HomeMy WebLinkAboutPermit Sidewalk 2010-6-29
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00837
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
541-726-37691nspection Line
SITE ADDRESS: 109 FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703274106700
Springfield TYPE OF WORK: Sidewalk
PROJECT DESCRIPTION:
TYPE OF USE: Repair
Phase 1 of sidewalk repair 305,313,320,323,337,424,435,450,472,484,494 Fairview
Residential
Owner: HOUSING AUTHORITY & URBAN
Address: 300 W FAIRVIEW DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION .
Contractor Type
Contractor
License
Expiration Date Phone
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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 Tyji'e: ,~ '
En'ergy Path:' .
Sprinkled Buiiding!'
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION..
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
"Compact:
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I PUBLlClMPROVEM~fTION: Oregon law requires you to
. .... tallow rUle~dqp.t\\dj;ly the Oregon Utility
Street Improvements:.. " .c".' . N t'f' t' IdelJ'lal'tlt&~rules are set forth
<: 'NO?!' ',....'. 0 Ilca Ion "ill .
Storm S,e.wer Available: I?E w: 1\'\.; ~OI ...,.. in OAR 952-CD\J"oop\l~~miS\h9.AR 952-001-
Sp~::iJI\rn\1fl\ct."!l\1J1-\..\.. tJ%~~a ~iC!~J\\k ~~Rairs for Fairview 0090. You may obtain caples of the rules by
1\-11S I'E\'IN,\I \ DE? 1\'\1" 'tD rOn calling the center. (Note: the telephone
Notes:\\-IO?IIEO \IN IS Jl-I'>Jl-NOON number for the Oregon Utility Notification
"J ,\\,r:NCEO a? "D Center is 1-800-332-2344).
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I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
'.,Squar.e Footage
'oj' Bid Amount
Value
Date Calculated
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Pa2e 1 of 2
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00837
ISSUED: 06/29/2010
APPLIED: 06/28/2010
EXPIRES: 12/29/2010
VALUE:
Status
Issued
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V
Total Value of Project
Fees Paid I
,',
Fee Description
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
Amount Paid
$14.40
$88.00:: '
$200:08
, l!ate Paid
6/29/10
6/29/10
6/29/10
Receipt Number,
"
2201000000000000763
2201000000000000763
2201000000000000763
Total Amount Paid
$302.48
I Plan Reviews ~
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To Request an inspection call the 24 hour r~c'ordiiig'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.
Reouired Insaections I,
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 true and correct, and I further .certify that a,ny an'd all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the ,-"~ws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strud'U'f" without permission ofthe Community Services Division, Building Safety.
1 further certify that only contractors and employ~es 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 Signature
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DIt?/2q /2-6/0
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Date
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Pa~e 2 of2
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25 Fifth Street
pringfield, Oregon 97477
41-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000763
Date: 06/29/2010
2:50:0IPM
Db/Journal Number
OM2010-00837
OM2010-00837
:OM2010-00837
:OM2010-00838
:OM2010-00838
:OM20 1 0-00838
:OM20 I 0-00839
:OM20 I 0-00839
:OM20 I 0-00839
:OM20 I 0-00840
:OM20 I 0-00840
:OM20 I 0-00840
:OM20 10-00841
:0M20 I 0-0084 I.
:0 M20 1 0-00 841
:OM2010-00842
:OM2010-00842
:0M2010-00842
:OM20 1 0-00843
:OM20 I 0-00843
:OM2010-00843
layments:
.'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 FIg
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftgi,',~), '"
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg,,: ..
+ 5% Technology Fee
Paid By
HOUSING AUTHORITY OF
LANE COUNTY
Amount Due
88.00
200.08
14AO
88.00
~ 3.52
4.58
88.00
37.20
6,26
88,00
22 AO
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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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
Ikw
81682
In Person
$ I ,231.52
Payment Total:
$1,231.52
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