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HomeMy WebLinkAboutPermit Sidewalk 2010-11-15 (2) - , 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"" i I f .AI\.oQU\lT FtECElVED' ~i:::iWT NO; DATE PAC; RECSYliO lilY; J I I ElyIi~Ul'., IslGlll1/'ldmee. Irllll:havIClllt~lY - 8dtwcormtl"'B~an.~dQhlll~cerl"rll'\tl~inIOl'm!ilJonha'elnifotrUl! IIl1dl;Ol'rlJ ondltU/ttle'e!j!1'l l arodillWOlk ormad'l'\UP>>ac.\r'l.ir\letct~wiln IheO(dl eM .. ~ifYoI~er/n(lrieldJ.l!~~~~lo"\:Oud 'p ic8li01'llfIdOtIl~~, ~d*~lo.Ii.rioltM Sill. OI~~'PWtat~ lor"\ewono.d=~n..tn.INMtr Ct/"l, ;ll1ill~dol'\t(KfClf::;"'l;4In twhollll!lnCO'l'lpUbnCll'AlilhCJlilS701,l)5!5y,jJ1bllUMdl 001 ~~. . 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