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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 " .' . ':~~; ..; 't Page I of I ' 5/20/20 I 0