Loading...
HomeMy WebLinkAboutPermit Sidewalk 2010-6-29 " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00842 ISSUED: 06/29/2010 APPLIED: 06/28/2010 EXPIRES: 12/29/2010 VALUE: Status Issued .~. "d' :",;;,';: .'r....". 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line "" ;~"" ~, ,.' , ,:, SITE ADDRESS: 105 W OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703274106700 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: Repair PROJECT DESCRIPTION: Phase 6 of sidewalk repair for 105,106,115,125,135,136,152, and 155 Olympic Residential Owner: HOUSING AUTHORITY & URBAN Address: 300 W FAIRVIEW DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone BUIEDINGINiORMATION 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Disf:" . Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: ATTENTION' Or Compact: % of Lot coverag~Ol/ow rules ~do;t~~nb'aw requires you to . ot/flCation Center Th Y the Oregon Uti/ity In 0 0 ~. ose ru _ Yi v I rou h 0 - Vlll J T' ou may obtain co.9 AR 952-00 I- .. g thf), cent ,Pies of the rules b number fo?iH~wJfk ~pe.": the telephone y :" CelJl)Q"i8s;=J:I~~I~.Notifjcation ,'. ' ""'''''-.::844). ~lf,!_':j:fl::'\ ;- l.l.{t:" j,""1':; ;T','.,., P.l}BLIC IMPROVEM s!i:reTiG,~~ovem~P,t~'LL EY--PIRE If lHEW 1'1'01 TUIS DERM\\ 511 . \S PERM\1 IS Storm sewe~~VailllbleR 11'1 cOR ^, 1:11"'\ :.\ } Ul~"" - 1_ SpeciaPIn~t Slio'/jR \S ABANDONED - COMMENCtU RIOD. No,t~~:( 180 DAY PE i ..~':"2!,:;?, 'i";J~2. ~ .) '.'.... 'fl." I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated t."." ' I. Pa2e lof2 " 4. I Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . .';~;~X;. '.,.," Total Value of Project I Fees Paid ~ Fee Description + 5% Technology Fee Sidewalk Permit Sidewalk Permit + Addtl Sq Ftg Amount Paid Date Paid $12.68 $88.00 $165.68 6/29/10 6/29/10 6/29/10 Total Amount Paid $266.36. I Plan Reviews ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00842 ISSUED: 06/29/2010 APPLIED: 06/28/2010 EXPIRES: 12/29/2010 VALUE: Receipt Number 2201000000000000763 2201000000000000763 2201000000000000763 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 workday. ,:'iF "i~,:, ' LReQulred Inspections ~ Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 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 ofthe City of Springfield and the Laws ofthe 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 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 frorit of the property, and the approved set of plans will remain on the site at all times during construction. '3~ L Owner or Contractors Signature :.U( -S'i:1' ,'.j . ":!~'r ". ~. , . ( ~'I. , ";' , v, ; ,:;~~~ " Paee 2 of 2 Date ()C,/z..9/2-~/O { I Ci.ty of Springfield Official Receipt Development Services Department Public Works Department 25 Fifth Street pringfield, Oregon 97477 41-726-3759 Phone .,. RECEIPT #: 2201000000000000763 2:50:0IPM Date: 06/29/2010 [)b/Journal Number OM20 I 0-00837 :OM2010-00837 'OM2010-00837 :OM20 1 0-00838 :OM2010-00838 :OM2010-00838 :OM20 I 0-00839 :OM20 I 0-00839 :0M20 I 0-00839 :OM20 I 0-00840 :OM20 I 0-00840 :OM20 I 0-00840 :OM2010-0084! :0M2010-00841 :OM201 0-0084 I :OM2010-00842 :OM20 I 0-00842 :0M20 I 0-00842 :OM2010-00843 :OM2010-00843 :0M20 I 0-00843 layments: )pe of Payment :ash cReceintl Description Sidewalk Permit Sidewalk Permit + Addtl Sq Ftg + 5% Technology Fee Sidewalk Permit Sidewalk Permit + Addt! Sq Ftg + 5% Technology Fee Sidewalk Permit Sidewalk Permit + Addtl Sq Ftg + 5% Technology Fee Sidewalk Permit Sidewalk Permit + Addt! Sq Ftg + 5% Technology Fee Sidewalk Permit Sidewalk Permit + Addt! Sq Ftg + 5% Technology Fee Sidewalk Permit Sidewalk Permit + Addtl Sq Ftg ",,;,,:;. + 5% Technology Fee. Sidewalk Permit ,j.;;;" Sidewalk Permit + Addtl Sq Ftg'::::' + 5% Technology Fee '\Ji'Jij ,. Amount Due 88.00 200.08 14.40 88.00 3.52 4.58 88.00 37.20 6.26 88.00 22.40 5.52 88.00 45.20 6.66 88.00 165.68 12.68 88.00 82.80 8.54 $1,231.52 Paid By HOUSING AUTHORlTY OF LANE COUNTY Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid 81682 In Person $1,231.52 Ikw Payment Total: $1,231.52 -',:,;{. !.", ,;;, Page] of 1 6/29/20 I 0