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