HomeMy WebLinkAboutPermit Sidewalk 2010-11-15 (2)
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S~R.I.NG FI.E L;ij
~..~ll.-
~
. , OREGOH
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00683.
IVR Number: 811173252741
WNW.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Issued
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
11/15/2010
11/08/2010
11/15/2010
EXPIRES:
VALUE:
05/14/2011
$0.00
SITE ADDRESS: 2555 GATEWAY ST, APT# 1, Springfield, OR 97477-1121
ASSESOR'S PARCEL NO: 1703220002208
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Repair of damaged curb & sidewalk from car damage
Phone Number:
OWNER:.
ADDRESS:
CHALET-BIRD
2677 WILLAKENZIE RD STE 3
EUGENE OR 97401
Contractor Type
Contractor Name
VALLEY CUSTOM SEAL
CONTRACTOR INFORMATION ~
Lic Type
CCB
BUILDING INFORMATION ~
# of Units:
o
# 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 Specially Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lie No
145937
Lie Exp
07/18/2012
Phone
541-936-0525
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:
Soils Report Required:
Springfield BUilding Permit
IF I\-1E 'NORK
N01\CE: 1 S\-If:lll EY,PIRE R\\IIII IS NOl
1\-11S PE~~~D UNDER 1\-1\~\6~NED FOR
f:lUl \-IOn OR IS f:Il"f\"
COM\\IIENC~~ PERIOD
ANY 180 01'
11 f15/201 8 54 33AM
tTTENTION: Oregon law requires you to
I 1I0w rules adopted by the Oregon Utility
Notitication Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies ot the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Page 1 of 4
S~RINGFIE L~
~
~
'OREGON
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
WNW.ci.springfield.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00683
IVR Number: 811173252741
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/15/2010
ISSUED:
APPLIED:
11/15/2010
11/08/2010
EXPIRES:
VALUE:
05/14/2011
$0.00
SITE ADDRESS: 2555 GATEWAY ST, APT# 1, Springfield, OR97477-1121
ASSESOR'S PARCEL NO: 1703220002208
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Repair of damaged curb & sidewalk from car damage
DEVELOPMENT INFORMATION ~
Overlay Dist:
# StreelTrees 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
~
Descriotion
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
FEES PAID
~
Descriotion
Sidewalk Repair
Curb CuUDriveway 1 st Cut
Encroachment
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$46.50
$88.00
$139.50
$13.70
$287.70
Date Paid
11/15/2010
11/15/2010
11/15/2010
11/15/2010
Receiot #
374875
374875
374875
374875
Springfield Building Permit
11/15/201 8:54:33AM
Page 2 of4
SP.R..I.N. GFIEL~
~\i
Vii ~
,"," OREGON.
CITY OF SPRINGFIELD
225 Fifth St
Springfteld,OR 97477
Phone. 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfleld.or.us
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00683
IVR Number: 811173252741
permitcenler@ci.springfield,or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/15/2010
ISSUED:
APPLIED:
11/15/2010
11/08/2010
EXPIRES:
VALUE:
05/14/2011
$0.00
SITE ADDRESS: 2555 GATEWAY ST, APT# 1, Springfield, OR 97477-1121
