HomeMy WebLinkAboutPermit Curb Cut 2009-10-15
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009"0]513
ISSUED: 10/]5/2009
APPLIED: ]0/]4/2009
EXPIRES: 04/]5/20]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 606 D ST
ASSESSOR'S PARCEL NO.: 1703352407700
Springfield TYPE OF WORK: Cnrbcnt
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Secondary driveway.
Owner: SCHAMBER ALVIN D & ROSEMARY
Address: 606 0 ST
SPRINGFIELD OR 97477
I CO,NTRACT,OR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone'
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 Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPM~NT 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:
I PUBLIC IMPROVEMENTS I
Street Improvements: \ es yoU to N"'~'~'" Sidewalk Type:
\ w requ r '\'iY - "..-. L EXPIRE IF THE
Storm Sewer ~'1~W~ON: orereO~ b~ the Oregon U~~rth THIS ~~~JrO'~8"B!'J!1~~lIllB:
Special Instr%\iBw rules adop ihOse rules are s~~-O01. ~~:MIT IS NOT COMMENCED OR IS
NotilicatiO\1 C~~:~~1 0 througtl OA~ 9rules by ABANOONeo FOR ANY 180 DAY PERIOD.
Notes: in OAR 952-0 btain caples 01 t e "'one
Y u may 0 . the telep"
nnqO. o_a....... 'Note. _. ,..~~~,,~tinn
caBlng 1I1" th~Oregon UII\ll'l ..~_.. ,
number6~~ter is 1_800-332-~~a~itation DescriDtion ,
$ Per Sq Ft Square Footage
6r multiplier or Bid Amount
Description
Type of Construction
Value
Date Calculated
.:1
Page I of2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01513
ISSUED: 10/15/2009
APPLIED: 10/14/2009
EXPIRES: 04/15/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726"3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
Overwidth Application Fee
+ 5"10 Technology Fee
Curbcut Permit
Amount Paid
Date Paid
Receipt Number
$45.00
$4.40
$88.00
10/14/09
10115109
10/15/09
3200900000000000707
1200900000000001152
1200900000000001152
Total Amount Paid
$137.40
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.
I Relluired Insneetions I
Sidewalk - Setback: 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 berein, 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 ou the site at all
times dUfing const~uction.
(lK IY rtk:~k
7(/ .....
Owner or Contractors Signature
(0/1:,109
Date
Page,2 of 2
225'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1513
COM2009-0 1513
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Curbcut Pennit
+ 5"10 Technology Fee
Paid By
ALVIN SCHAMBER
City of Springfield Official Receipt
Development Services Department
Pilblic Works Department
1200900000000001]52
Date: 10/15/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
LKW
184330 In Person
Pay~ent Total:
Page I of I
1:19:16PM
Amount Due
88,00
4.40
$92.40
Amount Paid
$92.40
$92.40
10/15/2009