HomeMy WebLinkAboutPermit Sidewalk 2009-9-29
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01434
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: 140 FAIRVIEW DR'
ASSESSOR'S PARCEL NO.: 1703274100101
Springfield TYPE OF WORK: Sidewalk
, TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: Phase 5 of sidewalk repair of 140,142,160,162,170,172,190,192, 200, 202 Fairview,
1660,1654 1649,1641,Water Street, 155,145,136,126 Olympic,1620,1610,1557,1549
First Street
"
Owner: HOUSING AUTHORITY & URBAN
Address: 177 DA Y ISLAND RD
EUGENE OR 97401
Contractor Type
General
Primary Contact
1 C~NTRACTOR INFORMATION I
Contractor License
PROFESSIONAL UNDERGROUND SERVICE
BRIAN SHAFER
Expiration Date Phone
541-343-2238
541-954-6394
BUILDING INFORMA nON 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 DEVELOPMENTINFORMATlON 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:
Street Improvements:
I PUBLIC IMPRO~EMENrSJIJ: Orego'n law requires you to
IUIIUW rur..:; ador.'S,.od-i h"lkl"T^ Orp.gon Utility
N t'f' . C I ewa ype.
01 Icatlon enter. I nose ruleS are set forth
in OAR 852-001-0miwnspo'!.t's/Drains~2-001-
0090, You may oblain copies of the rules by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Storm Sewer Available:
Special Instruction:
NOTICE:
Notes: THIS PERMIT S
AUTHORIZED U~ALL EXPIRE IF THE WORK
COMMENCED OR ~~~~~IIS PERMIT IS NOT
,NY 180 DAY PERIOD . VDONED FOR
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 SP<<.m\..1<lELD
Building/Combination Permit
PERMIT NO: COM2009-01434
ISSUED: 09/29/2009
APPLIED: 09/25/2009
EXPIRES: 03/29/2010
VALUE:
, ~.,
I Valuation Description'l
Description
Type of Construction
$ Pe~ Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
.Date Calculated
Total Value of Project
Fees Pairl I
Fee Description
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
Amount Paid
Date Paid
Receipt Number
$7.80
$88.00
$68.00
9/29/09
9/29/09
9/29/09
3200900000000000681
3200900000000000681
3200900000000000681
Total Amount Paid
$163.80
Plan Reviews I
To Re.quest 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~ouirerl I~snections 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 ofthe 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 contract\,rs 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~ SLf-
Owner or Contractors signatdre
miCJI'Loo9
, ,
Date
Pa2e 2 of2
225 Fifth Street'
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number"
COM2009-0 1430
COM2009-01430
COM2009-0 1430
COM2009-0 1431
COM2009-0143 I
COM2009-0 1431
COM2009-01432
COM2009-0 1432 "
C0M2009-01432
COM2009-01433
COM2009-01433
COM2009-01433
COM2009-0 1434
COM2009-0 1434
COM2009-01434
Payments:
Type of Payment
Check
Change
Job/Journal Number
COM2009-0l430
COM2009-01430
COM2009-01430
COM2009-0l43 I
COM2009-0l431
COM2009-0143I
COM2009-01432
COM2009-0 1432
COM2009-01432
COM2009-01433
COM2009-01433
COM2009-01433
C0M2009-01434
COM2009-01434
COM2009-01434
Payments:
Type of Payment
Check
Change
cReceiotl
RECEIPT #:
3200900000000000681
Date: 09/29/2009
Description
Sidewalk Penni\ + Addtl Sq Ftg
Sidewalk Pennit
+ 5% Technology Fee ,
Sidewalk Pennit+ Addtl Sq Ftg
. Sidewalk Penn it
'+ 5% Technology Fee
Sidewalk Pennit + AddtI Sq Ftg
, ,Sidewalk Pennit
+ 5% Technology Fee
Sidewalk Pennit
Sidewalk Pennit + Addtl Sq Ftg
+ 5% Technology Fee
Sidewalk Penn it + Addtl Sq FIg
Sidewalk Pennit .
+ 5% Technology Fee
Paid By
HOUSING AUTHORlTY
HOUSING AUTHORlTY
Received By
Item Total:
Check Number Authorization
Batch Number Number How Received
LKW
LKW
69466 In Person
In Person
Payment Total:
Description
Sidewalk Pennit + Addtl Sq Ftg
Sidewalk Pennit
+ 5% Technology Fee
Sidewalk Pennit + Addtl Sq Ftg
Sidewalk Pennit
+ 5% Technology Fee
Sidewalk Pennit + Addtl Sq Ftg
Sidewalk Pennit
+ 5% Technology Fee
Sidewalk Penn it
Sidewalk Penn it + Addtl Sq Ftg
+ 5% Technology Fee
Sidewalk Penn it + A<)dtl Sq Ftg
Sidewalk Penn it
+ 5% Technology Fee
Paid By
HOUSING AUTHORlTY
HOUSING AUTHORlTY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
69466
LKW
LKW
In Person
In Person
Payment Total:
Page I of I
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