ASSESOR'S PARCEL NO: 1703220002208
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION: Repair of damaged curb & sidewalk from car damage
Plan Review ~
DeDartment Received Due Date Comoleted Result Reviewer
Application Acceptance ' 11/08/2010 11/08/2010 11/15/2010 Over the Counter Kaye Il\nlson
E[e~trical,Reyi.e'N 11/15/2010 11/15/2010 11/15/2010 Not ReqLJired ,Kaye Wilson
Comments: Over the counter .per~it
Mechanical Review 11/15/2010 11/15/2010 11/15/2010 Not Required Kaye Wilson
Comments: Over the counter permit
Plumbing Review 11/15/2010 11/15/2010 11/15/2010 Not Required Kaye Wilson
Comments: Over the counter permit
Permit Issuance 11/15/2010 11/15/2010 11/15/2010 Issued Kaye Wilson
Fire Review 11/15/2010 11/15/2010 11/15/2010 Not Required Kaye Wilson
Comments: Over the col,Jnter permit
Public Works Review 11/15/2010 11/15/2010 11/15/2010 Not Required Kaye Wilson
Comments: Over the counter permit
En-ergyCode Review ,11/15/2010 11/15/2010 11/15/2010 Not Required Kaye Wilson
Comments: Over the counter. permit
Traffic Review 11/15/2010 11/15/2010 11/15/2010 Not Required Kaye Wilson
Comments: Over the counter permit
Stru'CturalReview 11/15/2010' 11/15/2010 11/15/2010 . NotReqLiirea Kaye Wilson
Com-mlfn~:' 'Dye'r the C?un~erpermit
Initial Review 11/15/2010 11/15/2010 11/15/2010 Over the Counter Kaye Wilson
Comments: Over the counter permit
Planning Review 11/15/2010 11/15/2010 11/15/2010 Not Required Kaye Wilson
Comments: Over the counter permit
INSPECTIONS REQUIRED ~
Inspections
Springfield Building Permit
11/15/201 8:54:33AM
Page 3 of4
SYRIN. GFIEL~..
.
S
:OREGOH
w.NW .ci, springfield. or. us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2010-00683
IVR Number: 811173252741
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
11/15/2010
ISSUED:
APPLIED:
11/15/2010
11/08/2010
EXPIRES:
VALUE:
05/14/2011
$0.00
SITE ADDRESS: 2555 GATEWAY ST, APT# 1, Springfield, OR 97477-1121
ASSESOR'S PARCEL NO: 1703220002208
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Repair of damaged curb & sidewalk from car damage
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.
~nu-J!u
(pwner or Contractor SignatuQ
//-/:;--/6
Date
Springfield Building Permit
11/15f201 8:54:33AM
Page 4 of4
.. .. .
S~:~N~E~
~~
~OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00683
2555 ' GATEWAY ST APT 1
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726~3753
permitcenter@ci.springfield.or.us
RECEIPT :\'0: 2010000822
IDESCRIPTION
Sidewalk Repair
Curb Cut/Driveway 1st Cut
Encroachment
Technol09Y fee (5% of permit total)
I pAVMENT TVPE
PAVOR
RECORD :\'0: 811-SPR2010-00683
ACCOUNT CODE
201-00000-428060
201-00000-428060
201-00000-428060
100-00000-425605
TOTAL DUE:
CASHIER KWllSON
COMMENTS
Check
8372
Valley Custom Seal
DATE: 11/15/2010
AMOUNT DUE
$46.50
$88.00
$13950
$13.70
$287.70
AMOUNT PAID
I
$287.70
$287.70
11/04/2010 09'38 FAX 541 736 1021
." .' . G~J of opl7ng/irld . . ..
,
, .
ORIVa:W,I\y/sIDEWAlK PERMIT APPLICATION ."
C1TY OF SPRINGFIELD PW
~002
i
!
