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Home My WebLink AboutPermit Sidewalk 2010-8-6 t j'~N~~" ";':i~ :i,~~;..o'~::." -~~ , .J.I;J....! ' " CITY OF SPRINGFIELD " r l~~{! " 1 Building/Combination Permit i Status Issued PERMIT NO: CO M20 1 0-0 1 070 225 Fifth Street, Springfield, OR ISSUED: 08/06/2010 541-726-3753 Phone APPLIED: 08/06/2010 541-726-3676 Fax i EXPIRES: 02/0612011 541-726-3769 Inspection Line VALUE: :., " ." " <" ." " . SITE ADDRESS: 2600 17TH ST '. .." Springfield TYPE OF WORK: Sidewalk ';'11;"':" ASSESSOR'S PARCEL NO.: 1703243103900 .. TYPE OF USE: New Residential PROJECT DESCRIPTION: Sidewalk Owner: TITONE BRE K Address: 2598 17TH ST SPRINGFIELD OR 97477 " , ~..~t'4j~(:" ~ ' " ! .:{t1~:.? Owner: V AIL MARYN C ",'I Address: 2598 17TH ST 'Y::~~sr ~...~....::- SPRINGFIELD OR 97477 .;, ~ . . , I CONTRACTOR INFORMATION ~ Contractor Type Contractor License Expiration Date Phone General ROBERT OLSEN 103585 12/14/20 10 541-686-8842 I BUILDING INFORMATION ~ # of Units: # of Stories: " Lot Size: , ., " .. , ~"...~. .. " Primary Occupancy Group: ." ,l.1~ight of St~.\1etilre Sq Ft 1st Floor: Secondary Occupancy Group: ..' ',',"'Type of Heat: Sq Ft 2nd Floor: Primary Construction Type Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft GaragelCarport # of Bedrooms: Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION ~ , REQUIRED PARKING Frontyard Setback: ,,.,, :~~.. _ 1 ,. l,~,t " . :~OverlafDiSt: Total: Side 1 Setback: # Street Trees Rqd: Handicapped: Side 2 Setback: ;: P,iveil Drive Rqd: Compact: Rearyard Sethack: t.TTr:iITIr'\N' 0 I ' '% of Lot Coverage: ' regon aw reqUires you to Solar Setbacks: tOllow j.". es adopted by the Oregon Utility ~1'JtjjicatiQn Center, Tho"" nil,," ~~" ",,; ,,,;:.. I PUBLIC IMP,RO;VEME~NT~sf01 0 through OAR 952-001- . ", ,btaln copies of the rules by Street Improvements: . calling the center, ~iilewalkEfYP~;)hone Storm Sewer Available: number for the Oreq)'n Utilitv ~Wijicay.on Center is 1 1; ownspou s raJ . Special Instruction: . , . uu-vv..... -':::.jq4 . ; i' ,', ..t: Notes: , ',' " -,,', ,.,.,) ,t\J\' , ;~i\~' I" , '.'--~~pl.' .: NOTICE: I.,~.;\r\l ~I. 'II 'V THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR Page 1 of2 ANY 1 Rn nAY DCI:llnn -Q"- iiiI ~~ I ;. Status Iss u ed ;-l){(t: "':,,,, ;;i" " ','rl", I',' r !f St '~'i 1', . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01070 ISSUED: 08/06/2010 APPLIED: 08/06/2010 EXPIRES: 02/06/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .:' P:~\. " ,:) I':~ " , "!:~ I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated . ',),. , ,,'Total Viiliu;'o(Pruject "<",I I Fees Paid , Fee Description + 5% Technology Fee Sidewalk Permit Amount Paid Date Paid Receipt Number $4.40 $88.00 8/6/10 8/6/10 3201000000000000523 3201000000000000523 ..~,. '., Total Amount Paid $92.40r"A- : .'\ '-:,"/: " .J, ...... . I. . -Pl.l!n ;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. , "0\ L Reauired InsDect~ , I;.... .,,;1, Sidewalk - Curbside: After forms are erected but prior t~' 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 pertainiug 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 inspection~'are requested at the proper time, that each address is readable from the street, that the permit card is located at the front Of ihe property, and the approved set of plans will remain on the site at all times during construction. . :-:i::'.::r ~"...:::::'::':~"~! I . . ~~V'. 1-~ ''!'!,a: ,I.~\'i,,, '~":'ill'. j'. 00 .;z.Dlo Owner or Contractors Signature Date I:a~e~2 of2 I _,.:,Li. ,;., , , i..;';~ '" ,. .....; 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone S~::;4W WI City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000523 Date: 08/06/2010 9:38:40AM Job/Journal Number COM201O-01070 COM2010-01070 Payments: Type'of Payment Check cReceintl Description Sidewalk Pennit + 5% Technology Fee Paid By MARYN VAIL Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 88.00 4.40 $92.40 Amount Paid lkw In Person Payment Total: $92.40 $92.40 244 .1'<Jl\, '~~,. .,....J ~ :..,. ." . -.