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Home My WebLink AboutPermit Sidewalk 2009-10-26 Status Iss u ed CITY OF SPRIr"lt.I'lELD Building/Combination Permit PERMIT NO: COM2009-01561 ISSUED: 10/26/2009 APPLIED: 10/26/2009 EXPIRES: 04/26/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726-3676 Fax 541"726-37691nspection Line SITE ADDRESS: 626 F ST ASSESSOR'S PARCEL NO,: 1703351210600 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: Repair Residential PROJECT DESCRIPTION: City Sidewalk Repair Owner: TOCH BRENDAN Address: 642 F ST SPRINGFIELD OR 97477 Owner: EMERSON LISA F Address: 642 F ST SPRINGFIELD OR 97477 , CONTRAnORINFORMA!lON I . Contractor Type General Contractor ROGGE License Expiration Date. Phone BUILDING 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: Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: ' Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: , I eul\L~ IMPROVEMENTS' ATTENTION: Oregon law r&qUlf", .il , Street ImPf81!'5W'l"J~~s adopted by the Oregon Utility S S J\!rW;~nliru1 Center, Those rules are set forth ' torr." e I ();a952~OO1-001 0 through OAR 952,001. SpeC1311nb~~fi:Y'ou may obtain copies of the rules by , calling the center, (Note: the telepho~e Notes, number for the Oregon Utility Notification Center is 1,800,332,2344). Sidewalk Type: N OTI CE :Downspouts/Drains: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ~OMMENCED OR IS ABANDONED FOR ':'1180 DAY PERIOD. Page I of2 " _~~it,jN~~I!lIilil~'", ", --,,,' ,,- ., Status Issued CITY OF SrKli'lGFlELD Building/Combination Permit PERMIT NO: COM2009-0I561 ISSUED: 10/26/2009 APPLIED: 10/26/2009 EXPIRES: 04/26/2010 VALUE: 225 Fifth Street, Springfield, OR 541,726-3753 Phone 541,726-3676 Fax 541-726-37691nspection Line I Va,luation DescriDtion I Description Type of Constroction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees P~id I Fee Description Sidewalk Repair Permit Amount Paid Date Paid Receipt Number $15,50 10/26/09 3200900000000000726 Total Amount Paid $15,50 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. c I ,R,,,fll~ired Jns'lections I Sidewalk -Setback: After forms are erected but prior to placement of concrete, By signature, J state and agree, that I have carefully examined the completed application and do herehy certify that all informatinn hereon is true and correct, and I further certify that any and all work performed shall be dnne 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 withnut permission of the Community Services Divisinn, Building Safety, I furtber 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 tbe front of tbe property, and the approved set of plans will remain on the site at all times during construction. /!:: ~. 6t.~ d~\ DC Owner or Contr~ctors si~4#e' Date Paee 2 01'2 '. ., . ".. . ',.'" ",.'r', ,._" ",--li_IJ ,..., . ,,,. .,' ""'~ _" ,.,l.'" ',.' "...' ....... 'W!jjOp!JpnnlU'C!IU .. "" / '. ,,". ,..,.,,,,:,'"':1 ~.? :,/ _ . r ': ~~..: :""":, . :1:' . <:..\ ~,~. ,'( ~'~ ,.~~: ~~:r~. : ~ :: .'~~",~..1.::_' ~ ~--:;~~:\ "~' ~:':':~::~: <: .~: ~.- i -, ~ -'.~.'~ ~,:>"~{:f~~~~t~( "),:/ 'DRiVEWAY/SIDEWALK .... . ':,::, '~';PERMIT APPLIcAtiON -' /:':::~3~ 225 FIFTH STREET 'P!:~ ~ SPRINGFIELD"OREGON 97477 ~ ENGINEERING DIVISION . OFFICE TELEPHONE (503) 726'3:53j. $ APPLICATION DATE /O/~~/O Cj PERMIT NUMBER: DATE ISSUED: (1'1' _ /6&/ /t) 12C'/0<;, SITE INFORMATION: LOCATIONOFWORKo 1..J.1, +-' APPUCANT --I t.MA. Q~J f(<- ADDRESS \)., {\i' r--.......':. '\\vJ an ~D ~tcA STATE L SUBDlVlSJO~; S~ PHONE 5-'-:' -} 015 <;\-- TAX MAP' 47417 ZIP; TAX LOT: OWNER: ADDRESS: M,-c.LU. W\t(('M~ PHONE: CITY: STATE: ZIP: REOUESTED PERMITS: o SiDEWALK:..... ................... AMOUNT OF SIDEWAlK IN EXCESS OF 90FT, o SIDEWALK REPAIR:............1.o....:f.rk...,...... o .. ............. $88.00 @$o.oil SF. $15.50 ......... ........... ~$ ~$ .......... ~$ IS-$"O CURB CUT/DRIVEWAY: NUMBER OF ORIVEWAYS_ X ..,... $88.00 1st Cui ~ $ o MULTIPLE PERMIT DISCOUNT EA: ,...o...