HomeMy WebLinkAboutPermit Sidewalk 2009-9-29
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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
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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