~ FIFTHSTREET 4:-':~
SPRINGFIELD, OREGON 97477 ~
Ei'3INEERlNG ~,,~rON
CFFCE TELEPHONE 1e03) 725-37S3 ~
APPUCATlONDATE: 11-4-:U>10 '
F'ERMIT NUMBER;
DATE ISSUED:
SITE INFORMATION:
L0CA71ONOF IIIOFlK: :l.SSS Ge<:reWo.V.' So ri"
A/'PuC>>/l' v'~I\e\{ ClA.54-om SeAl CM+I~' --:
AODAE,S; P.O.'Be>)/; 31'2.5 '
en." A\loar.'f STAT,; oR ~": '113'2 ,
sce~ON: c~Ale::l:.. APA('-!-mem-...s
OWNER BlA.l\f1~~ mal'\~,\.ernen-r
AOO""..:"2""7"7 W,I(AK.erlJ:Ii!i!4C1TY: EtAap-ne
~3 .'-'"
01<. ~J"1'-ti/
GLj./-qc.,."1-~3~b
'tAX MAP;
rAJC~OT:
sr.a.TE.:
_(~lf()'3l.14-ooifr
OR. zp '1'11./'0 ,-
REQUESTED PERMITS:
Q SIDEWALK: ..................... ...... ................ .......,...................,........... $88.00 ......................... . $
tUAOUNT OF S1DE.'-".-u: IN (~SS OF!ilOFl'. @$O,clt SF. = S
)lit 5iOEWAU< ~EPA'R:...........3 ,..~o,e.ls.......................... $15.50 ...............'..'.... _ S
j1J. CURB CUT,(JAIVEwAY; NUMBER OF DAJllEWAYS-L.. x...................... $86.00 IslCIit = s
Q Mw..TIPlE PERMIT DISCOUNT <A: .........(M,o,X2i ....."...."..............$30.00 2nd CllhU. I
iJ.O.;l.n PERMIT CISCOUN'! GOQc FOR CNa SITE /ViO l>Ne SITli INSPUiCnoN~ J -, V
APPUES TO >roo AND 3rd PERMITs O!ill y, NOr "DEWAlK REPAIPl =$ "". .
~5%Tld1nOlo9YF.e $ (e1.'1"V TOTAlCUE\\1"'PEAMIT $ (If I . '2-')...--
! 0 PROOF OF INSURANCE; $500,000 MINIMUM IF WORK IS CONE BY PAOPl:ATYOWNER
.gg:oD
Hi>.50
CONTAACTOAINFORMATION:
CONTRACrOR; V~lley W5+Om Sea..l Co~~ .:r:Vtc. (54/)
. OOOAess; -p. o.~ ~12.S Alloa "'I.{ Or<... ....q,?'2.1 pHONF.Qt,.7-'t33{..
c:O.1AACrOR'''''STRA1IONNO, 1'tS q3 7 "'......11ON0A;,,; i-I g - 2012-
""",,"crsu~iOA: -e....."IA f:.. .~Cl1\l<5 ~5lI/) Cf3(.-~.s2"'r
INSPECTIONS:
N'II ~ ~E.oueST SkOULO aE MAOE PRl~ j'o F"OlJfllNG CONCRETE. Ac=rEA TI1E PROPOSEO ~ ~ REeN 1=0 RMEO..-NO Mll(Je RiAOY TO
POUR, CUAB OJT ANO Sloew""'K INSPeCTIONS CAlL 1260379 (RECORDER) STATE 'l'CUF'De$H3IN,t,TeOClT'r' JOS
NUM8EJVP~~T NfJMSER. JOB A:JDRtSS, ~ OF l-JSPfCTICN REOuESTEb, NoIDWotIN '(OU ~LL BE: AEAcY'"OR INS PECTION. COWRACTOA'S OR
OWNERS NAME ANCl !JHONE NUMBER. RlOUESl'~ Afi:eflJEtl BEFORE t:;JO AM. WIll BE ~ THE
!Wo1E OAt. AEOIJE'ST5 AFTIR ';(l(IAI.l. WILL, PE M.IOe,THE NEXTWOR<NGOA.Y.INSPECiION! AAalQaECAu.Eo N
AP'\"EA f)(CA'VA71ONS ARE MAt.l@ J.NO fORM WOPx JS IN Pl.ACE aur PRIOR TO f'OlJlING CONCFlElE.
SIGNATURE: 'E~ .1.
YOU AAE REDliREO TO CAll
THE LANE UTILITIES COORDINATING COUN.CIL'S
"ONE CALL NUM8ER" 1-800-332-2344
. ,e HOURS BEFORe DlGG""
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