HomeMy WebLinkAboutPermit Sidewalk 2009-12-11
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54/-726-3676 Fa,
541-726-3769 Inspection Line
CITY OF I'lYKINGFIELD .
,
Building/Combination Permit
PERMIT NO: COM2009-01782
ISSUED: ,12/11/2009
APPLIED: 12/14/2009
EXPIRES: 06/Il/201O
VALUE:
SITE ADDRESS: 294 S 35TH ST
ASSESSOR'S PARCEL NO,: 1702313107200
Springfield TYPE OF WORK: Sidewalk
PROJECT DESCRIPTION: Repair 3 sidewalk panels
Owner: HICKS BARBARA L
Address: 294 S 35TH ST
SPRINGFIELD OR 97478
Owner: JOHNSON SHARIE L
Address: 294 S 35TH ST
SPRINGFIELD OR 97478
TYPE OF USE: Repair
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
Expirati()U Date Phone
License
. B,UlLDlNG INFORMATION I
# of Units:
Primary Occupancy Group:
Secondai'y 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:
n/a
Lot Size:
Sq Ft 1St Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occup~nt Load:
I DEVELOPMENT INFORMATION I
Fronlyard Setback:
Side / Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
, ,_, , # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
,ATTENTION: Oreg~M~RQVEMENTS I
, ,ollow rules ado ted'Dv"i'!i8"'Or'ili, '
Street Improvements: Notification Centt, Th y t e Oregon Utility
In OAR 95 . Ose rules are set forth
Storm Sewer Availab'lloeo Yi 2-001-001~through OAR 952-001,
Spedallnstruction: call" ouhmay obtain Copies of the rules b
Ing t e center (Not 'th Y
number f ,e, e telephone
Notes: Cor the Oregon UtJlltv 111"'i""Ct'" '
enter is 1-800-330_2'0"' "~\," I
L.. _u.,.-t) ,
, Page 1 of 2
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutsiDrains:
. 'i''-f(:'::'
. . '.J'_.
:I,f:,;.~~MIT SHALL EXPIRE IF THE WORK
'~:' ~:':L,ED UNDER THiS PERMIT IS NOT
1 ,1dJCED OR is ABANDONED FOR
, 1.S0 DAY PERiOD,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permi,t
PERMIT NO: COM2009-01782
ISSUED: 1211112009
APPLIED: 12/14/2009
EXPIRES: 06/11/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Descrilltion
TVlle of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value o[Project
Fees Paid'
$1.55
$31.00
12/14/09
12/14/09
Receipt Number
2200900000000001380
2200900000000001380
Fee Description,
, + 5% Technology Fee
Sidewalk Repair Permit
Amount Paid
Date Paid
Total Amount Paid
$32.55'
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 ~~?~i~e~ In,~12,~ctio~..~ I
Sidewalk - Curbside: After forms :Ire erected but prior to placement of concrete.
By signature, I state and agree, that I have carefully examined the completed application and do h~reby 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 herein, and
that NO OCCUPANCY will be made of any structnre without permission of the Community Services Division, Building Safety.
I further certify that ouly 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 a~dress 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. "
~ {2/X{ 1:L-ILJ-O"J
Owner or contract;:s ~.are' -----, Date
Paee 2 of 2
225 Fifth Street
Springfiel,d, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1782
COM2009-0 1782
, Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Sidewalk Repair Permit
+ 5% Technology Fee
Paid By
TOM ROGGE
~
~
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001380
Date: 12/14/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How; Received
Ikw 086494 In Person
Payment Total:
"
Page 1 of 1
1:57:I7PM
Amount Due
31.00
1.55
$32.55
Amount Paid
$32,55
$32,55
12/] 4/2009