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HomeMy WebLinkAboutPermit Sidewalk 2009-9-29 Status Iss u ed CITY OF ~rKll~lJ-FIELD Building/Combination Permit PERMIT NO: COM2009-01433 ISSUED: 09/29/2009 APPLIED: 09/25/2009 EXPIRES: 03/2912010 VALUE: , . 225 Fifth Streei, Springfield, OR' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 407 W QUlNAL T ST ASSESSOR'S PARCEL NO.: 1703274100101 Springfield TYPE OF WORK: Sidewalk , \ TYPE OF USE: Repair PROJECT DESCRIPTION: Phase 4 of sidewalk repair of 411,441,443,451,453,461,463,48IW. Quinalt, 1759,1743,1735,1725,1717 Pre~cott Lane Residential Owner: HOUSING AUTHORITY & URBAN Address: 177 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 Constructio!l 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' 1 DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: ' Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Notes: NOTICE: , THIS PERMIT SHA . AUTHORIZED UND~~ EXPIRE IF THE WORK COMMENCED OR Ie: A;HIS PERMIT IS NOT ANY, 180 DAY PERioD, ANDONED FOR ATTENTION' 0' . "- _ " . regon law rpnl flrClC> "......., ..._ 1 PUBLIC IMPROVEMENTS Ij;ij;;;ai:;;;c~~~:rl8~ lJy the Oregon Utility , . 01 Ot\D.0J:;,)_('~" ,",f"\.~ lose rules are set forth 0090 Sl,dewalli 'fypeD through OAR 952.001- , IOU may ol:itam copies 01 th calliOownsl'outslDrains: . e rules by v' --, ooe", \"Ule. the tele hon . number lor the. Oregon Utility Notihcatioen Center IS 1-800-332-2344), Street Improvements: Storm Sewer Available: Special Instruction: 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 SPRINLil'l.l!;LD Building/Combination Permit PERMIT NO: COM2009-01433 ISSUED: 09/2912009 APPLIED: 09/25/2009 EXPIRES: 03/2912010 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 Paid I Fee Description : ' + 5% Technology Fee Sidewalk Permit . Sidewalk Permit + Addtl Sq Ftg Amount Paid Date Paid $8.98 $88.00 $91.60 9/29/09 9/29/09 9/29/09 Receipt Number 3200900000000000681 3200900000000000681 3200900000000000681 Total Amount Paid $188.58 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 Reouirerllnsnections I Sidewalk - Curbside: After fnrms 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. . f3~ 51_ / - Owner or Contractors SignaJ,re 09'h..9 hNl9 , Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number. C0M2009-01430 C0M2009-01430 COM2009-0 1430 C0M2009-0 1431 C0M2009-0143I C0M2009"0143I C0M2009-0 1432 C0M2009-01432 COM2009-0 1432 C0M2009-01433 C0M2009-01433 C0M2009-01433 C0M2009-0 1434 COM2009-0 1434 COM2009-0 1434 Payments: Type of Payment Check Change Job/Journal Number COM2009-01430 C0M2009-01430 C0M2009-01430 C0M2009-0 1431 C0M2009-0 1431 C0M2009-0 1431 C0M2009-0 1432 COM2009-0 1432 C0M2009-01432 C0M2009-01433 C0M2009-01433 C0M2009-01433 C0M2009-01434 C0M2009-01434 C0M2009-0 1434 Payments: Type of Payment Check Change cReceintl RECEIPT #: . lh;;fjJ,;'.,. --=-. ' City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000681 Date: 09/29/2009 Description Sidewalk Permit + AddU Sq FIg Sidewalk Permit ( + 5% Technology Fee Sidewalk Permit + Addtl Sq FIg Sidewalk Permit + 5% Technology Fee Sidewalk Permit + AddU Sq Ftg Sidewalk Permit + 5% Technology Fee Sidewalk Permit Sidewalk Permit + AddU Sq FIg + 5% Technology Fee Sidewalk Permit + AddU Sq Fig Sidewalk Permit + 5% Technology Fee Paid By HOUSfNG AUTHORITY HOUSfNG AUTHORITY Item Total: Check Number Authorization Received By Batch Number Number How Received LKW LKW 69466 In Person In Person Payment Total: Description Sidewalk Permit + Addtl Sq FIg Sidewalk Permit + 5% Technology Fee Sidewalk Permit + Addtl Sq Fig Sidewalk Permit + 5% Technology Fee Sidewalk Permit + Addtl Sq FIg Sidewalk Permit + 5% Technology Fee Sidewalk Permit Sidewalk Permit + Addt! Sq Fig + 5% Technology Fee Sidewalk Permit + Addtl Sq Ftg Sidewalk Permit, + 5% Technology Fee Paid By HOUSfNG AUTHORITY HOUSfNG AUTHORITY Item Total: Check Number Authorization Received By Batch Number Number How Received LKW LKW 69466 In Person In Person Payment Total: Page I of! 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 Pajd $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