HomeMy WebLinkAboutPermit Sidewalk 2010-7-12
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00918
ISSUED: 07/12/2010
APPLIED: 07/12/2010
EXPIRES: 01/12/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 249 65TH ST ,,, .,.,
ASSESSOR'S PARCEL NO.: 1702344203000
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Springfield TYPE OF WORK: Sidewalk
TYPE OF USE:
PROJECT DESCRIPTION: Secondary driveway
Owner:
Address:
BENDER LEON G & MARILYN A
249 65TH ST
SPRINGFIELD OR 97478
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I CON;rRAc:f.0R 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 Structure
,
Type of Heat:
Water Type:." '
Range Type:':" , ,
,:,;Energy Path,"" .
. - Sp~inkled' Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Treesllid: . . Ha8dicapped:
Paved Drive !=NTlON: Oregon law require (J 10 .
,.i~'~f Lot,CoW~ii'gerules adopted by the oregSR'OlIfttf
::.':# ,:':,~, '7"" Nolifleation Center. Those rules are set forth
..."~,, 0.... in OAR 952-001-0010 through OAR 952-001-
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I PUBJ.;JCIMPRO NT~ . eenter. (Note: the telephone
number for the Sllle\lG\lkl:\lij~~:Notifieation
Full:v Improved Center is 1-800-332-2344).
Downspouts/Drains:
Curbside 5'
Street Improvements:
Storm Sewer Available:
Special Instruction:
:\!UTlCE:
Notes: rHIS PERMIT SHALL EXPIRE IF THE WORK
'UTHORI7 .
0MMENCED OR IS ABAN mlm hClR . . .
.,v 180 DAY PERIOD. 'Vltttta'~101l Des,en tlOn
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Description
T:vpe of Construction
'1. '.
$ P.er Sq 'Ft
or mulilplier
. ,'.:' Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
Curbcut - 2nd Driveway
Overwidth Application Fee
PW Disc - 2ud Permit
Sidewalk Permit
Total Amouut Paid
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Total Value of Project
Fees Paid . .
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00918
ISSUED: 07/12/2010
APPLIED: 07/12/2010
EXPIRES: 01/12/2011
VALUE:
',,'1';
'.~ .J, Date Paid
Amouut Paid .
$88:00", .
$45.00
$-30.00
$88.00
$191.00
I plan Reviews ,.
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7/12/10
7/12110
7/12110
7/12/10
Receipt Number
2201000000000000821
2201000000000000818
2201000000000000821
2201000000000000821
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.
ReQuired Inspections I
By signature, 1 state aud agree, that 1 have carefu,ny.examined the completed application and do hereby certify that an
information hereon is true aud correct, and 1 further certify that any and an work performed shan be done iu accordance with
the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaiuing to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 win be used on this project.
1 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 an
times during cons
Owner or Contractors Signature
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Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000821
3:03:26PM
Date: 07/12/2010
Job/Journal Number
COM20 I 0-00918
COM2010-00918
COM2010-00918
Payments:
Type of Payment
CreditCard
cRcceint I
Description
Sidewalk Permit
Curbeut - 2nd Driveway
PW Dise - 2nd Permit
Paid By
BENJAMIN SMITH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
88.00
88.00
(30.00)
$146.00
Amount Paid
lkw
094408 In Person
Payment Total:
$146.00
$146.00
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