HomeMy WebLinkAboutPermit Sidewalk 2010-6-29
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1519 1ST ST
ASSESSOR'S PARCEL NO.: 1703263200300
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00843
ISSUED: 06/29/2010
APPLIED: 06/28/2010
EXPIRES: 12/29/2010
VALUE:
Springfield TYPE OF WORK: Sidewalk
Owner: HOUSING AUTH & URBAN REN AGY OF LAN
Address: 177 DAY ISLAND RD
EUGENE OR 97401
BUILDING INFORMATION I
#,of Stories:
, , f ,., . 1... ~.' :
':'Height of-Structure
." ,Type of Heat:
. ,Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
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I V alu~i;on D~scriPtion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amou'nt
TYPE OF USE: Repair
PROJECT DESCRIPTION: Phase 7 sidewalk repair for 1519,1524,1549,1554,1607,1610,and 1625 1st
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
License
Expiration Date Phone
ufa
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
c.ompact:
I PUBLIC IMPROVEMENTS , ON' Oregon law requires youto
n , ENT~d~l~tIl"JeY the Oregon Utility
follow ru tne e rules are set forth
~otlficati~~~~te/~~h OAR 952-001-
10no~~R {ou ~ay obtain copies of the ruhles by
. (Note' the telep one
calli~g tre ~:~~;~gon uiility Notification
" nurn er or r is 1-B00-332-2344).
Street Improvements:
Storm Sewer Available:
s~'lcmGli"uction:
THIS PERMIT SHAll EXPIRE IF THE WORK
N,q!J'fHORIZED UNDER THIS PERMIT IS NOT
nmn~M ED FOR
ANY 180 DAY PERIOD.
Description
Type of Construction
Page 1 of2
.. ,
Value,
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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,,",',fTotal Value of Project
l Fees PaitLl
Fee Description
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
Amount Paid
$8.54
$88.00
$82.80
Total Amount Paid
$179.34
Plan Reviews I
Date Paid
6/29/10
6/29/10
: 6/29/10
. ~,
- ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20] 0-00843
ISSUED: 06/29/2010
APPLIED: 06/28/20]0
EXPIRES: 12/29/20]0
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.
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LRealiii'eil InsDections ~
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Sidewalk - Curbside: 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 trne and correct, and I fnrther 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 structn!e without permission of the Commnnity 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 construction. ',' . ,.~' ~ '" '"~
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Owner or Contractors Signatu e Date
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Paee 2 of 2
tJ(p /2-"f /2-01 D
I j
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
- .",;
2201~OQ000000000763
2:50:01 PM
Date: 06/29/2010
Job/Journal Number
COM20 1 0-0083 7
COM20 10-0083 7
COM2010-00837
COM20 1 0-00838
COM20 1 0-00838
COM20 1 0-00838
COM20 I 0-00839
COM20 I 0-00839
COM20 I 0-00839
COM20 I 0-00840
COM20 I 0,00840
COM2010-00840
COM2010-00841
COM2010-00841
COM2010-0084 1
COM2010-00842
COM20 1 0-00842
COM20 1 0-00842
COM20 1 0-00843
COM20 1 0-00843
COM2010-00843
Description
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 Ftg
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addt1 Sq Ftg
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + AddU Sq Ftg
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq FIg ,i1~, . "" "
+ 5% Technology Fee, 2.,;t,;,
Sidewalk Permit 1'1"'"')''' "'f\,')
I ,~~":, J '11 f ,.
Sidewalk Permit + AddU Sq FIg 11;' .:
+ 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
. ,. ~.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Payments:
Type of Payment. Paid By
Amount Paid
Cash
HOUSING AUTHORITY OF
LANE COUNTY
Ikw
81682
$1,231.52
'\
I -
,-,
cReceintl
In Person
Payment Total:
$1,231.52
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