(MAX 2) .......$30.00 2nd Cut ~$J (MUlTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTlON ~ . APPUES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAJAl ~l o 5% Technology Fee $ TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERl'l'OWNER CONTRACTOR INFORMATION: \- CONTRACTOR: ~""Q"(r I';" (~ '\..l-..\\~ <;:-!- ,,(R & I~~S I'i\ EXPIRATION DATE: ADDRESS: PHONEo ~<.-I~ CONTRACTOR REGISTRATION NO: PROJECT SUPER\11SOR: PHONE: INSPECTIONS: I AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HA.S BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIOEWAU< INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR OESIGINATED CITY JOB NUMBER/PERM1T NUMBER. Joe ADDAESS,TYPE OF INSPECTlONREOUESTED, AND V'lHEN YOU WILL BE READY FOR INS PECTlON, CONl'RACTOA'S OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECENED BEFORE 7:00 AM. WILL BE MADE THE SAME DAY, REQUESTS AFTER 7:00A.M. WILL BE MADE THE NEXT WORKING DAY. !NSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PlACE BUT PRIOR TO POURJNG CONCRETE. D Single driveways serving single -family and duplex dwellings shall be paved for the first 18 feet when abutting a curb and gutter. 4.2-2(3) You are required to call utility notification center "one coli number" 811 before digging SIGNATURE: AMOUNT RECEIVED: RECEIPT NO: /t/&- /O/;l6/C' c'/ // rnfOr:~hA-n() '~Jf _ DATE PAID: RECEIVED BY: By signature, r sll'lle and ageellhatI haye carefully examined the completed appfica!ion and do he reby certify thai all information herein is ttue and correct and! funher certifYlha_ any and all work,Qerformed shaff be done in accordance,wilh Ihe OrdInances of the ptv of Springfield, applica6le Gltl Slandard speafications and Drawinqs. and the laws of the Stale of Oregon pertaining 10 lhe 'NOrk described herein, I further certify Iha! .only contractors and empoyees who ate In ccmplianc:e with GRS 701.055....,11 be used 01'1 this Pfoject. . T!1e Cily may inspecUhe work site dllsaibed in lhls permit at any time during a one year Period fo RClW'iI,g Ihe receipt by lhe City 01 nollce of CO"Tl~lelion oIlhe descnbed \"fOrk andspeaty, at_the Oty's sole discrelloo, any addiUonalresloration work required 10 relurn the site 10 a standard aCC€p'lable 10 the Ci ,The perffilnee W111 be notIfied in wntlng of any work required and will haye Ihu1y days (30) Irom the dale 01 Ihe nOIIce 10 complete lhe work. Work not camp eled allhe end of Ihe lhirly days will be pert()(mea by the City and lhe cosls will be biUed to tlie permillee, ' . f further agree (0 ensure Ihel aJ( required Inspections are requesred at toe proper ~me rhal prOI eel Bdd-ess is readable from lhe '-:~~f'."'.".._~- o. OJ. .21;,0' 225" Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1561 COM2009-0 1561 Payments: Type of Payment Cash cReceintl RECEIPT #: Description Sidewalk Repair Penn it + 5% Technology Fee Paid By THOMAS ROGGE City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000728 Date: 10/26/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm In Person Payment Total: Page 1 of 1 8:14:46AM Amount Due 15.50 0.77 $16,27 Amount Paid $16.27 $16,27 10/26/2009