HomeMy WebLinkAboutPermit Sidewalk 2010-8-11
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, . OREGON
WIIIW .ci.springfield.or. us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00037
IVR Number: 811187827345
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@d.sptingfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/11/10
APPLIED: 8/11/10
EXPIRES: 2/6/2011
VALUE: $0.00
SITE ADDRESS: 665 MAIN
ASSESOR'S PARCEL NO:
Springfield
1703353110100
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk repair
OWNER:
ADDRESS:
SPRINGFIELD PUBLIC
525 Mill ST
SPRINGFIELD OR 97477
SPRINGFIELD SCHOOL DISTRICT 19
525 Mill ST
SPRINGFIELD OR 97477
Phone Number:
OWNER:
ADDRESS:
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMA TION ~
Lie Type
Lie No
Lie Exp
Phone
BUilDING INFORMATION ~
# of Units:
I
o
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Ha~mat:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
# of Bedrooms:
Sprinkled Building:
Fire Alanns:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal J Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Energy Path:
Site Infonnation
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
ATTF"~IGN: Oregon law requires you.t.o
foliO'" :":,3 adopted by the Oregon Utility
Not;,,, . ',)n (~f"lter. Those rules are set forth
in Cl>~' ',S2-001-001O through OAR 952-001-
O({.' I. You may obtain copies of the rules by
Cli .;~q the center. (Note: the telepho~e
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NOTICE: E IF THE WORK
THIS PERMIT SHA~~ ~~~ PERMIT IS NOT
AUTHORIZED UNO S ABANDONED FOR
'[)MMENCED OR I
Springfield BU;]din. Pe'f,,!;l, nL\Y PERIOD.
8/11/2010 3:38:22PM
.Page 1 of 3
WNN.d.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00037
IVR Number: 811187827345
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@d.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/11/10
APPLIED: 8/11/10
EXPIRES: 2/6/2011
VALUE: $0.00
SITE ADDRESS: 665 MAIN
ASSES OR'S PARCEL NO:
Springfield
1703353110100
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk repair
DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Stonn Sewer:
Stonn Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descrietion
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
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Amount Paid
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:s.' if:l
Descriotion
Date Paid
Receiot #
Total Amount Paid
='"~ ~W1M' ,~, :'~.",dlf ~.yw;;;:;}\~ "':."','1'" ''o\"f'ji:' . ..;,-....."'.. .b'1!;;PZt'T"!",'~;;'i~, t1'.:'\W;'"j'"
iftft: ,:;;~ ",1': '<f::K~i7:,.,;;, ;~J::;~~;.:q~;~ ";":""'~6f::'h ":<.,' :~,\ih- 1';'lTh ;Plan~Revlew:,;'~ ~::: ' .' - .-)1;).;,
~:.\12(~:S~~;:~9~~.'';r'!S~~l~
DeDarbnent Received Due Date Comolete Result Reviewer Comments
Permttilssuance 08/1112010 08/11/2010 08/11/2010 Issued Kaye Wilson
Appli~ti(;m Acceptance 08/11/2010 08/11/2010 08/11/2010 Over the Counter Kaye Wilson CIty Sidewalk repair
InitiaL.~e~~ ,,' 08/1112010 08/11/2010 08/11/2010 Over the Counter Kaye Wilson Over the counter permit
Plannrn~~Review" 08/11/2010 08/11/2010 08/11/2010 Over the Counter . ~aye Wilson Over th~"c6unter permit
....J; .
Public Works Review 08/1112010 08/1112010 08/11/2010 Over the Counter "'"Kaye Wilson : .Over the counter permit
..,... .oJ _....,
Structural Review 08/11/2010 08/11/2010 08/1112010 Over the Counter ..I Kaye VVilsori Over the counter permit
'\
Springfield Building Permit
8/11/2010 3:38:22PM
Page 2 of 3
SPRU.lG.F IE L~
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.:^ .. OREGON
WrNW.O. springfield .or. us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00037
IVR Number: 811187827345
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@d.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/11/10
APPLIED: 8/11/10
EXPIRES: 2/6/2011
VALUE: $0.00
SITE ADDRESS: 665 MAIN
ASSES OR'S PARCEL NO:
Springfield
1703353110100
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk repair
INSPECTIONS REQUIRED ,
Inspections
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 or 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 the front of the property, and the approved set of plans will remain on the site at all times during
construction.
~aEf
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Owner or Contractor Sign!r .
A~~
Date
\ '2. \ dCJ /0
,
Springfield Building Permit
8/11/2010 3:38:22PM
Page 3 of3