HomeMy WebLinkAboutPermit Sidewalk 2011-1-3
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. OREGON
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00001
IVR Number: 811141966483
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www.cLspringfield.or.us
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
01/03/2011
ISSUED:
APPLIED:
01/03/2011
01/03/2011
EXPJRES:
VALUE:
07/02/2011
$0.00
SITE ADDRESS: 5790 MAIN ST, Springfield, OR 97478-6964
ASSESOR'S PARCEL NO: 1702334101900
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk repair
Phone Number:
OWNER:
ADDRESS:
POLEN DEVELOPMENT LLC
2197 OLYMPIC
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
ROGGE CONCRETE LLC
# of Units:
Lic Type
CCB
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:.
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lic No
183518
Lic Exp
08/11/2012
Phone
541-513-1075
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall: 1HE WORK
Soils Report Required: HALL EXPIRE IF "11 IS N01
,.,,1 U HIS PERIVI
',.I:-ED UNOE: ;BANDONt.D FOR
nc\\\CEO OR \." "
, " ; 80 o/w PERIOD,
ATTENTION: Oregon law requires ou to
foHow rules adopted by the Orego; Utility
Notification Center. Those rules are set forth
m OAR 952-001-0010 through OAR 952-001-
0090" You may obtain copies of the rules b
callmg the center. (Note: the telephone Y
number for the Oregon Utility Notification
, Center IS 1-800-332-2344),
Springfield Building Permit
1/3/2011 9:12:51AM
Page 1 of 3
S!.. RIHGFIE~
a~
OREGON
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00001
IVR Number: 811141966483
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permjtcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
01103/2011
ISSUED:
APPLIED:
01103/2011
01103/2011
EXPIRES:
VALUE:
07/02/2011
$0.00
SITE ADDRESS: 5790 MAIN ST, Springfield, OR 97478-6964
ASSESOR'S PARCEL NO: 1702334101900
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk repair
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descriotion
. Tvpe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
Descriotion
Amount Paid
Date Paid
Reciot #
Total Amount Paid
Springfield Building Permit
1/3/2011 9:12:51AM
Page 2 of 3
SPRIN..G..F IEL~
~Jl!\.- .
if~
1J:" OREGON
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building J Public Works Permit
PERMIT NO: 811-PW2011-00001
IVR Number: 811141966483
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
01103/2011
ISSUED:
APPLIED:
01/03/2011
01/03/2011
EXPIRES:
VALUE:
07/02/2011
$0.00
SITE ADDRESS: 5790 MAIN ST, Springfield, OR 97478-6964
ASSESOR'S PARCEt: NO: 1702334101900
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk repair
Plan Review ~
Received Due Date Comoleted Result Reviewer
01/03/2011 01/03/2011 01/03/2011 Approved Kaye \Nilson
01/03/2011 .01/03/2011 01/03/2011 Approved Kaye \Nilson
. ..
01/03/2011 01/03/2011 01/03/2011 Issued Kaye \Ni Ison
01/03/2011 01/03/2011 01/03/2011 Application Accepted Kaye \Nilson
Deoartment
Plan Review
TrafficReview
Permit Issuance
Application. Acceptance
INSPECTtONS 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.
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Owner or Contractor ~ignature
::J"II' C, I f \
Date
Springfield Building Permit
1/3/2011 9:12:51AM
Page 3 of 3