HomeMy WebLinkAboutPermit Sidewalk 2010-6-29
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
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PERMIT NO: COM201O-00838
ISSUED: 06/29/20]0
APPLIED: 06/28/20]0
EXPIRES: 12/29/20]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 495 FAIRVIEW DR
ASSESSOR'S PARCEL NO,: 1703274100101
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Repair
PROJECT DESCRIPTION: Phase 2 of sidewalk repair at495 Fairview and bus stop at Fairview & Laura
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Residential
Owner: HOUSING AUTHORITY & URBAN
Address: 177 DAY ISLAND RD
EUGENE OR 97401
I CONTRACTOR INFORMATION ~
Contractor Type
Contractor
License
Expiration Date Phone
BUlbDIl':'G'fNFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
'::::'):'~ J; .
-#ofStorib~:
'Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st 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:
I.. ,
Qverlay Di,t:'"o, ,
:.' #'Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
-, Handicapped:
Compact:
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" gUBLIC IMPROVEMENT ,OW rules adopted by the Oregon urn
\') r ,..f,cat,on CentF> Th · I Y
Street '€!provements: t. IF l\1t '-NOf\ in OAR cSi~~J'!!bT~111~se rules are set forth
t~~1~~~,~nA'Wit.l6IeFY-?I~ l't.R1'AII IS "NO' ~,~,c "" ",:". , ," OO;a~i Y;;bWri'S~~~S'l~":i~~2: ~~~e ~~7~~Obl;
-Special Instrnctioffit.R \1\1G."A\'~\Ie\falk Repair :!.!!,l,F.i'c,;;..'Ci;:,',c:' mg the center, (Note: the teleohone
'-\10\,>\/..cu ", 'BP-.I'lU0>" ':'~r:'l' ..,;."?>",, ,...' number for th 0 or ' , ,',
f',U \ ClOD OR IS t'\ ,,".-:' '; ro ,,8: Jgon U'o/,Iy Not'flcailer)
~.6JesN\t.N C l't.RIOD, H,'il " ,,;..,: Conte, IS , S00,:i:'2,<~<"'.
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, I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Page '1 of 2
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Iss u ed
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: COM2010-00838
ISSUED: 06/29/2010
APPLIED: 06/28/2010
EXPIRES: 12/29/2010
VALUE:
"tl
Total Value of Project
Fees Paid .
$4.58
$88.00
$3.52
Date Paid
\,/29/10
6/29/1 0
6/29/10
Receipt Number
Fee Descriptioo
+ 5% Technology Fee.
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg
Amount Paid
2201000000000000763
2201000000000000763
2201000000000000763
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Total Amonnt Paid
$96.10',
I Plan Reviews ~
To Request an inspection call the 24 hour r~c!l!di!lg!lt 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, i~ip')~ction~'reqil~sted after7:00 a.m. will be made the following
work day.._ '_. " ."._., _
Rea'uired InsDections I
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 permissihn 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 inspectioris 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 I
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Date
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Paee 2 of 2
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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
ob/Journal Number
0M2010-00837
OM2010-00837
OM20 1 0-00837
OM20 1 0-0083 8
:OM2010-00838
:OM2010-00838
:OM2010-00839
OM2010-00839
:0M2010-00839
:OM20 1 0-00840
:OM20 1 0-00840
:OM20 1 0-00840
:OM2010-00841
:0M2010-00841
:OM20l0-00841
:OM20 1 0-00842
:OM20 I 0-00842
:OM2010-00842
:OM2010-00843
:OM2010-00843
:OM20 1 0-00843
'aynients:
::ype of Payment
:ash
cReceiotl
Description
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 Ftg
+ 5% Technology Fee .
Sidewalk Permit
Sidewalk Permit + Addtl Sq FIg
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addt! Sq Ftg
+ 5% Technology Fee
Sidewalk Permit
Sidewalk Permit + Addtl Sq Ftg .<.,;.
+ 5% Technology Fee.
Sidewalk Permit;\)\..iji
Sidewalk Permit + Addtl Sq FIg -,.
+ 5% Technology Fee
Paid By
HOUSING AUTHORITY OF
LANE COUNTY
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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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
lkw
81682
In Person
$1,231.52
Payment Total:
$1,231.52
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