HomeMy WebLinkAboutPermit Sidewalk 2010-6-29
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00840
ISSUED: 06/29/2010
APPLIED: 06/28/2010
EXPIRES: 12/29/2010
VALUE:
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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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SITE ADDRESS: 402 W QUINAL T ST
ASSESSOR'S PARCEL NO.: 1703274100101
'l'r, . H, !S~ringfield TYPE OF WORK: Sidewalk
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TYPE.OF USE: Repair
PROJECT DESCRIPTION: Phases 4 of sidewalk repair at 402 & 407 Quinalt, 1717 Prescott
Residential
Owner: HOUSING AUTHORITY & URBAN
Address: 177 DAY ISLAND RD
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
, '
BUILDING INFORMATION 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:
g~:nge\:ryp~:
'Eo"ergy p~ili: ,
: ..~p,rinkled,Buildi"'g:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2pd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
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:'. ,
I PUBLIC IMPROVEMENTS\lTENTION: Oregon law requires you to
. , ,'''''ow ry!es adorJted by the Oregon Utility
Street Improvements: ' . I NotificatlD~~'L'b'l\IiJIYP~ose rules are set forth
Storm ~~(;m~~j.tal>',!=\ L EXPIRE IF 'THE WOR~ in OAR 9D6~li'spQGi's-7rlParns;Jh OAR 952-001-
speciaITiristni'JiIi,~!l1 HA~R THIS PERMIT IS NOT 0090, You may obtain copies of the rules by
AUTHORIZED UNO ONED FOR calling the center. (Note: the telephone
Notes: COMMENCED OR IS ABAND number for the Oregon Utility Notification
MIV 1 DAY PERIOD. Center IS 1-800-332-2344).
I Valuation Description ~
. ~,.>,;.' ',". 'n~.,." ,
$ Per'S,FFt.0 ,",n,," S'quare Footage
or mu}tiplier (".' or Bid Amount
,
I
Description
Tvpe of Construction
Value
Date Calculated
Page 1 of 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
Fee Description
+ 5% Tecbnology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
Total Amount Paid
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Total Value of Project
I Fees Paid ~
Amount Paid
$5.52>.'1'.,;
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$88.00 ;.;:.L
$22.40. " ;
$115.9i
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Date Paid
. 6/29/10
6/29/1 0
6/29/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00840
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, inspectionsreqiJested after 7:00 a.m. will be made the following
work day. . ...:.' . ..."
I Reouired InsDections I
I Plan Reviews ~
By signature, I state and agree, tbat I bave carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furthe(certify that any and all work performed shall be done in accordance witb
the Ordinances oftbe City of Springfield and the LaWS ofth'e.8tate:ofOregon pertaining to the work described herein, and
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that NO OCCUPANCY will be made of any structUre witbout' permission of tbe 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 tbe front 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
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Date
City 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 #:
220100aa00000000763
2:50:0IPM
Date: 06/29/2010
Db/Journal Number
OM20 I 0-0083 7
OM201O-00837
:OM2010-00837
:OM20 I 0-00838
:OM20 I 0-00838
:OM2010-00838
:OM20 I 0-00839
:OM20 I 0-00839
:OM20 I 0-00839
:OM20 I 0-00840
:OM20 I 0-00840
:OM20 1 0-00840
:OM2010-00841
:0M20 1 0-00841
:OM20 I 0-00841
:OM20 I 0-00842
:OM2010-00842
:0M20 1 0-00842
:OM2010-00843
:OM2010-00843
:0M20 I 0-00843
layments:
:ype of Payment
:ash
cReceiotl
Description
Sidewalk Pennit
Sidewalk Pennit + Addtl Sq Ftg
+ 5% Technology Fee
Sidewalk Pennit
Sidewalk Pennit + Addtl Sq Ftg
+ 5% Technology Fee
Sidewalk Pennit
Sidewalk Pennit + Addtl Sq Ftg
+ 5% Technology Fee
Sidewalk Pennit
Sidewalk Pennit + Addtl Sq Ftg
+ 5% Technology Fee
Sidewalk Pennit
Sidewalk Pennit + Addt1 Sq Ftg
+ 5% Technology Fee
Sidewalk Pennit
Sidewalk Pennit + Addtl Sq Ftg '""'~;C
+ 5% Technology Fee, ,,,.'_.'
Sidewalk Pennit ii"J"
Sidewalk Pennit + Addtl Sq Ftg",:::'
+ 5% Technology Fee
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
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Paid By
HOUSING AUTHORITY 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
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Page I of I
6/29/20 I 0 .