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Home My WebLink AboutPermit Sidewalk 2009-11-24 ,__~~~,I.~q~IJ;!-::~,' 1~,",.II~, I I{ , 3f 1Ili:"'...... .' . .:,'.. :' ~ . .. ~ '" .... . ".., .,.' .', ~, Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01691 ISSUED: '11/24/2009 APPLIED: 11/24/2009 EXPIRES: OS/24/2010 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 609 8TH ST ASSESSOR'S PARCEL NO.: 1703351302800 Springlield TYPE OF WORK: Sidewalk TYPE OF USE: Repair PROJECT DESCRIPTION: Repair 5 feet Owner: WILEY MICHAEL A Address: 609 8TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Contractor ROGGE License Expiration Date Phone \. BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type SecolHlary 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 Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a . ".:"":~""- . I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Overlay Vist: Side I Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Srt~~~:TION: Oregon law requires youtbof Lot Coverage: Solar Setb~,~k~:rl n~i",~ adopte,? by the Oregon Utili1}' Street Imi.~~i=~~~~#fJ~~;~~nt'i~~~~~ti~t,MPROVEMENTS I Side~~I':~ype: calling !fie center. (Note: the telephone NOTICE. Ston~ Sewt'tumboiMtle~he. Oregon Utility Notifioation THIS PERMrr sHM.(r~~flfftl~ WORK SpeclallnstructlOnCenter IS 1-aOO-332-2344). AUTHORIZED UNDER THIS PERMIT IS NOT Notes: :;OMMENCED OR IS ABANDONED FOR .:JY 180 DAY PERIOD. Total: Handicapped: Compact: .~:tJ.:. . I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 uf2 Status Issued .; ;~ ., CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01691 ISSUED: 11/24/2009 APPLIED: 11/24/2009 EXPIRES: OS/24/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project !,e~' Paid. Fee Description Amonnt Paid Date Paid Reeeipt Number Tota' Amonnt Paid $0.00 Plan Reviews t' To Request an inspection call the 24 hour re~ording'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 ~~\,,,,ired In~oection' I Sidewalk - Setback: After forms are erected but prior to placement of concrete. By signatnre, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is trne 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 herein, and that NO OCCUPANCY will be made of any structnre withont permission of the Commnnity Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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. ,~ p~. \\--~~~ ,Owner or Contractors s~at<lre - Date :i ,., '. Paee 2 01'2 . , " ,. ". '" '.' ,..', ,:r"b, ,r_~ ,_",,_IJ . .. ' . " ." , ,:', ",t .:' ',' (... "'" -. ~'.' ..:' LJlttjOJ;VpnllQJ,(!gI . t....' ',.' . ':,. " "- _,' ";.....'t~, :':::. ,~_": .'),:':,': ):::.: :C,..;, :>.,' )': '.. ",,:' ':,:.:. .::' ':::>>:;. <> ,,' "., ",:. '. ' ; :..::>;..~;~t; ""::,..DRIVEWAY/SIDEWALK',',;';, ::PERMITAPPLlCATlON ,,:~,:'::'.~\j;' 225 FIFTH STREET SPRINGFIELD. OREGON 97477 ENGINEERING OMS ION OFFICE TELEPHONE 1503) 725.3753 OPi:=:;J ,~ 1I.~c.)<; PERMIT NUMBER: DATE ISSUED: APPLICATION DATE: SITE INFORMATION: LOCATION OF WORK, (M) 'i APPUC'J<T -r "t' 'e.o JJ.Q ADOA!:SS: CI'" <) =I!...\,A STATE, " SUSDIVISION: ONNER: ADDRESS: '/)"I\. :T PHONE 5'11- ';;\7,')07-'<;- TfV: MAP: aR. ZIP: '1,\.17'1 TAX LOT: PHONE: aTY: STATE: ZIP: REOUESTED PERMITS: o SIDEWALK: ',...................,... ..,............,. $88.00 ..................,....., = $ AMOUNT OF SIOEWALK IN EXCESS OF 90FT, @$O,O!I SF. 5..\'+ ,= $ f SIDEWALK REPAIR:...... .................... ..............'....... $15.50 ,......,..........,..,..... = $ o CURB CUTjDRIVEWAY: NUMBER OF DRIVEWAYS_ X..........,........... $8B.00 1st Cut = $ o MULTIPLE PERMIT DISCOUNT EA: . .."..,(MAX 2) ........$30,00 2nd Cut =U' (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION.mL.'x: APPUES TO 2nd AND 3rd PERMITS ONLY, NOT SIDEWALK REPAJAl =$ o 5% Technology Fee $ TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION: )- CONTRACTOR: ~~ \').. ,); R. 0 &-e ~,\~ rj(<..'" \51~ IR ~t G.t.-c-k LLc ADDRESS: PHONE, 5' 1'3-,b 75 CONTRACTOR REGISTRATION NO: PROJECT SUPERVISOR: EXPlRA1l0N DATE: PHONE: INSPECTIONS: AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE: mER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTlONS CALL 726-3769 (RECORDER) STATE YOUR OESIGlNATED CITY JOB NUMBER/PERMlT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND 'v'JHEN YOU WILL BE READY FOR INS PECTlON. CONTflACTOA'S OR OWNER'S N.AME AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7:00 A.M. 'NILL BE MADE THE SAME DAY, REQUESTS AFTER 7:00A.M. WILL BE MADE-THE NEXTWOAKING DAY,INSPECTlONSARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FOAM WORK IS IN PLACE BUT PRIOR TO POURING 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 c.enter "one call number" 811 before digging SIGNATURE: /I /", Iff: MlOUNT AECENED: RECEIPT NO: DATE PAID: RECBVED BY: By signature, I slale and agee, that I have carefully e:camined the COOlpleled appkation and do he reby certi/y thai al informa~on haein is true and correct and I further cet1ifY lhat al'!Y and all work p'ooormed shan bl! done in accordance wilh Ihe OrdinanCES of the City or Springfield, applicable Gitl Slandard speafications and Ora".,.;nqs, and the lam 01 the Slate 01 Oregon pertaining to Ihe 'vVOrk desaibed he-ein, I further cer1ity fha! ,only conlraClors and empoyees who are In compliance 'Mth CRS 701.055 Will be used on lhisprojeCl, The Diy ~ Inspect the ~ site desaibed in this permit at any time during a ene year Pelkx:ll0 nov.ing lhe receipt by the City 01 nollce of ~~etiOO oIlhe ' d_e5Clbed work and spedly, at the City's sole discretioo, any addilicnal, restotalion 'M)f"\o; requtred 10 return U'1e sile to a standard aa:ep'!abie 10 the Ci . The permlnee wiIJ be nolified in wri1ing of any WClOt required and will have thlny days (30) from the dale of Ihe notice fo compIeIe the work Wak not com eled at Ihe end at Ihe thiny days will be perlormea by the City and Ihe costs wiJ be billed 10 Ihe permillee. - , I further agree to ensure that alf required inspections are requesred at the proper lime, that proj ect address is readat:Je from the slreet, and the apploveO sel of plans will remain 00 Ihe sile al all time~ during construcli()(l, . .Signature Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1691 COM2009-0 1691 Payments: Type of Payment Cash cReceintl RECEIPT #: Description Sidewalk Repair Pennit + 5% Technology Fee Paid By TOM ROGGE ~~.,. ~,- City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000774 Date: 11125/2009 I :44:56PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 15.50 0.78 $16.28 Amount Paid Ikw $16.28 $16.28 In Person Payment Total: Page I of 1 11/25/2009