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Home My WebLink AboutPermit Sidewalk 2010-9-9 S~~.~N..~_FIE.~~. ~~-- " ' ~ : ':_~~}, OREGON CITY OF,SPRINGFIELD Building/:r~e~jCt~rntiill Permit www.ci.springfield.or.us ~ :j": '.i _ _ '~\ ~. PERMIT NO: :8~1-SDC'2010-00265 IVR Number: 210170387943 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/9/10 APPLIED: 9/9/10 EXPIRES: 3/7/2011 VALUE: $0.00 SITE ADDRESS: 942 28TH ASSESOR'S PARCEL NO: SCOPE: WORK INVOLVED: TYPE 'OF STRUCTURE: Springfield 1703361109600 PROJECT DESCRIPTION: . " ,~ .' . I Phone Number: Sidewalk replacement , 0.,. .'. ~ OWNER: ADDRESS: .-,<". "\ CROSSFIRE WORLD OUTREACH MIN'ISTIRES INC 942 28TH ST SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lic Type Lie No Lic Exp Phone # of Units: BUILDING INFORMATION ~ 'j';';"" "....il'.; ," t ".i'.i[<i,:. $!\.:~ri.~1t ' " # of Stories: . , I Heig~1;9f!St~~cl~-~e:' Type of Heat:, Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: }, Electrical Specialty C~de Ed.ilian: Springfield Fire Code,Edition: Mechanical Speci;lty"Code Edition: Muni~lp-~II D~veiopment Code: pjilih61'jjg Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: U.t Land Hazard Area: _t~h...~:~~"',tlti~.~' :,' ,: Retaining Wall: __ {j :!~;. '::jl........ :::1: . r;~ I iCE: ,~tOfw SOils Report Required: L EXPIRE I" ,....E "'''DK ",S PERMIT SHAL '~, :"!' ;V<\""," ''l8IZED UNDER THIS PERMIT IS NOT , "iCED OR IS ABANDONED FOR 'iI,Y PERIOD, Springfield Building Permit g/9/2010 '12:21:33P~ d .; .. :;.- ~ ~.! r. . '. '~;, ~ ~ 1 i .~! .:,. ';! ;11 J', t, '""\ ;'\: iJ;~;~;t:~;~l "~ .j> , ' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: ATTENTION: Oregon law requires you to ~fOIlOW rules adopted by the Oregon Utility ,Jotlflcatlon Center, Those rules are set forth in OAR 952-001-0010 through OAR 952-001. 0090, You may obtain copies of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Page 1 of 3 . .' ., ~ ! 1 . ,,":: . SP~ING.FIE~ .~ ...~ "<"'" OREGON .... :'. . .1,~: \, : ~ ~'. ., 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfietd.or.us CITYQF',SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SDC2010-00265 IVR Number: 210170387943 permilcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/9/10 .1,,:r..,;:~ ,...;:; ....',..... . APPL:II;!?: WJl/1.0.." EXPIRES: 3/7/2011 VALUE: $0.00 SITE ADDRESS: 94228TH ASSESOR'S PARCEL NO: Springfield 1703361109600 1!~~ s.{.: "";., SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk replacement DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: REQUIRED PARKING Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: .. % of Lot,C~verage:,; Highest P?,in~'C?~-jstfuct~re.. ~o ;' north properly"lin~: j . ~ Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: . :'.J~ ~ ,J . ~'... . ~ ."' Llt;W~ 0j.sfT{!..", ~ . "..' ~~ ;.~, ~ . '1' Valuation Description I Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value I '" .' -,-.-----.-.... .-- - .. --. -. . --, "', . .FEES p~JO .'-. -",' Yi\',ll,.,;Amount Paid' . ,1. ~,.I' '. I' ...... 1}f :-;':, ',I $88.00 $4.40 $92.40 c- DescriDtion Sidewalk up though 90 Feet Technology fee (5% of permit total) Total Amount Paid Date Paid 09/09/2010 09/09/2010 ReceiDt # 374271 374271 oJ. .', ,-~~ .' U~~ ~(~.I~[! l' ~"'-r.-..:.' ...r....-.. '~ : ,'f': r Springfield Building Permit 9/9/2010 12:21:33PM Page 2 of 3 S~.i~\N. ~,IE~ .~( 'reo .'t. __.