HomeMy WebLinkAboutPermit Sidewalk 2010-1-8
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Status
Issued
CITY VI' ~rRINGFIELD
Building/Combination Permit
PERMIT NO: <t:OM2010-00032
ISSUED: 0110812010
NOTICE: APPLIED: 01/0812010
THIS PERMIT SHALL EXPIRE IF THE Wim~IRES: 07/08/2010
AUTHORIZED UNDER THIS PERMIT IS MfUE:
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Springfield TYPE OF WORK: Sidewalk
SITE ADDRESS: 407 CST
ASSESSOR'S PARCEL NO.: 1703352413500
TVPE OF USE:
Residential
PROJECT DESCRIPTION: 55 ft of sidewalk replacement
Owner: BERGER JEFFREY NEAL & CAROL LEE J
Address: 407 C ST
SPRINGFIELD OR 97477
I CONTRACTOR tNFORMA TION 1
Contractor Type
Contractor
License
Expirati~n Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other: .
Occupant Load:
nla
I DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:'
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: ,
ATTENTION: Oregon law requires you to
J~H:J':: r~!gG ']':",...~t",.I h:, tho n.t.e.,um IJtility
I PUBLIC IMPRCfftH~~B Jenter. Those rules are set forth
If I v,-m ""....501-00)0 through OAI'l952-001-
0090. You may o~~r!i~Rlf.the rules by
" , ' calling the centlYo"lJ;J;\\\ll;ttlm~.\'p:ho~e \
. number for the OregonUtlnlYN'clYification
, Center is 1-800-332-2344).
, Total:
, Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Setback 5'
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calcnlated
Page 1 of2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Une
Fee Description
+ 5% Technology Fee
Sidewalk Permit
Total Amount Paid
Total Value of Project
Fees Paid 1
Amount Paid
Date Paid
CITY, OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00032
ISSUED: 01/08/2010
APPLIED: 01108/2010
EXPIRES: 07/08/2010
VALUE:
Receipt Number
2201000000000000014
2201000000000000014
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.
$4.40
$88.00
1/8/10
1/8/]0
Sidewalk -'Setback: After forms are erected :~_j:t prior to placement of concrete.
$92.40
Plan Reviews I.
I, Ref.ui.red Ins'~eetion,~ 1
"
By signature, I state and agree, that 1 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 OCCUP ANCV will be made of any structure without permission of the Community Servi~es Division, Building Safety.
I further certify that only 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'ddres!! 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.
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Owner or~ltractors Sigrpr~
, Page 2 of 2
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I
Date (
225 Fifth Street .' .'
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Numbe~
COM20 I 0-00032
COM20 I 0-00032
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
,
Description
Sidewalk Permit
+ 5% Technology Fee
Paid By
WATER BROTHERS
CONSTRUCTION
City of Springfield Official Receipt
Development Services Department
Public Works Department
"
2201000000000000014
Date: 0110812010
9:25:34AM
Item Total:
Check Number Authorization
Received By Batch Number Number How,Received
Amount Due
88.00
4.40
$92.40
Amount Paid
ew
9096
$92.40
In Person
Payment Total:
$92.40
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Page I of]
1/8/2010