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HomeMy WebLinkAboutPermit Sidewalk 2010-6-29 CITY OF SPRINGFIELD Building/Combination Permit Status Issued . ..:'~ '. ':;.;, . 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 ,.",:/YJ. . -'- \:. - ~_ I- 1'~. " ;i 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 o .: i 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: a~' a,,~ .es you 0 " 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,<~<"'. 'NY \1':0 Df',Yn ", , I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated , ;~ ',,, Page '1 of 2 ',."l . r{-~: i j: '.1.;. ., Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~.'.D.i '-'. ,'" . "~'I!;/ I-.;~;':):".k. . "J.C " ",. 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 r:. j >; "., .". ..~,. ,'" 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. '13 - 5,--' _ Owner or Contractors Signature I ~c;.h..'i/L"/D t Date ." :/,y ~.~,;\i ([~~ ',,' ",.. . Paee 2 of 2 '~I\ , 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 '."(:". \Hid " 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 ;(~;.'; - 'I Page 1 of 1 6/29/20 I 0