~ OREGON www.ci.springfield.or.us PROJECT STATUS: Issued CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SDC20,10-00265 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfietd.or.us ..' . ,'. .:,C . IVR NU,(Tiper:.210.FP387943 " t;,; i1 .. ISSUED: 9/9/10 APPLIED: 9/9/10 EXPIRES: 3/7/2011 VALUE: $0.00 SITE ADDRESS: 942 28TH ASSESOR'S PARCEL NO: PROJECT DESCRIPTION: Springfield 1703361109600 Sidewalk replacement SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: - ,~:~;' ,~.... ~ Comments Deoartment Permit Issuance Application Acceptance Initial Review Electrical Review Mechanical Review Plumbing Review Planning Review Fire Review Public Works Review Energy Code Review Traffic Review Structural Review Inspections Received 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 Due Date 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 ~~~ . Plan :Revi.e-~ Comolete- Result 09/09/2010'lssued 09/09/2010 Over the Counter 09/09/2010 Over the Counter 09/09/2010 Nol Required 09/09/2010 Nol Required 09/09/2010 Nol Required 09/09/2010 Nol Required 09/09/2010 Not RequJr~d 09/09/2010 Nol Required 09/09/2010 Nol Required, . ~ '" I I ,.' , \. 09/09/2010' ,Not'Required 09/09/29.1.2'\: Not B~g~[red ; INSPE,C_TIONS REQUIRED Reviewer Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit ~ .s;e4L0l1-t.lc. - S~+bCL~ By signature, I slale and agree, thai I have carefully examined the completed applicalion 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 Stale 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 con:ipliance'_with~ORS_7.01,005 will be used on this project. I further agree '" . ,,',.J,~' ',', '''','' !I\',..,-.'~ ~ . , to ensure that all reqUired InspectIons are requested at thEfPLOper1tJme;:that each address IS readable from the street, that the permit card is located at the front of the properlY. and thp'l~~'F~OV~~{~~!loi plans will remain on the site at all times during constr n, ~~1!.; , '_H_ - Springfield Building Permit ,', tJ- C;~ /17 . Dale , I' " 'J,.1 '. , :.:.' 1 i .~' '" ," '....~;/ ~!ij;:r~. '." ':n<," . .....~;.;:. ,;:-f,~l:7'Jj ,.,/; 9/9/2010 12:21 :33PM Page 3 of 3 '.;LJ; " v:l1PliJr.I;!];!':m1l c:...~. ..J' . ....t'-._ iJ., li'~," , :9~~Y:7"l ~W(IIOt,.1!:!, . t'::-J I Sr;~N..G.~E~ ~~ ~ORfGON www.cLspringfield.or.us TRANSACTION RECEIPT 811-SDC2010-00265 942 28TH ST CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permitcenler@cLspringfield.or.us rnESCRIPTION Sidewalk up though 90 Feet Technology fee (5% of permil lotal) ^,^,,', , "'-;;..., -''"'" . '.....~. ~ . '. . ~ . ','I.\<::_CP_U.NT":'CPD..E 201-00000-426060 1 00-00000-425605 TOTAL DUE: DATE: 09/09/2010 .~ .I.\MQl.[NTlLUE $66.00 $4.40 $92.40 'AMOUNT PAID. RECEIPT NO: 2010000285 RECORD NO: 81 I-SDC2010,00265 PAYMENT TYPE PAYOR. CA'S'HiER: ,KWI'LSON'-' . COMMEN_IS :,'~ Credit Card 034476 Phillip Clark/Crossfire $92.40 $92.40 .1",__ I.. , f, i' ,/, '. SPRING..F.I..E. L~, . Ii' ~""a... . '4~ -. ~.. "'OREGOH www.ci.springfield.or.us PROJECT STATUS: Issued 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SDC2010-00265 ,r' , IVR Nu,!'1~er: '21 0170387943 permitcenter@ci.springfield.or.us ...:..; ;j ISSUED: 9/9/10 APPLIED: 9/9/10 EXPIRES: 3/7/2011 VALUE: $0.00 SITE ADDRESS: 94228TH ASSESOR'S PARCEL NO: Springfield 1703361109600 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk replacement ~ "~''"'~'' ","," ,.,., .,.<" "'~.E'''''''"'~:'...' '., ,~"""",""'= """'''-,,,," "-.~ ""." .. ""n._ ,", ~_ . '.."",,':#. w.-' " _. ':'0 ~ _ ,,'. ' k':'... :.~;{ > . .:3_'f!.~'~~,;' "",:,;~,~~'~_~-~:L~":'~" v;l"i.'~~......',,,f~,,1_"'~"':,~-jRlan,Rev~':"'~l't ~~~ '.."!'...~~~ -~;. c."~-L - ....", ;;.~-,.~::.J,' ':~..,..,;f..... '_i"'~~ :''1<.' DeDartment Permit Issuance Application Acceptance Initial Review Electrical Review Mechanical Review Plumbing Review Planning Review Fire Review Public Works Review Energy Code Review Traffic Review Structural Review Inspections Received 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 Due Date 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09109/2010 09/09/2010 09/09/2010 09/09/2010 :'A Comolete Result 09/09/2010' 'Issued 09/09/2010 Over the Counter 09/09/2010 Over the Counter 09/09/2010 Not Required 09/09/2010 Not Required 09/09/2010 Not Required 09/09/2010 Not Required 09/09/2010 Not Required 09/09/2010 Not Required 09/09/201,0 Not Re~pired 09/09/2010",.. Not'~E((iuir"ed 09/09/29J9 - ; Not Beq~~ed INSPECTIONS REQUIRED Reviewer Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Kaye Wilson Comments Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit ~ 5;~L0Cl-Q...lc.. - SL+b~ 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 oniy contractors and employees who are in compliance_willLORS, 7.01.005 will be used on this project. I further agree " ,. ~,~" .' " , (;\..