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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