HomeMy WebLinkAboutPermit Curb Cut 2010-5-20
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00650
ISSUED: OS/20/2010
APPLIED: OS/20/2010
EXPIRES: 11/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"""~'f:
SITE ADDRESS: 1550 Q ST APT 2
ASSESSOR'S PARCEL NO.: 1703252303800
',:,.; , '''Springfield TYPE OF WORK: Cnrbcnt
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: ,Replacing existing approach
Owner: NORTHWOOD VILLA APARTMENTS LLC
Address: 1328 LAS PULGAS RD
PACIFIC PALISADES CA 90272
Contractor Type
Right of Way
Contractor
RANDY BATES
I CONTRACTOR'INFORMA TION ,
License
188960
BUILDING INFORMA nON ~
Expiration Date
12/2312011
Phone
541- 729-6206
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Hei'ght of Structure
Type of Heat:
Water Type:
Rlfitge:Type:
'E;'iiergypa'th',
Sp'i'inkled';Building:
.", ;
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
[ DEVELOPMENT INFORMATION ,
''''''''
~..,,"'"
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
IT % of Lot Coverage:
A ENTION: Oregon law requIres you to
follow rules ado ted b t .
In ~AA~g~-o~1~_~I}!~~'~I~OTICE:' ,
0090.. You may obtain copies oflhe rules by THIS F$~~L EXPIRE IF THE WORK
calling the center. (Note: the telephone AUTHQfc ~~JMIlil!Mg,];!;\IS PERMIT IS NOT
number for the Oregon Utility Notification "OMMENCEb OR IS ABANDONED FOR
Center is 108M ''''2-2344) "
--- . \[~Y 180 DAY PERIOD.
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I Valuation Description I
",'\H:' .., '.'~i . :J~'.'."
. "...,~."'. . ,,",.,. ',.~,~.' ."
$ Per Sq'Ft", ','" Square Footage
or mult'ipiier .,' or Bid Amount
Value
Date Calculated
Paee I of 2
. i.\ (:!;1 ~::.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"",
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00650
ISSUED: 0512012010
APPLIED: OS/2012010
EXPIRES: ll/20/2010
VALUE:
Status
Issued
Total Value of Project
Fees Paid _
Fee Description
+ 5% Technology Fee
Curbcut Permit
Date Paid
Receipt Number
$4.40"
$88.0~,:",i'
, ',.,;
5/20/10
5/20/10
3201000000000000214
3201000000000000214
Total Amount Paid
$92.40
I Plan Reviews ~
To Request an inspection call the 24 hour recording at 726~3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections,r'equested after 7:00 a.m. will be made the following
work day. ", ,..,
LReQuired Insoections .
Curbcnt. Standard: After forms are erected but prior to placement of concrete.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the LillYs' oftlie,State' of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structOre;;Witllo'ui'permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
)0:f0/_'~
Owner or Cont actors Signature
..5'-::1.0 -/6
Date
Pa!!e 2 of 2
'..,i(:hW"
....,.,.,.' :;".~: \'," ,..:....;.::'J..,.:..:.-r."'.o.r_<r_"'--li~1J: " ". " , ,'.' .':' ~ .:.' ;~.$.
~ . 'f1'i,;."J..-' >.r' ,l.,.... . '>.}J !'I'.~-. . ~T.~-..>''-, .~ft !J;'~fll'ttJ'ltlU.. . _ . '.'^ ..' ,-' . ,_.'. .,' .,......_:;(;
:: ~:::;i~~:~i;~;i-~::i<~.;;;5~~~~~f/r~(~~;~~.~:>~~~~;.~-: .;~~\.::~"~~:.:-~~_ ~ -.' :::,._~, ~~ :.~~>~:~;; . ~~-- .:.~>~ .,::~. '~-I;:"':""_~ ~~:i~gt
><",:: DRIVEWAY/SIDEWALK', ';::.: ;', PERMITAPPLlCA"rION :'::)::,~r\~
225 FIFTH STREET "":~ ~
SPRINGFIELD, OREGON 97477 '..
ENGINEERING DIVISION
OFFICE TELEPHONE (503) 726-3751 '/ ~ ~
APPLICATION DATE: 0'1 ZU 21
I '
PERMIT NUMBER:
DATE ISSUED:
I!.u'/I<-, 1t> i b
- 0-0050
SITE INFORMATION:
LOCA nON OF WORK:
+-
APPUCANT
PHONE
,,,-.- AS,'+-
ADDRESS ,;...:.,..:> r'J !d.
TAX MAP:
aTY$IlPLO
SUBONlSIDN:
STATE:
a-{'
ZIP; G747g
TAX LOT:
OWNER:
ADDRESS;:PO ec;>t
tunhrejta Pt'O k{'--\-k \
~Sl'- . .
an . Ct7hfL ('j
PHONE, S"l/I-l/fS'I-~2S _
STATE; f7'r' ZIP; 9?<(o~
REOUESTED PERMITS:
o SIDEWALK:... ......,..................
