HomeMy WebLinkAboutPermit Sidewalk 2010-6-29
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20]0-00839
ISSUED: 06/29/20]0
APPLIED: 06/28/20]0
EXPIRES: ]2/29/20]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1678 KELLY BLVD
ASSESSOR'S PARCEL NO.: 1703274100101
Springfield TYPE OF WORK: Sidewalk
'"'' c, '"",." TYPE OF USE: Repair
PROJECT DESCRIPTION: Phase 3 of sidewalk repair at .1678,1687,1695 and 1696 Kelly
~;' "~' I ,. r,j ...1::: -.,' ,
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 ~
# 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:'
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVEEOPMENT INFORMATION I
REQUIRED PARKING
Frontyard 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:
..,...,t"
Street Improvements:
I PUBLIC IMPROVEMENTS I ATIENTION: ~re~eO~\~~';h'; o';~gon Utility
folio,!, rules a ?P, Those rules are set fOlth
Noti~~~~i~6'i 0 through OAR 952.001-
In OAB'~OI!ts/&Dll!~toples of the rules by
0090~'i'OLr m 'Y (Note: the telephone
calling the center. Ut\lity Notification
number for the, orie8gg~_332-2344).
Center IS -
Storm Sewer Available: , \~IGI'\\<. ,'1
Special Instruction: \\\\: W \\\p'~1.I;-\O\ '
~01\Ct: S\-\J\\..\.. rf-.? ?\:\\\'.I\\"'i'\S
Notes: ,\-\\S 1'\:\\\'.1\\' \)1;-\01':.\\ ,\-\\S 01;-\\:0 rO\\
.. ,.<\jIlR\l\:O ~ Ie. l\\)J\1;-\0
'w" I;-\C V ,..
00~~~C\ 0J\:'i 1'1':.\\100. I Valuation Description I
I\N\
Description
Type of Construction
$ Per Sq Ft
or multijllier '
Square Footage
. or Bid Amount
Value
Date Calculated
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Paee 1 012
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00839
ISSUED: 06/29/2010
APPLIED: 06/28/2010
EXPIRES: 12/29/2010
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid _
Fee Description
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
Amount Paid
Date Paid
Receipt Number
.,:.,.,.,
;. ',~'"
$6.26"'"
$88.00':;"':}
$37.20:':
,:~~) M~~:.: ',.'
, ,'~:
6/29/10
6/29/10
6/29/10
2201000000000000763
2201000000000000763
2201000000000000763
."'".'"
Total Amount Paid
$131.46
I Plan Reviews I
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.
IrReouired Insnections ~
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
By signature, I state and agree,that I have carefully ex~mined the completed application and do hereby certify that all
information hereon is true and correct, and I furthei"certify that,any and all work performed shall be done in accordance with
the Ordinances oflhe City ofSpringtield and the La-;;;,s"of,tiie-State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any struct~n" 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 constr,uction.
.~ ~ SL/-
Owner or Contractors Signature '
Otljl.<t/.L.O'D
. I
Date
'1.,"'j,'
,~" '.
Paee 2 of 2
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City of Springfield Official Receipt
Development Services Department
Public Works Department
25 Fifth Street
pringfield, Oregon 97477
41-726-3759 Phone
RECEIPT #:
2201000000000000763
2:50:0IPM
Date: 06/2912010
ob/Journal Number
0M2010-00837
OM2010-00837
OM2010-00837
:OM20 I 0-00838
:OM20 I 0-0083 8
: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
:0M2010-0084I
:0M2010-00841
:OM2010-00841
:OM20 I 0-00842
:OM2010-00842
:0M2010-00842
:OM2010-00843
:OM20 I 0-00843
:OM20 I 0-00843
'ayments:
.'ype of Payment
:ash
cReceintl
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 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 ii,iJ1.
Sidewalk Permit + 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
" y:~
.~i1 Hi "
Paid By
HOUSING AUTHORlTY OF
LANE COUNTY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
Ikw
81682
In Person
$1,231.52
Payment Total:
$1,231.52
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