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HomeMy WebLinkAboutPermit Sidewalk 2009-9-29 --=,.,""''',. , .::1..A'.;(." ,". .,. ..... _"~ ;~,,l..;,:~..,,.;?",,,., ,,~~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01432 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 541-726-3769In~pection Line SITE ADDRESS: 606 FAIRVIEW DR ASSESSOR'S PARCEL NO.: 1703274200100 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Phase 3 Sidewalk repair of 1426,.\428,1440,1442,1458,14601472 McPherson Street Owner: HOUSING AUTHORITY & URBAN Address: 300 W FAIRVIEW DR SPRINGFIELD OR 97477 Contractor Type General Primary Contact I CONTRACTOR INFORMATION I 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 REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: ATTENT/ON' follow ' Oregon law r . Nnt;t;M~,~'e~ adopted bv thce~~~es you to OA ........IH~I Ino iO:J-"VUlHY 1 PUBLIC IMPROVEMENTS:I) R 952-001-0010 th se rules are set forth , 90, You mO.l _ h+' rough OAR 952 OOj callilSidewal1i Type':l copies of the /' - nUm ~"'"'' center. (Note' ru es by bDoWns'poutslDrains: " the telephone C '-"V" ut/llty N '. enter is j -eOO-33 otlf/cation 2-2344). Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ' Street Improvements: Storm Sewer Available: Special Instruction: Notes: NOTICE: ig~~~~~ ~%~!iA~~~:!~:~~~t~~; ANY 180 DAY PERIOD. Pa2e I of 2 Status ' Issued. :;; 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01432 ISSUED: 0912912009 APPLIED: 09/25/2009 EXPIRES: 03129/2010 VALUE: 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 Fees P3id I Fee Description . + 5% Technology Fee Sidewalk Permit Sidewalk Permit + Addtl Sq Ftg Amount Paid Date Paid Receipt Number $7.46 $88.00 $61.20 9/29/09 9/29/09 9/29109 3200900000000000681 3200900000000000681 3200900000000000681 Total Amount Paid $156.66 I Plan Reyiews 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 ~~nuir~d Insnectinns 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 Signatu~e '0.,. f9/-z,O()9 Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "!'~,~"-,'!'-'>_--"'.'.".. ......',' I" ., 111:, Ii " -" .. . t . .~ - , '-'.." , -~"~"" .,' "" ., ," -" City of Springfield Official Receipt Deyelopment Services Department Public Works Department Job/Journal Number-:; COM2009-0 1430 COM2009-0 1430 COM2009-01430 COM2009-0143I COM2009-0l43 I COM2009-0 1431 COM2009-01432 COM2009-01432 COM2009-01432 COM2009-01433 COM2009-01433 COM2009-0l433 COM2009-0 1434 COM2009-0 1434 C0M2009-01434 Payments: Type of Payment Check Change Job/Journal Number COM2009-0l430 C0M2009-01430 COM2009-0 1430 COM2009-0143I COM2009-0143I COM2009-0l43 1 COM2009-0 1432 COM2009-01432 COM2009-0l432 COM2009-0l433 COM2009-0l433 COM2009-01433 COM2009-0l434 COM2009-0l434 COM2009-0 1434 Payments: Type of Payment Check Change cReceintl RECEIPT #: 3200900000000000681 Date: 09/29/2009 Description Sidewalk Pennit+ Addt] Sq Ftg Sidewalk Penn it . + 5% Technology Fee Sidewalk Penn it + Addi] Sq FIg Sidewalk Pennit + 5% Technology Fee Sidewalk Pennit + Addtl Sq FIg Sidewalk Pennit . + 5% Technology Fee Sidewalk Pennit Sidewalk Penn it + Addtl Sq Ftg + 5% Technology Fee Sidewalk Pennit + Addtl Sq Ftg Sidewalk Penn it + 5% Technology Fee Item Total: Lheck Number Authorization Received By Batch Number Number How Received Paid By HOUSING AUTHORITY HOUSING AUTHORITY LKW LKW Description Sidewalk Penn it + Addtl Sq FIg Sidewalk Pennit + 5% Technology Fee Sidewalk Penn it + Addtl Sq FIg Sidewalk Penn it + 5% Technology Fee Sidewalk Pennit + AddU Sq FIg Sidewalk Penn it + 5% Technology Fee Sidewalk Pennit Sidewalk Pennit + Addtl Sq FIg + 5% Technology Fee Sidewalk Pennii + AddU Sq Ftg Sidewalk Pennit + 5% Technology Fee Paid By HOUSING AUTHORITY HOUSING AUTHORITY Received By LKW LKW Page I of I 69466 In Person In Person Payment Total: Item Total: (;heck 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