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HomeMy WebLinkAboutPermit Sidewalk 2009-12-31 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I851 ISSUED: 12/31/2009 APPLIED: 12/31/2009 EXPIRES: 06/30/2010 . VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 935 LOCHA VEN AVE ASSESSOR'S PARCEL NO,: 1703272400300 Springfield TYPE OF WORK: Sidewalk TYPE OF USE:, Repair Residential PROJECT DESCRIPTION: Sidewalk Repair Owner: Address: GORDON JEFFREY A & WENDY L 935 LOCHA VEN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Contractor TOM ROGGE License Expiration Date Phone , BUI,L?ING 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:rype: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I 'J':' REQUIRED PARK'ING Frontyai.d Setback: Side ,I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive R'l.d\TTENTlON: Oregon law reqJiiompact: % of Lot Cove.t:ll!l>lw rules adopted by the 0 as you to NOtification Cente~ Th regon UtlllIy in OAR 0"" nn. ^^'1- ..ose rules are set Nrth _'n-- .- ,:"""vu!JIIUAI11152-o01. I PUBLIC IMPROVt.m'EN'ffll1lf may obtain copies ofthe , h" , d P,le ceJ}!JlJ iN ru es v~ . number for thll't:1t~lIlR~R~e telephone CenterDt,,~J:~ty ,Notification . 284l4). Street Improvements: Storm Sewer Available, Special Instruction: . ,. ,.;,';IT SHlllL EXPIRE IF THE WORK Notes: ;::.c[fl UNOER THIS PERMIT IS NOT ,,:::'i,;,-!,g,FIi OR IS ARA~lnn~IFn FOR di'N IDO O(\Y PERIOD, ' I Valua!ionDescriotion I Description Type of Constroction $ Per Sq Ft or multiplier Square Footage or Bid Amount Valne Date Calculated Pa~e 101'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01851 ISSUED: 12/31/2009 APPLIED: 12/31/2009 EXPIRES: 06/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726"3769 Inspection Line Total Value of Project ~,eef P~id I Fee Description + 5% Technology Fee Sidewalk Repair Permit Amount Paid Date Paid Receipt Number $3.10 $62,00 12/31/09 12/31109 3200900000000000836 3200900000000000836 Total Amount Paid $65,10 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 Reollired Insnections I Sidewalk - Setback: After forms are erected but prior tu placement of concrete, ""' . e. f ~. "1': By signature, I state and agree, that I have carefully~~'amined 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 berlone 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 ofany 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 011 this project, I further agree to ensure that all required inspections are requested at the proper time, ihat each addressis 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. ~r:: ~ Id.-- 3\-C)7 Owner or Conti'actors ~I)ature Date ,,~ -:' ,,' Pa2e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number. COM2009-0 1851 COM2009-0 1851 COM2009-0 1853 COM2009-0 1853 Payments; Type of Payment CreditCard cRcceintl RECEIPT #: Description Sidewalk Repair Permit + 5% Technology Fee Sidewalk Penn it + 5% Technology Fee raid By TOM ROGGEE City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000836 Date: 12/31/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 022823 In Person Payment Total: Pa"e 1 of I 1:18:18PM Amount Due 62,00 3,10 88,00 4.40 $157,50 Amount Paid $157.50 $157,50 12/3 1/2009