HomeMy WebLinkAboutPermit Sidewalk 2010-2-9
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Status
Issued
CITY OF ~rJ:Uj"lGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00177
ISSUED: 02109/2010
APPLIED: 02109/2010
EXPIRES: 08109/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4033 OREGON AVE APT A
ASSESSOR'S PARCEL NO,: 1702314400405
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: 2 PANELS
Owner: MCALLISTER LOLA
Address: 105 CARTHAGE AVE
EUGENE OR 97404
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I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING 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 Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
D/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
SolaAJrd5tlBilON: Oregon law requires you to
fnll",.. ...148 ea,.e....~ton hl' thtll ()rtllgnn , Itility
Notification Center, Those rules are set ~L1C IMPROVEMENTS I
In OAR 952-001-001 0 through OAR 952-L! ,
Stre!l'3lJ!1I'l'iSU''IIt1IY'!l1!>taln copies of the rules by
Stor~I!oo~~OOilT' (Note: the telephone
Spe~ ~H'd~. Oregon Utility Notification
en~er'is 1-800'332-2344).
Overlay Dist:
#)'itreet Trees Rqd:
Paved Drive Rqd:
%.of Lot Coverage:
Total:
Handicapped:
Compact:
Notes:
Sidewalk Type:
N~pouts/Drains: ' ....~'~.-;.>;:~:?'-,
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR. ,+.
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I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valne
. Date Calculated
Pa2e 1 of 2
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00177
ISSUED: 0210912010
APPLIED: 0210912010
EXPIRES: 08109/2010
. VALUE:
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 5% Technology Fee
Sidewalk Repair Permit
Amount Paid
Date Paid
Receipt Number
$1.55
$31.00
2/9/10
2/9/10
2201000000000000127
2201000000000000127
Total Amount Paid
$32.55
Plan Reviews I
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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 Reouired Insneetinns.
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Sidewalk - Setback: After forms are erected hut prior to placement of concrete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 descrihed 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 are in compliance with ORS 701.005 will be used 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. /
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Owner or Contractors Signature .'.
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Date
'1
Page 2 of 2
i25-Fifih Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
cOM20 I 0-00 177
cOM20 I 0-00 177
Payments:
Type of Payment
Check
cReccintl
RECEIPT #:
Description
Sidewalk Repair Permit
+ 5% Technology Fee
Paid By
LOLA ANN MCALLISTER
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City of Springfield Official Receipt
Development Services Department
Public Works Department
2201000000000000127
Date: 02109/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
EW
1743
In Person
Payment Total:
Page I of I
1:31:13PM
Amount Due
31,00
1.55
$32.55
Amount Paid
$32.55
$32.55
2/9/20 I 0