HomeMy WebLinkAboutPermit Sidewalk 2009-10-8
CITY OF SPRINGFIELD
Building/CQm.bination Permit
PERMIT NO: COM2009-01495
ISSUED: .10/08/2009
APPLIED: 10/09/2009
EXPIRES: 0"/08/2010
VALUE:
Status' Issued.... '
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225 Fifth Street;Springfield, OR :
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: . :. '626 F ST
ASSESSOR'S PARCEL NO.: 1703351210600
Springfield TYPE OF WORK: Sideiivalk
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TYPE OF USE: Repair
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PROJECT DESCRIPTION: Si~e'Yalk Repair
Owner: MICHAEL MCCOMB
Address: 626 ' ,
SPRINGFIELD OR"97477
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I CONTRACTOR INFORMATION I
Contractor Type
License
Contractor
BUILDI!"G INFORMATION I
# of Units:
Primary Occnpancy 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: nla
I DEVELOPMENT INFORMATION I
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Frontyard Setback: ;
Side I Setback::.
Side 2 Setback: '
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Residential
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Phone Number: 541-726-4275
,:
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Expiration Date
]1
Phone
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Lot Size:
Sq Ft I~t Floor:
Sq Ft 2'hd Floor:
Sq Ft ~asement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
II
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~i,
, REQUIRED PARKING
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. Total:
Handicapped:
, Compact:
Street Improvements: '
Storm Sewer/Available:
.iVIH 1:"
Special Instruction: . ,
I r1l0.PERMIT SH
Notes: AUT!10RIZEO ALL EXPIRE IF TH
COMMFMf'cn ~~OER (HIS PFRn...,.~::v.ORK
I-I/VY 180 DA\~ P~ER' ['U AI:JANDONII Q ~~.; ...:.. .. I
00. ValuatIon DescrmtlOn
Ai 1 ,,~; I ",)i\l:(lregon law requm~s YOU.:.:'
Sid ..." fI1.l~~dopted 'r:Yf the Or61gon uti I Y
'~otit~~t'on ~n.ter. Those rules are aM ft !.
1 uClJ:~~'i.~otHf'OO1 ~ ~h OAR -~ "\
090. YO'J may ~11'I eopifi of tn. ~
calli..')Q lM C~f'~, (Note: the t~~ I
. t" n_-."", I ",'l\tu NotlfICatll "1
number lor! I~ \Jf'~"",,' ,vI n.:. ' 'l
It'c=. "I .~~I)O-.').,)~ ./:.-.._r~'..,:
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I PU~LIC IMPROVEMENTS I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Page I of 2
Value:'
Date Calculated
Status
Issued
225 Fifth Street;,spring~eld; OR j
541-726-3753 Pho~e; ,.: .
541-726-3676 Fax
, 541-726-3769 Inspection,Line
. . . <;; '":,"'.' .'.' -
. Fee Description :." "
+ 5% Tec~riohigyF:ee. .-
SidewalkRepair Permit
Amount Paid
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$0.78
$15,50
Total AmountPaid
$16.28
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Total Value of Project
F~e~ P~id ~
Date Paid
I Plan Reviews I
CITY OF SPRINGFIELD
I,
Building/C?mbination Permit
PERMIT NO: COM2009-01495
ISSUED: 1'0/08/2009
APPLIED: 1'0/09/2009
EXPIRES: 0~/08/2010
VALUE:
10/9/09
10/9/09 '
Receipt Number
I:
3200900000000000702
3200900000000000702
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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. willi!be made the following
work day.
I ReolJirerl Insnections I
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Sidewalk - Setback: After forms are erected but prior to placement of concrete.
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By signature, I state and agree, that I have,carefully examined the completed application and dn h~reby certify that all
information hereon is true and correct, and I further certify that any and all work performed shalf-be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w,,'rk 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 wiiI remain on the site at all
. times during construction: .
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Owner or Contractnrs Signature
.,
Paee 2 of2
lu/c,/o9
Date
U5,Fifth Street)'. .i
Springfield, Or~~ort97477.:'
541-726-3759 Phone
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Job~Journal Number ~:
COM2009-01495 .,
COM2009-01495
Payments:
Type of Payment
Check
cReceiotl
RECEIPT #:
D:escripti~ri '--:: '::>
.. ; Sidewalk Repair Permit
,+ 5% Technology Fee
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. .;
Paid By
MCCOMB MICHELLE
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City of Springfield Official Receipt
Development Services Department
Public Works Department
'3200900000000000702
Date: 10/09/2009
2:38:36PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
lkw 5756 In Person
Payment Total:
Amount Due
15.50
0.78
$16.28
Amount Paid
$16.28
$16.28
Page I of I
10/9/2009