HomeMy WebLinkAboutPermit Sidewalk 2010-6-29
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00841
ISSUED: 06/29/2010
APPLIED: 06/28/2010
EXPIRES: 12/2912010
VALUE:.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1523 MILL ST
ASSESSOR'S PARCEL NO.: 1703263200300
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Repair
PROJECT DESCRIPTION: Phase 5 of sidewalk repair at 1523,1613,1624 Mill Street
Residential
Owner: HOUSING A'UTH & URBAN REN AGY OF LAN
Address: 177 DAY ISLAND RD
EUGENE OR 97401
I CONTRACTOR INFORMATION ~
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secoudary Construction Type:
# of Bedrooms:
, #'ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist 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
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: '
.# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
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PUBLIC IMPROVEMENT ow rules ~dopted by the Oregon Utility
Street Improvements: " "'ORI<. Notifica~w\illleryJ.hose rUleOsAaRre9s5~ ~~~h
T ('):- E \I' il.k vv In OAR 952-001-001I5through --
Stornji.s1whJ!\:vri':r!,"i\I\,-'- E'1-?IR \111\1 IS NO},,; :. .:, . 0090. y!NI~~PraiJ!s2S of the rules by
Special\I,~]tRIClioJ: UNOER 1\-\\S ?ER 0 FOR ^.~kll :;,;'i., :ii~l'" 'f ,. 'calling the center. (Note:. the tele~hone
I\Ul\-\ORIIEO IS I\BI\NOONE .:",: . number for the Oregon Utility Notification
Notes: rQ\I1I\I1IENCEO OR 0 '''''- .,,', Center IS 1-800-332-2344).
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I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 01'2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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",":'.TotaLValue of Project
I' FeesPaid ~
Fee Description
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
Amount Paid
Date Paid
$6.66
$88.00
$45.20
6/29/10
6/29/10
6/29/10
Total Amount Paid
$139.86
I Plan Reviews ~
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00841
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
work day.
I Reouired Insnections ~
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Sidewalk - Curbside: After forms are erecte(f~;'t.prJorito 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 tme 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 stmcture 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 cO!lstruction. . -,1- .
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Owner or Contractors Signature Date
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Page 2 of2
00/2.9/2-010
I I
25 Fifth Street
pringfield, Oregon 97477
41-726"3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000763
2:50:0IPM
Date: 06/29/2010
[)b/Journal Number
OM2010-00837
'OM2010-00837
'OM2010-00837
:OM2010-00838
:OM2010-00838
:OM2010-00838
:OM2010-00839
:OM20 I 0-00839
:0M20 1 0-00839
:OM20 I 0-00840
:OM2010-00840
:OM20 I 0-00840
:OM20 I 0-00841
:OM20 I 0-00841
:OM2010-00841
:OM2010-00842
:OM20 J 0-00842
:0M20 I 0-00842
:OM20 I 0-00843
:OM20 I 0-00843
:0M20 I 0-00843
.ayments:
:ype of Payment
:ash
cReceint 1
Description
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq FIg
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Flg'.,~;
+ 5% Technology Fee.
Sidewalk Permit, i.;;}!):
Sidewalk Permit + Addtl Sq FIg,.:.
+ 5% Technology Fee
Paid By
HOUSING AUTHORITY OF
LANE COUNTY
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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
"don "
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw 81682 In Person
Amount Paid
$1,231.52
Payment Total:
$1,231.52
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6/29/2010