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HomeMy WebLinkAboutPermit Sidewalk 2010-8-11 5I.RINGF. .I~L~D....... ." ";~ , . 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 f:'~x~~<'~""-gr:,1:.:t:f;;~' ~',(;.l.,", ;.>, "",,;-."~ ';;!~" ;;-'''.";''.It''": !;,;;ESJ:~ID . Amount Paid ').'-", . ;.'>( .,,"~- '.e.,'~\ 4Fj'- ~.;.::: ~. '\'-; " :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~ ~>!!~- .eIi .:^ .. 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 '. 1t71A.. Owner or Contractor Sign!r . A~~ Date \ '2. \ dCJ /0 , Springfield Building Permit 8/11/2010 3:38:22PM Page 3 of3