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Home My WebLink AboutPermit Sidewalk 2010-6-28 ; . ;. G~I'U".~"I""~l? ,t : !,~H-' , 'I ";:..:;:. '-. - Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00836 ISSUED: 06/28/2010 APPLIED: 06/28/2010 EXPIRES: 12/28/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6654 E ST ASSESSOR'S PARCEL NO.: 1702341403815 Springfield TYPE OF WORK: TYPE OF USE: PROJECT DESCRIPTION: Replace existing driveway and sidewalk Owner: JENNINGS WANDA S TE Address: 6654 E ST SPRINGFIELD OR 97478 Owner: . JENNINGS TRUST Address: 6654 E ST SPRINGFIELD OR 97478 1 ',; ;_* f.f ; - ' ;.\; ~ '. . I CONTRACTOR INFORMATION ~ 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 Stru_c.ture Type of Hea.!: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: O~erlay ~ist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: , I PUBUC IMPROVEMENTS ~ " StreetlmprA't"ments: , ." 'r". ,/Ii. E~6W:.g,~tl:law requiree you to II vI:: ,,-. " follow rulesadopted by the Oregon UUIIty Storm Sew~WliIp'SAAll EXPIRE IF THE WORK Notifjcat~mllrtsvm\ill'Allee are eetforth Speciallns,\5ffi~~~ UNDER THIS PERMIT IS NOT ,. In OAR 952-001-0010 through OAR 962'()o1- 1ENCED OR IS ABANDONED FOR 009o.Youmayoblalnoopleeoftherulesbr Notes: . calling the center. (Note: the telephone ., 180 DAY PERIOD. .' ,,', " ,~; number for the Oregon Utility NotIficlatIolI ,; Center Ie 1-aoo.a32-2344). '~~ n Paee I of2 ',... . .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 5% Technology Fee Curbcut Permit PW Disc - 2nd Permit Sidewalk Permit Total Amount Paid :'i'i I Valuation Description , $ Per Sq Ft " Square Footage or mUI!.ii!~er~.~' }~(.. or Bid Amount '.. ~~ ;'~'W\'~l" ': Total Value of Project Fees Paid ~ Amount Paid Date Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00836 ISSUED: 06/28/2010 APPLIED: 06/28/2010 EXPIRES: 12/28/2010 VALUE: Value Date Calculated $7.30 $88.00 $-30.00 ' $88.00 6/28/10 ,6/28/10 6/28/10 6/28/10 Receipt Number 1201000000000000766 1201000000000000766 1201000000000000766 1201000000000000766 To Request an inspection call the 24 hour record at 726-3769. All' spections requested before 7:00 a.m. will be made the same working day, ins~ect~o",s ,requested a tel' 7:00 a.m. will be made the following k d ;,1))5/J -,-." -:;.1, ;',1, ' wor ay. ',', ' ," . . ..' . ,'. Ii: . $153.30 , ni I Plan Reviews ~ - "..,-.,., . --<- l Reotiired Jn~nections I 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 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 structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compli'lnce with ORS 701.005 will be used on this project. I furtber 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. Uh#~. Owner or Contra s Signature . , '. J.\~~p .' ,t H.:I 1 L.L n . I" .- :-Pa2e 2,of2' ~~. _t.. . ..u~, .b -.:J...S ~ / c) Date .. -. 215 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone &J:a:;a1Ji Wit... City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: I20100~o,OOOOQOO0766 Date: 06/28/2010 11:19:43AM Job/Journal Number Description 'r" Amount Due COM2010-00836 Curbcut Pennit ~.'" " 88,00 COM20 1 0-00836 Sidewalk Permit 88,00 COM2010-00836 PW Disc - 2nd Penn it (30.00) COM20 I 0-00836 + 5% Technology Fee 7,30 Item Total: $153,30 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check WANDA S JENNINGS tss 4777 I n Person $153,30 Payment Total: $153,30 .,.it;(ji .:)f}'.~OH~:" ., . i ~:-.'. I " '" ....-- --... ..._. , jU:H .r0[:!!Hi,;. ..._~;.._ .'....... "~h' cRcceintl Page 1 of I 6/28/20 I 0 ~ .r ':<;}:~~!:'i\ ..<~:.; ~~ri~~1'.';::::;':.:,;"c~:.::'.':;::~~t~{tT~:~,::: :'.; ?<.. . : :;::_;.~<;: .: ,: '. ~~>;:;:i~1 ,c;..