HomeMy WebLinkAboutPermit Sidewalk 2010-6-29
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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
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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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 _
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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
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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
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SpeciaPIn~t Slio'/jR \S ABANDONED -
COMMENCtU RIOD.
No,t~~:( 180 DAY PE
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I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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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.
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Owner or Contractors Signature
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Paee 2 of 2
Date
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Ci.ty of Springfield Official Receipt
Development Services Department
Public Works Department
25 Fifth Street
pringfield, Oregon 97477
41-726-3759 Phone
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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
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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
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Payment Total:
$1,231.52
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