AMOUNT OF SIDEWAlK IN EXCESS OF 90FT.
.................. $88.00 ........................, = $
@$O.OB SF, = $
.. $15.50 ..,..'..,.................. = $
o SIDEWALK REPAIR:...................................,.
~ I ~-
1l!I CUR8 CUTtVRIVEWAY: NUMBER OF DRIVEWAYS-----1- X............. ........ $88.00 1st Cut = $ Vb,
o MULTIPLE PERMIT. DISCOUNT EA ....:,...(MAX 2) ......,..,.................$30.00 2nd Cut =u-
(MUL T1 PERMIT DISCOUNT GOOD FDA ONE SITE AND ONE SITE INSPECTION.ill::lL...Y ,. (, d. 0
APPUES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAIPl -\ --r ~
G:1/S% Technology Fee $ TOTAL DUE WrTJ-l PERMIT $
o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER
CONTRACTOR INFORMATION:
CDNT';'CTOR: i<o vd.,t .
ADDRESS; ~$;'-5()
CONTPACTOR REGISTRATION NO:
PROJECT SUPERVISOR:
Rn +es
7.);1 ~ Yo(
(''--011 C. ~ t-e..
:r4Ct" e.)'\e 'K ::u
9-7 '/<7i;;
PHONE, ZLC/-b20.t::
EXPlRAll0NDATE:
PHONE;
INSPECTIONS:
AN INSPECTlON REQUEST SHOULD BE MADE PRIOA 1'0 POURING CONCRETE. .AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO
POUR. CURB CUT ANQ SIDEWALK INSPECTlONS CALL 72&3769 (RECORDERl STATE YOUR OES\GlNAIED ClTf JOB
NUMBERIPERMIT NUM8ER. JOB ADDRESS, TIPE OF INSP.ECTION AEQUESTED, AND 'v'.'HEN YOU WILL BE READY FOR INS PEGTlON, COmRACTOA.S OR
OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00 A.M. WILL BE MADE THE
SAME DAY, REQUESTS AFTER 7;00 A.M. WIll BE MADE- THE NEXTWORKlNG DAY. INSPECTIONS ARE TO BE CALLED IN
AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURINq: CONCRETE.
D 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)
YDU are required tD call utility nDtificatiDn center "one call number" 811 befDre digging
SIGNATURE:
AMOUNT RECEIVED:
RECEIPT NO;
DATE PAlO:
RfCBVED BY:
By sIgnature. I slale and agee thaI I have carefully examined the compleled appflcalion"and do he reby certify thaI ~ informaliCl1 h~e1n is Irue
and correct and t further certifY thai any and all work: .Qectormed shall be dOle in accordance with Ihe Ordinances of
!he CiIY of Springfield. appllca61e Cill Slandard spea-ficatiOfls and Ora....;nqs. and Ihe laws 01 the Slale 01 Oregon perlaining 10 the work desoibed herein. I further
certify !hal.only conlractors and empoyees who are in compliance 'Nilh GRS 701.055 'Mil be used
on IhlsFto)ed. .
The City may inspect.the work site described in lhis permi! al My time during a Ole yeaJ period to nOwing Ihe receipl by the City 01 nolice 01 comp!ellOO cllhe
g:~~R~d ~lr~ea~.;1i~~a?ntyw~.lj~eo?~~ ~ ~~~~~ar,~~p~~~~nl~i~sa~yasli(rO~~~r~t~~!Th~~~l~:ilg ~~~edm~ ~pJv~~ A~l~~let~~eallhe end
of Ihe lhlny days Will be performed by ltie C!1y and lhe casts wiU be billed to tiie permillee. .
I further agree 10 ensure lhal all required iJispeclions are reQuesled allhe proper time. lhal proj eel address Is readatie trom the
street, and lhe approved sa! 01 plans will remain on the sile al all time:!! during construction. .
"on""" 7~~
DaI.
.s'-.;IJ,-)O
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
32010Q,0000000000214
. ." ~ <.. .,.
1:31:03PM
Date: OS/20/2010
Job/Journal Number
COM20 I 0-00650
COM2010-00650
Payments:
Type of Payment
Check
cReceintl
Description
Curbcu! Penn it
+ 5% Technology Fee
Paid By
UMBRELLA PROPERTIES
;, :,:.1~".:,
~ ,....,...
Amount Due
88,00
4AO
$92AO
".)" ,~i
','.'t~" '.,
"
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
Ikw
$92AO
$92AO
2047
In Person
Payment Total:
l(;d~ ":~ ;')<.::;' \'
. ,~..,4~;'~ "..of''''' ../.,."
._,", "~ _ \,,~.' t " .' .
':~~;
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