~.:. DRIVEWAy/SIDEWALK" :. >~,::~;'''PERMITApPLlcAi16N~.... :>9'ft 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DI~ DFFICETELEPHO 503) 726.375:>) APPLICATION DATE: .~~ PERMIT NUMBER: (' 16 -!.3& DATE,ISSUED: SITE INFORMATION: LOCA nON OF ~RK: APPUCA.'lT U)~Stf#'~~~& ADORESS, G f-.,~;'-" ~ rr mY, ,g jn :,'"'!t,,,,,,,iI STAT"' ~ SUBDlIJl~ION:' p OWNER W~ ;), _~J_'.. "'HI: . ADORESS bC,d-U j:.l.v- . aTY/Jrd~7f"J.JI PHONE 5',/1. '74/-o';?~~ TAX MAP'. ZIP: 47V;>"" TAX LOT: STATE: /Q-, z::.../I_"?~/I n?~ ZlP, '7 7</~ PHONE: RE ESTED PERMITS: SIDEWALK: ',............................ ........................................................ $88.00 ........................ ~ $ AMOUNT OF SIDEWAlK IN EXCESS OF 90fT. @$O.08 SF. =$ o SIDEWALK REPAJR:...................................,.............. ........................ $15.50 ........,...............,.. = $ ~UR8 CUT/DRIVEWAY: NUM8ER OF DRIVEWAYS_ X...................... $88.00 1st Cui = $ ~LTlPUE PERMIT DISCOUNT EA: ....:....(MAX 2) ...........................$30.00 2nd Cut =u- {MLn.TI PERMIT DISCOUNT GOOD FOR ONE SiTE AND ONE SITE INSPECTION..D.M...:x: j<PPUES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAJf'< [i( 5% Technology Fee $ TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM.lF WORK IS DONE BY PROPERTYOWNER tet, =$ CONTRACTOR INFORMATION: CONTRACTOR Z-'J ~y.. LLttr~,'I.I, J);A./J~~..t'~, L.LL ADDRESS '8~<~O 1.'M/b~ ~u,..,?J ~~ &7.. '7 ~aT PHON'254(-1..?9. <7(.. CONTAACTORREGISTRATIONNO. JMt.(J EXPlRATIONOATE PROJECT SUPERVISOR: PHONE: INSPECTIONS: AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE. AFTER THE PROPOSED WORK HAS BEEN FO AMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CAlL 726-3769 (RECORDER) STArE YOUR DESIGlNATED CITY JOB NUMBER/PERMlT NUMBER, JOB ADDRESS, 1YI"E OF INSPECTION REOUESTED, AND VV1-iEN YOU WIll. BE READY FOR INS PECTlON, CONmACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7;00 AM. WlLL BE MADE ll-lE SAME DAY, REQUESTS AFTER 7:00A.M. 'YVILL BE MADE- THE NEXT WORKiNG DAY. INSPECTIONS ARE TO BE CAlLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PlACE SlIT PRIOR TO POURING CONCRETE CJ Single driveways serving single -family and duplex dwellings shall be paved for the first 18 feet when abutting a curb and gutter. 4.2-2(3) You are required to call utility notification center "one call number" 811 before digging SIGNATURE: AMOUNT RECEIVED: RECEIPT NO: DATE PAID: RECENED BY: and ~~e~a~j'! '~~~:' a~~tiW~1 Tnal ~~~I~~u~=:~r~h~e~~~l~da~~~~ ~~ d:Ft~b:"~Wan~tyoraI8n infamalion hErein is !fue !he Dlv of Spsingrield, applic:a6le City ~Iandatd Spet;l~calions and {)(aWmQs. and the I~ ol the Slate 01 Oregon pertaining 10 the v.otk desaibed heren. llurttier certify thai ,d1Jy conlIadors and employees who are in canpiance with ORS 701.055 WIn be used on lhis project. ' The City miX'( inspec:llhe work s~e desaibed 10 lhis permil at any lime during a ene yeal period 10 nowit1g the receipl by the aty of notice 01 corn~lelion cllhe d,esQ!bed I'fOtk and~pe<;ify. "I, the Dry's sole disct!!fIOll. any addilional rasloraliQt1 WO(\( required 10 relurn lh,e sile to a slBlldard BCC2p'lable 10 lhe Ci . The perffilnee will be nOli lied In writing 01 any work reqUired and will have lhirly days (30) Irom lhe date 01 Ihe notice to compIefe lhe work, Work not com eled al lhe end 01 lhe lhirty days wia be periormeC! by ltie Ciry and the cosls wi! be biUed \0 tiie permillee. . 11urther agree 10 ensure thai all required inspeclions are requesled allhe proper lime, that proj ed add'ess Is readable /rom the street, and the lIppl'ove set 01 plans..wl remain lhe sile al all time~ dur'ng construction. ' . Signa.t.ura < 0.., t. .;d' J~/O