HomeMy WebLinkAboutPermit Sidewalk 2010-2-9
CITY VI< ~rKll"t.I<lj<,LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2010-00170
ISSUED: 0210912010
APPLIED: 0210912010
EXPIRES: 0810912010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54] -726-3769 Inspection Line
SITE ADDRESS: 5045 BLUE BELLE WAY
ASSESSOR'S PARCEL NO.: 1702333301763
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE:
PROJECT DESCRIPTION:
Owner:
Address:
BEBOUT LIVING,TRUST
3576 SPRING BLVD
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
BUI~DING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Gronp:
Primary Construction T)'pe
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
R,a,nge Type:
Energy'Pii'th:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floo~:
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: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive,Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks ATTENTION: Oregon law requIres you to
tnl10w rulp-!Il ArtnptAn tow th" nrAgl'\n IltlUtu
Notification Center. Those rul""flmlro WROVEMENTS I
In OAR 952-OO1-OO1Dthrough'8l-1, .!lL Be, I
Street Impr01000c)lt~ou may obtain copIes of the rules br
Storm S'cwer A,lilImrnt~ center. (Note: the telephone
Special InstrucwtP for the Oregon Utility Notlflcallon
Center 1l1-a00-332-2344).
Total:
Handicapped:
Compact:
Notes:
'" ~.."..,' '.' ,', ,...-:" .
.., t:\Td re. " . """~'~""""-")" <;. ..
Side'tlull. J'IIIl> ,. "'. ' 'C'.
TJ1~$,'p,mMlT SHAll EXPIRE IF THE VI ORK :
Dow1\Ot'OHO~iZ~tfuNDER THIS PERMIT IS NOT ,:
COMMENCED OR IS ABANDONED FOF;;:-i+:~:
ANY 180 DAY PERIOD. ."t';',,)'" ..
Description
TYl}e of Construction
.. ''1' Valuation DescriDtion I
'":-.: 'I
$ PerSiFFt .'. T
or multiplier
Square Footage
or Bid Amount
Valne
Date Calcnlated
Paec I of2
(' i-I
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
:;'ees Paid I
. I II
Fee Description
+ 5% Technology Fee
Sidewalk Permit
Amonnt Paid'
$4.40
$88.00
Total Amount Paid
$92.40
I Plan Reviews I
". , i
Date Paid
2/9/10
2/9/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00170
ISSUED: 0210912010
APPLIED: 0210912010
EXPIRES: 0810912010
VALUE:
Receipt Number
2201000000000000123
2201000000000000123
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.in. will be made the same working day; inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired Insnectio~s I
By signature, 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 Ihe 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.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
1 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.
~->- . ~~=..-::>-..._.._._--:--,:::~--::.
Owner or Contractors Signature
-' ..,
Paee 2 of 2
c;QllI,o
Date
225 Fifth Street
Springfield, .oregon 97477
541-7:r6~3759 Phone
Job/Journal Number
cOM20 1 0-00 170
cOM20 I 0-00 170
Payments:
Type of Payment
Check
cRcceint I
RECEIPT #:
Description
Sidewalk Permit
+ 5% Technology Fec
Paid By
WILLIAM 1. BOFFING JR.
CONSTRUCTION
City of Springfield Official Receipt
Development Services Department
Pnblic Works Department
2201000000000000123
9:30:18AM
Date: 02/0912010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
88,00
4.40
$92.40
Amount Paid
bjg
$92.40
11101
In Person
Payment Total:
$92.40
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