HomeMy WebLinkAboutPermit Sidewalk 2009-12-31
Status
Issued
CITY OF SPRINCFIELD
Building/Combination Permit
PERMIT NO: COM2009-01853
ISSUED: 12/31/2009
APPLIED: 12/31/2009
EXPIRES: 06/3012010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 760 A ST
ASSESSOR'S PARCEL NO,: 1703354201500
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Sidewalk repair of 44feet
Owner: MCVICKER DELL ROBERT
Address: PO BOX 373
GROVELAND CA 95321
I CONTRACTOR INFORMATION I
Contractor Type
Medical Gas
Contractor
VIRGIL MCVICKER
I BUI~D1NG INFORMATION'
License
Expiration Date Phone
# 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 Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees ~'!!!' Handicapped:
Paved Drive R!fW,TENTrON' 0 - Compact:
% of Lot CovlPl1iaw rules' regon law re '
Notification c adopted by the gUlres you to
.''!, Q_~:'u~~ter. T~_~:_::~on Utili'"
I PUBLIC IMPRO\li_~, 1'f1f811ay ob~~? thro~9h OAR e9~~~ forth
\," ".3 ce n cop/esg'th 001_
nUmber tor th n~et/'ildlieTYREj't e rules by
C e or;wo "," e/ephene
enter jail O'\\~~NOlnicatie
32-2344), Il
Street Improvements:
Storm Sewer Available:
S 'I I' .trn-r:n...
pecla us ructlO.n;;:
Notes: ~HIS PERMIT SHALL EXpiRE IF THE WORK _
"UTHORIZED UNDER THIS PERMIT IS NOT
Iir\ II t, n,..~,......-_ _ _ _
AN\;;'ao'DAY PER;~;0f\I~UU'~1:;~aDation Descrirrtion ,
Hescription
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I853
ISSUED: 12/3112009
APPLIED: 12/31/2009
EXPIRES: 06/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769Inspectio~ Line
Total Value of Project
, Fees Paid'
Fee Description
+ 5% Technology Fcc
Sidewalk Permit
Amount Paid
Date Paid
Receipt Number
$4.40
$88,00
12131109
12/31109
3200900000000000836
3200900000000000836
Total Amount Paid
$92,40
I Plan Reviews ,
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. '
Reouired Insr,ections ,
" ,
Sidewalk - Setback: After forms are erected but prior to placement of concrete,
By siguature, 1 state and agree, that I have carefully examined 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 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 structure without permission of the Community Services Division, Building Safety,
1 further certify that only contractors and employees who arc 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 the front of the property, and the approved set of plans will remain on the site at all
times during construction.
ow..:.:Eo..,J~p\
()-~l-O)
Date
'"
Page 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
CredilCard
cReceintl
RECEIPT #:
Description
Sidewalk Repair Penn it
+ 5% Technology Fee
Sidewalk Pennil
+ 5% Technology Fee
Paid 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 B~tch Number Number How Received
Ikw
022823 . In Person
Payment Total:
Page 1 of 1
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