HomeMy WebLinkAboutPermit Building 2010-3-8
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769, Inspection Line
SITE ADDRESS: 1932 E ST
ASSESSOR'S PARCEL NO.: 1703361212800
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00287
ISSUED: 03/0812010
APPLIED: 03/0812010
EXPIRES: 09/08120 I 0
VALUE:
,Springlield TYPE OF WORK: Sidewalk
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I CONTRACTOR INFORMATION ~ -~~ \<o~ <)
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License Expiration Date Phone
PROJECT DESCRIPTION:
to rogge Concrete
1276 hamilton st #183518
Owner:
Address:
HARVEY L ALLEY CREDIT SHELTER TRUST
1278 N ST
SPRINGFIELD OR 97477
Owner:
Address:
JIMMYE A ALLEY SURVIVORS TRUST
1278 N ST
SPRINGFIELD OR 97477
Contractor Type
Contractor
BUILDING INFORMATION ~
# 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:
TYPE OF USE: Repair
Residential
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
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Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa~e ] of 2
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00287
ISSUED: 03/08/2010
APPLIED: 03/08/2010
EXPIRES: 09/08/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Pai\!,j
Fee Description
Sidewalk Repair Permit
Amount Paid
Date Paid
Receipt Number
$15.50
3/8/10
2201000000000000207
Total Amount Paid
$15.50
I Plan Reviews I
To Request an inspection call the 24 hour r~~Q.rd.ihg~t726C3769. 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. ,~, .
Reauired Insuections I
By signature, I 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 struct~re 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 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.
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Owner or Contractors
Date
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Pace 2 of 2
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:;' ':,: ' DRIVEWAY/SIDEWALK" . ~ .. ~, :,' PERMIT APPLICATION'" . ~'::':~f'"
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
ENGINEERING DIVlSION
OFFICE TELEPHONE (503) 726,3753
ap!:~~
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PERMIT NUMBER:
DATE ISSUED:
001'1 J,Qlo'oO'J;.~7
APPLICATION DATE: ':S-X-- :Joro
SITE INFORMATION:
LOCAnoN OF WORK, Iq<,;;{ E' <:+
APPUDN~ ()~
AOOAESS }.)] ~ \\>-..J;l ~ \-".v ';;1\-
OTY'~STATE' 6.fL
SU8DMSION:~ .,1 l
OWNEA, -1 ,'''''/'--IleA. tltO,-,,\
ADORESS, ~' ___1m,
PHONE <;-,<.,- 107 C;
TAX MAP:
ZIP:
l\rltTI
TAALOT;
PHONE:
STATE:
ZJp:
REOUESTED PERMITS:
o SIDEWALK: ,............'.............. ".........................,...............
AMOUNT OF S1DEW'ALK IN EXCESS OF 90FT.
t)lI SIDEWALK REPAlR:......,......,................,{o.cG.......... .........
....,.......... $88.00 ......,.................. ~ $
@$0,01i SF. = $
........ $15.50 ,..................,....,.. = $
o CURB CUT/ORIVEWAY: NUMBER OF DRIVEWAYS_ X........,............. $88.00 1st Cut = $
o MULTIPLE PERMIT DISCOUNT EA: .....'",{MAX 2) ................,..........$30.00 2nd Cut =u-
{MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION..!JM...t
APPUES TO 2nd AND 3rd PERMITS DNL Y. NOT SIDEWALK REPA/At =$
o 5% Technology Fee $ TOTAL DUE WITH PERMIT $
o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER
CONTRACTOR INFORMATION:
CONTRACTOR ~~ ('IDI\~ 1/ (
ADORESS il ~fL.-,\ l., ~
CONTRACTOR REG;STRATIONNO'~ \'0'''''' Ii<:
PHONE:
EXPIAATIONOATE:
PROJECT SUPERVISOR:
PHONE:
INSPEC1l0NS:
AN INSPECTlON REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AF:TEA THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO
POUR, CURB ClJT AND SIDEWALK INSPECTIONS CAll 726-3769 (RECORDER) STATE YOUR OESIGlNATED CITY JOB
NUMBERlPEAMIT NUMBER. JOB ADDRESS. TYPE OF INSPECTION REQUESTED, fIND WHEN YOU WILL BE READY FOR INS PECTION, CONfRACTOR'S OR
OWNEA'S NAME AND PHONE NUMBER. REOUESTS AECENEO BEFORE 7:00 A.M. WILL BE MADE THE
SAME DAY, REOUESTS AFTER 7:00 A.M. Will. BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN
AFTER EXCAVAllONS ARE MADE AND FORM WORK IS IN PlACE 8l1T PAlOR TO POURING CONCRETE.
c::J Single driveways serving single -family and duplex dwellings shall
be paved for the fIrst 18 feet when abutting a curb and gutter. 4.2,2(3)
You are required to call utility notifIcation center "one call number" 811 before digging
SIGNATURE:
AMOUNTRECErJEO, ( S, 50
AECEIPT NO, ,). ;;to I
;zo7
DATE PAID:
RECEl\lED BY:
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By signature. 1 stale and agee, that I have carelully examined the completed appr,cation and do he re!JY cerlify that a! inlamation herein is ltue
and correct and I lurthef cef!if\i that af!Y and all work Eedormed shall be dr:ne in accordance with Ihe Ordnances 01
the ellv 01 Springfield. appJica6Je City SlImdard speaficalions and Drawings, and the laws of the Stale of Oregon pertaining 10 Ihe v.ork desaibed herein. Ilurttier
certify Ihat ,only conlractO's and employees who ate In comp6ance ....,lh ORS 701,055 WlU be used
onlhisproJed. '
The City may inspecllhe work site described in lhis pet'rrVt at.fItlY lime during a crle year Period 10 /lowing the receipt by the City of notice or can~etion clthe
desoibed wak and specify, at the ory's sole discretion, any additiCJ1a1r-esloralicn work reqUIred to return !h.e site to a standard acceP.lcable to the Ci ,The
perlTllrl~ will be notified in Wfl.1ing of any work required and WIll have thirly cays (30) Irom the date 01 Ihe notIce to compIele [he 'MJr1<. Wak net com eled al [he end
01 the lhirty days will be pertormea by the City and the costs win be biUed to Ilia permittee. '
tturtheJ agree 10 ensure that all reqlNed Lflspecllcns are requested at the preper time, Ihat proJ ect edctess IS reo!ldal:ie Iran the
street, and the approved set of plans Will remall1 OO~1h ." " ," ""e, "wng """Wd,on
5'g"tu" ~~ ~. _ Oale ?-,- S - do) ()
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