~~ . ." '~.;~f&~~- J l ;;.\ ),; ';'. \~\ .\~f.~t~. \-. j# , '~t' ~ " '\ . . ~~ :'t'~;. ,.,l,iAit.\)." .' '5h.tti!~.. Jh): ~:'F'~' ;;~:F,~, ~";$~:: ~,_...... 0"' ~ .. Page I of I 8/6/20 I 0 . . , . ." ,..." , . ..: a1. >fa 'ngjldd :,." .' .', ",.it; " . '.,'. .... . ". '" :. U!J 0 >pn . .' .. .' , .. '.. ':" :.. :,C'J(. ~(.,,_':' ".,'.' '.,:. "::: 'p':' c: .'" .,";,.<, ':";:". ;":':,,: ~<: .:," u',:'" ,:" .\'.~";i,,;:f,~j~ ~:<, ..DRIVEWAY/SIDEWALK.' >>PERMITApPLlCATION">;:;~~~ 225 FIFTH STREET .~ SPRINGFIELD, OREGON 97477 ~~ ENGINEERING DIVISION OFFICE TELEPHONE (503) 726-3753 PERMIT NUMBER: , APPLICATION DATE: DATE ISSUED: SITE INFORMATION: LOCATlONOF~AK: :21.00 /7 r~ APPLICANT /I( lI,cy '" c, V-t'<...... PHONE 6*) Qf2. . Sf%-" ADDRESS: z.~e, 17~ S/-o J TAX MAP: CITY: SpP() STATE: OiL ZIP: '77+11 TAX LOr: --- SUBDIVISION": LCerlt<::v eSTAr-i5'S .:sAM ~ , OWNER: PHONE: - ADDRESS' CITY: STATE: ZlP: - REOUESTED PERMITS: 0 SIDEWALK: . ................... ..,.......... ........ ................ $88.00 ....... ...... .. ~$ AMOUNT OF SIDEWAlK IN EXCESS OF 90FT. @$0.08 SF. =$ 0 SIDEWALK REPAIR:... ,.....,........... ............ ............... .............. ..... $15.50 ........... ..... .... ... ~$ 0 CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS_ X ..... ...... ........ $88.00 1st Cut ~$ 0 MULTIPLE PERMIT DISCOUNT EA: ........(MAX2) . ......$30.00 2nd Cut ~U" I (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTlON..QW.Y =$ APPLiES TO 2nd AND 3rd PERMITS ONLY. NOr SIDEWALK REPAIR 0 5% Technology Fee $ TOTAL DUE WITH PERMIT $ 0 PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNEA CONTRACTOR INFORMATION: CONTRACTOR: ,eO. Ol-SIZN ADDRESS: PHONE: CONTRACTOR AEGISTRA nON NO: EXPlRATlONDATE: PROJECT SUPERVISOR: PHONE: INSPECTIONS: AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE. APTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWAU< INSPECTIONS CAli 126-3769 (RECORDER) STATE YOUR OESIGINATEO CITY JOB NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE READY FOR INS PECTION, CONlflACTOA'S OR OWNER'S NAME AND PHONE NUMBER REOUESTS RECEIVED BEFORE 7:00 A.M, WILL BE MADE THE SAME DAY, REQUESTS AFTER 7:00 A.M. WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED .IN AFTER EXCAVATIONS ARE MADE AND FORM WORK tS IN PLACE BUT PRIOR TO POURING CONCRETE, " YOU ARE REOUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCil'S "ONE CALL NUMBER" 1.800-332.2344 48 HOURS BEFORE DJGGING SIGNATURE: AMOUNT RECEIVED: . DATE PAtD: I RECEIPT NO: REC8VED BY: By signalure, I state and agree, that I have carefully e;.:amined the completed application and do he reby cerlity thai all informa~on herein is true and correct and I further cer1}1g Ihat a~ and all work f!enormed shall b(:l done in accordance with Ihe Ordinances of the p~ of SpJlngfield, applic Ie c~ tandard speafications and Drawinw, and the laws of the Slale 01 Oregon pertaining 10 the work described herein. I further certify hal only contraclas and em oyees who are in compliance w!lh 0 S 701.055 WlII be used on th/sproleCl. ' The uty may inspecl,the war\<: sile described in this permit atany time during a CWleyear period to lIowing lhe receipt by the City 01 notice of com~e!ion 01 Ihe descnbed work and speafy, althe City's sole discretion any addllional restOlation work reqUired to return the site to a standard accep.tabie to lhe Ci ,The permltlee Will be notilied In writing of any work r~uired and will have lhlr1y days (30) Irom the date clthe nOlice to complete the work. Work not camp eled at the end allhe thirty days will be perlQ(med by Ilie City an the costs wiil be billed to tlie permittee. ' I further agree to ensure that all required inspections are (~uested al the proper lime, thai proj eel adcte.ss is readable from the street, and the approved sel 01 plans will remain ~ Ihe site at I ~mes during c.onslruction. Signature '. Dale