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HomeMy WebLinkAboutPermit Sidewalk 2010-1-8 ~ .'\.~ ~I!A~"',G~IEL~!~i~1 . -..-'.-..-'..."..".--;.....,'.,...,..,..,....,-..,.,'....,-, 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: r.m,nnnC^"'Cn '''l I~ ^~. "-F/lr- -.- , ."( ....n" ..:. ~.-, :..:::.. '':: _ '.JJ uWf..h.lI'Il-LJ run 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ 'I . I I L.IIIUU. " 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 ",~ (~ ':'~/,!~I ~!I!!'il~; t: 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. .~.~ Owner or~ltractors Sigrpr~ , Page 2 of 2 / /~ 10 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 . '\,fJ I L.'. Page I of] 1/8/2010