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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