Loading...
HomeMy WebLinkAboutPermit Sidewalk 2001-7-18 ) . Page 1 of2 . I Job# 01-00751-01 I ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00751-01 225 North Fifth Street Springfield. OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1134 Delrose Dr Spr Assessors Map#: 17032344 Lot: Block: Addition: Tax Lot #: 9900 Subdivision: Owner: Tim Hovet Phone Number: 541-746-8444 City/State/Zip: springfield, OR 97477 New Value: $0 Address: 840 beltline, ste 202 Scope Of Work: Sidewalk 85 ft of sidewalk. Requirement for subdivision approval. Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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 working day. SW-Curbside Required Inspections r.----'Public Works I -After forms are erected but prior to placement of concrete Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D [Ar~a (Sq. Feet)- _ Main: Accessory: " # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Public Works 08/02/2001 6326 Value/Quantity New Sidewalk Total Public Works Grand Total 85 Fee Amount $65.00 $65.00 $65.00 I . I Job#01-00751-01 I . Page20f2 By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information 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, applicable City Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and employees who are in compliance with ORS '701.055 will be used on this project. I also understand the City may inspect the work described on this permit any time during a one year period following notice of completion, at the City's descression, Signature Date ~ -i -i Cl ;;0 :D J:> ::;0-t2 r'll'l C8 CJu# C) o~":>.. D .. CC) r.JJ /'.,) G') 1-...1. ::r: I t---lC'J.f;;;J}Q0 rn ::c t...J (:) ;:0 ::D (J"-. 0 "', ::..: U1 I'.J a-. C:)G1. oC.J 0-. fTl C) 0 f'..J I'..J'~ 01-'" C7'- e7/1S/2eel 14:53 5417462 SENT BY: SPRINGFIELD PW; SYCAN PAGE e2 ,., I 226 "I'TllSTllIET ~.. . SPRINOFll!Ul.OIll!OON .'.77 ENGIN~NIl_N OFFICE TIILIPI10HIISClJI 7%11-3763 APPUCATJOIII DATIl ~ - l'l- 0 I PERMIT NUMBER:."" ~ t>t>"XI- IJI DATE ISSUED: SITE IWc.lATION, LOCATJOII....h ,,'!atilt .,...P.1.Q.af.. ML. A::"::~~:#__<:~ ~:J OTY'-*~._j"'AT;'J /.1?J7 SU811IVl_ ~) OlMi.... ~,.....\ ""ON'~ TNAMAP: '"'l<>~:"~oI.,", /?17A'/' I ZJill.J TAALOT: ~al ZIP: ......~...._.'.... PHONE: ~OtlRE": CITY: STATe: _ ..... UP. REQUUftD .....IT.: 13 OIllVlWAV ICUIIUlITIlIDEWALK:.. ..............,..,... ....... ,;..",.." ...... ....... ...... 81,00 AMMlIIJNT Of' lIotWAU IN fl(C..8 OF 10FT. @~o.oe S~, I I:I 81DlWALlt 1II!I'A1~:............,..............,...."...........,..,....................... 10.00...,..,... I:I ADOI11ONAI.IIIIINIWAY: ... ...... .......,.... ....,..",. ....,.., ..........,.... ,. 31.00......... [J PIIntW f.W ...1_&IlIIr.II'. t600.QOO MINIMUM If WORK I~ COME BY PROPERTYOWNat ToirAl DUe WITH _ '_'_~ CONTIlACTOllINPOIIMATION, ::=~,~4~ CONT_~Q01_TlONNO'..Ql~- ,..... PROJECT GUfIlINlIOllt PHONE: E)(I'lRATlON bATE: PHON;' INSPEC1IOHI: AIlINSPEA:TIOllIlEOUEST 8HOULD BE MADE PRIOR TO POURING CONCRI!Te. AFTER THE I'ROPOS(D WORK HAS BEEN FORMED AND' NlAl)I ttlAOV TO ~lJJ'. CURS CUT AND _AU IlIPeCTlOIII CALL 7%S..n"'RECOROERl aTATE YOUR DElllGlNATBD cm JOe 'lUMBE/lIPERMIT NUM..... JOa ADOREse, TVI'l! OF INSPECTION REQUE8TEO, AND WHEN YOU Wilt. BE RIOADY FOR INSPECTION, CONTAACTOl\' . OR 0WNt!"'1 NAME ANIl PHONE NUMaER, REQUE8TlIIlECEIV~IifQRe 7:00 A.M. WIll aE MADE TIlE SAME OAY, REQUE8TS AFTEA 7,00 A.M, WILL Ill! MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO II! CAllED IN AFTER IXCAVATlONS AlII MADE AND FORM WORK IS IN PLAce BUT PRIOR TO POURING CONCReTE. YOU "IIE~ TV CAlL THE LANE UTILITIES COORDINATING COUNCIL'S N ONE CALL NUMBER- 1-800-332-2344 48 IlOUIUlIEPOR! IlUlGINQ S10NATUIl!' AMOUNTAlC~1 D"T~PAlD: RECS,.,. t<<); .~vr.o BV: .,~n~' .., W!I"~ZInod~Ggmoloud__.tian""~hI~tN11111mClfNlllMtwlln IaCNt ano dI t. . fun t 1l'Y. YtJ Drrn,d -. tilii done '" ,CCClfdMD' "l:'" of ... ,..~ 1;1,., _....u ""...;ng., 1M "" _ "" ll1m.' ~..nr""n.... lIl. ..... du,,'''''. heN"" t Grfy~'DdDlllend.mpIoV"'Who.tfinGofnOl\llr'lC.W'ithO 701:0&lwlllblI-uoo onttD~. . Th. atv... ............ ..m".... .."""....ytint~.. ~.."o. ro"o_" '....,,~... cnv .,....~,.f ._pIoti. "ill. illlII'. w__IlItOl'y- If. 1 . -.olf dteC,..lIon, ItIV . I non WliI'II~' to ...\urta .. to . rtlfldl,l"CllGOlp'.ll'IlI I' lfl.1 IN,lhto wm"';;.:(rfiid"'-'\I'Igaf~wGl'Ii:"qul-t w ... Irty 11."1 1301 l"'~gof NlIr.e.IDClJmpl.t,t.ttl.work. W"" ......"".."".....,.,.."...u.............by 4 thO fty DO'U WlU 1)1 blJIN !o u.. "1JTitl\II1. . I tunhar __ID .....1tm., recaJ,lHJ 1MDKIIonI.,. I'toucoted "~. . " ."'" " Idd'eu Ia leellttll. fI'om VI. .1l00000....cr....~licr..."''*'I..wll-rarn...'-V"11..''I\.''lfir_ 0". <.v Signal.... . Cale Y ;W#A > ~