilj...ELD
Building/Combination Permit
PERMIT NO: COM2009-01431
ISSUED: 09/29/2009
APPLIED: 09/25/2009
EXPIRES: 03/29/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax.
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description
:-. Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
r Fees P3irl I
Fee Description
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
Amount Paid
Date Paid
Receipt Number
$9.66
$88.00
$105.20
9/29/09
9/29/09
9/29/09
3200900000000000681
3200900000000000681
3200900000000000681
Total Amount Paid
$202.86
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.
1 R~ouir~rl Tnsnec,tions,J
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 011 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.
E~ SLI,_
Owner or Contractors Signatur~
09,1.,.., h"" 9
#" '
Date
Pa2e 2 of 2
225 Fifth Street~:
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number."
COM2009-01430
COM2009-0 1430 .'
COM2009-0 1430
COM2009-01431
COM2009-01431
COM2009-0 1431
COM2009-0 1432
COM2009-01432
COM2009-0l432
COM2009-01433
COM2009-01433 '
COM2009-01433
COM2009-01434
COM2009-01434
COM2009-0 1434
Payments:
Type of Payment
Check
Change
Job/Journal Number
COM2009-01430
COM2009-01430
COM2009-0 I 430
COM2009-01431
COM2009-01431
COM2009-01431
COM2009-0 1432
COM2009-01432
COM2009-01432
COM2009-01433
COM2009-0 1433
COM2009-01433
C0M2009-0 1434
COM2009-0l434
COM2009-01434
Payments:
Type of Payment
Check
Change
cReceintl
RECEIPT #:
3200900000000000681
Date: 09/29/2009
. :Qescription
Sidewalk PermIt + AddU Sq FIg
: Sidewalk Permit
+ 5% Technology Fee
Sidewalk Permii + AddU Sq FIg
Sidewalk Permit
+ 5% Technology Fee ,,'
, Sidewalk Permit ;1- Addtl Sq Ftg
,'Sidewa1k Permit,
+ 5% Technology Fee
Sidewalk Permit
"Sidewalk ~ermit + Addtl Sq Ftg
+ 5% Technology Fee
Sidewalk Permit + AddU Sq Ftg
Sidewalk Permit
+ 5% Technology Fee
Paid By
HOUSING AUTHORITY
HOUSING AUTHORITY
Received By
LKW
LKW
Description
Sidewalk Permit + AddU Sq Ftg
Sidewalk Permit
+ 5% Technology Fee
Sidewalk Permit + Addtl Sq FIg
Sidewalk Permit
+ 5% Technology Fee
Sidewalk Permit + Addt! Sq FIg
Sidewalk Permit
+ 5% Technology Fee
Sidewalk Pemiit
Sidewalk Permit + AddU Sq FIg
+ 5% Technology Fee
Sidewalk Permit +' Addt! Sq Ftg
Sidewalk Permit
+ 5% Technology Fee
Paid By
HOUSING AUTHORITY
HOUSING AUTHORITY
Received By
LKW
LKW
Page 1 of 1
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