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