HomeMy WebLinkAboutPermit Sidewalk 2010-7-28
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CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2010-01002
ISSUED: 07/28/2010
APPLIED: 07/28/2010
EXPIRES: 01/28/2011
VALUE:
SITE ADDRESS: 5353 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334203200
Springfield TYPE 0" WORK:
TYPE OF USE:
PROJECT DESCRIPTION: Sidewalk Repair for two panels.
Owner: PARKS WESTSAC LLC
Address: 3807 PASADENA AVE STE 100
SACRAMENTO CA 95821
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Contractor Type
Contractor
I CONTRACTOR INFORMATION ~
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:
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
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Frontyard Setback: 9\1,~rlay .oist: .
Side 1 Setback: , #;StreetTrees Rqd:
Side 2 Setback: .:piifed'Dri~e Rqd;
Re~r~Tt\QlI!:: Oregon law requires you to % of Lot Coverage:
Sol I:t'<<~s adopted by the Oregon Utility " NOTICE'
o mcatlon Cente 0 .
, n 952-001-0010 through OAR 952-~IlI!JBLIC IMPROVEM..' ~~if~M'T SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the'rule'!Hlr _ ., :J, ,~ZED "~m:
StreeClI'Iipg,lIemeotltar. (Note: the telephone .': COMIVlENCED~ ~~IPERMIT IS NOT
St number fll!. ttwhOr.egon Utility Notification " ANY 180 D :; IS AS DQN~D FOR
or','l sewetgn:1\lP'rsr~'-800-332_2344) AY I"rnmuts rams.
SpecIal InstructIOn:' ,
Total:
Handicapped:
Compact:
Notes:
I V alulItion Desc~iption I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
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., CITY OF SPRINGFIELD
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Status
Issued
; Building/Combination Permit
PERMIT NO: COM201O-01002
ISSUED: 07/28/2010
APPLIED: 07/28/2010
EXPIRES: 01128/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.:iTotal Value of Project
LFees Paid ~
Fee Description
+ 5% Technology Fee
Sidewalk Repair Permit
Amount Paid
Date Paid
Receipt N umher
$0.78
$15.50
7/28/10
7/28/10
2201000000000000894
2201000000000000894
Total Amount Paid
$16.28
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I \ pian Reviews ~
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. . ,
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ReQuiredIri~Dections ~
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By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 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 Ihe front of tbe property, and the approved set of plans will remain on the site at all
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Owner or Contractors Signature Date
Pa2e 2 of 2
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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 #:
2201000000000000894
Date: 07/28/2010
8:49:50AM
Job/Journal Number
C0M201O-01002
COM201O-01002
Payments:
Type of Payment
Check
cReceintl
Description
Sidewalk Repair Permit
+ 5% Technology Fee
Paid By
PACIFIC RIM CONTRACTING
LLC
Check Numher
Rec'e~ved By' ~ "Bat~h Number
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Page I of I
Item Total:
Authorization
Number How Received
Amount Due
15,50
0,78
$16.28
Amount Paid
5136
$16.28
In Person
Payment Total:
$16.28
7/28/2010