- .. . to ensure that all required inspections are requested at th.erp.~9Pe.r]'~me;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 fl..:.." ,,,;,~q., constr n. '~Zr)l;: .-. - . Springfield BuildIng Permit tJ- tJ- / /J , Date " \'i:' 'i ," . t.,' ;\Jii~' ~ . ......- .. ,,-'.'-'. , ~ ,. .;" it- r: ( ,'! j 9/9/2010 12:21:33PM Page 3 of3 ;,J; \.< (4?\(~~',~,!).:'!tip ~:,". ~ .J . :S~,P_).iY'"~ "1(t~fii!,~,:: .'., ......: :'.: ".. _ ..' Cifupfopring/Md.,.. .'.:.... ..'~' ....'..'~~J:: ,": \...: ..:'.'~" < ~'~"'>"'_ .... ~:':';L'>'L:: "':"::.~' ....:-:.~.'..:.. : ,". >' ,.;~:,.:<~..;;::~~t ~"~. .,.;.DRIVEWAY/SIDEWALK: '.,;: PERMIT APPLlCATION..:\/Th;- 225 FIFTH STREET SPRINGFIELD. OREGON 97477 ENGINEERING DMSION OFFICE TELEPHONE 1503) 726.3753 ap.:=::i:J ~ PERMIT NUMBER: DATE ISSUED: APPLICATION DATE: SITE INFORMATION: LOCA liON OF WORK: 2. g n.. APPUCA.NT ~OS~r.e ADDRESS f tf-J- :.,1(3 7i, 51- ClW<;;1It;y.:e/J STATE O. ~BD'"1s. ION ~NER' sf- PHONE TAj(MAP: 17 (J~ ~f&,fi b 1tP@ lJ ;oP '77'117 TAX LOT: PHONE: ADDRESS: aT'< STATE: ZIP: REOUESTED PERMITS: ~IOEWALK:.... ................. AMOUNT OF SIDEWAlK IN EXCESS OF 90FT. .................... ................... $88.00 @$0.08 SF. .. ................ ...... $15.50 .......... d<'.- ............ =$ ~O =$ ......... =$ o SIOEWALK REPAIR: o CUR8 CUT/DRIVEWAY: NUM8ER OF ORIVEWAYS_ X ....+..... ........ $88.00 1st Cut = $ o MULTIPLE PERMIT DISCOUNT EA: ..... ...(MAX 2) . ................:...$30.00 (MULTl PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION..Q..bll.t PPPLlES TO 2nd AND 3rd PERt-lITS ONLY. NOT SIDEWALK REPAJ~ : g-rS% Technology Fee $~ LjD TOTAtDUEWllH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE:SY PROPERTYOWNER 2nd Cut =$J =$ qd, . fV CONTRACTOR INFORMATION: CONTRACTOR: ~ 1"'\.L^-- ADDRESS 9,!~ ~1h sf '<;r'^l/e/~ 0/ CONTRACTOR REG1STRA nON NO: PRCUECTSUP~SOA: ?7'l77 PHONE, 5'-// 670 EXPIRATION DATE: ~( PHONE: INSPECTIONS: AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE. AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CALL 726.3769 (RECORDER) STATE YOUR OESIGlNATED CITY JOB . NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE READY FOA INS PECTlON, CONlRACTOA'S OR OWNER'S NAlvtE AND PHONE NUMBER. REQUESTS RECE!VED BEFORE 7;00 A.M. WILL BE MADE THE SAME DAY, REOUESTS AFTER 7:00A.M. WILL BE MADE THE NEXTWORKlNGOAY.1NSPECTlONS ME TO BE CAlLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE. YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 48 HOURS BEFORE DIGGING SIGNATURE: AMOUNT RECEIVED: RECEIPT NO: DATE PAID: RECEI\!ED BY: and 2&.~~~a~r~,,'~~~ ~~IW;~\ lhal ~~~~I~~ku~e:~~~h~lebCeO!J~~I~da~~~~ ~~ ~~~a~~~~lyo~hat aU informalion hetM is /Iue the aty of SpringJield, applicable at~8ndard spea~calions and DfalMnQs, and Ihe laws 01 Ihe Stale 01 Oregon perlaining to Ihe IMJrk described he-eil. I further certify thai ,only cont(aclors and en~es who are in compliance With QRS 701.055 WID be used on thisprojea. ' The City may jnspecllhe work site described in lhis permil at any time during a me year period 10 nowing Ihe receipt by the City 01 nolice 01 com~lelion 01 the described WOI"k and specify, 81 the aty's sole discretion, any additional, resloration work required to return the sile 10 a standard acceRtable 10 the Ci ,The permittee will be norilied In Writing of any work required and will halle thirty days (30) from the dale of Ihe nolice 10 complete the 1'0'001. Work not com eled althe el'1d 01 Ihe thirty days wil! be per/ormed by llie City and lhe costs wiil be billed 10 the permittee. , Iturther IIgree I S1reet, and the ap ~,,9- 9-/0