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Home My WebLink AboutPermit Curb Cut 2011-1-10 ;..}.. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00051 IVR Number: 811107747813 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/10/2011 ISSUED: APPLIED: 01/10/2011 01/10/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.$pringfield.or.us EXPIRES: VALUE: 07/09/2011 $0.00 SITE ADDRESS: 1072 B ST, Springfield, OR 97477-4810 ASSESOR'S PARCEL NO: 1703351415800 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk curb cut permit Phone Number: OWNER: ADDRESS: HUMES EUGENE EDWIN SR 1072 B ST SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type lic No lic Exp Phone # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # 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: 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.; L d H d A I-ITTENTION: Oregon law requires you to an azar rea" .' R t "" W II" ,ollow rules adopted by the Oregon Utility S e"~'~ng rtaR' Notiucation Center. Those rules are set forth 015 epo e~V'/'l'tiR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telepho~e number for the Oregon Utility Notification Center is 1-800-332-2344). . .. ..-,..../. NOTICE: "" THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 1/10f2011 10:35:19AM Page 1 of 3 -. www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00051 IVR Number: 811107747813 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 01/10/2011 ISSUED: APPLIED: 01/10/2011 01/10/2011 EXPIRES: VALUE: 07/09/2011 $0.00 SITE ADDRESS: 1072 B ST, Springfield, OR 97477-4810 ASSESOR'S PARCEL NO: 1703351415800 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: sideyard Setback: Rearyard Setback: Solar Setback: Sidewalk curb cut permit DEVELOPMENT INFORMA TION ~ Overlay Dist: # streetTrees 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: I Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Description Curb CuUDriveway 1 st Cut !~chnology fe"J.5% of pe,-~it..!~~_____~_ Technology fee (5% of permit totai) Sidewalk up though 90 Feet fv1_ultip"'-_~=,m~Eisc:o~. (Max. 2) Total Amount Paid Amount Paid $88.00 $8.80 $-1.50 $88.00 $-30.00 $153.30 Date Paid ReciDt # 01/10/2011 2011000075 01/10/2011 2011000075 "--'--'_'~""--~._,-,-",".",,_."_.,,-"..,,---_.__... 0111012011 2011000075 01/10/2011 2011000075 _....._--- 01/10/2011 2011000075 Springfield Building Permit 1/10/2011 10:35:19AM Page 2 of 3 -. St _,R',I. N.,G..':"'IE.~, D.-'. ~''\L'" -'t i!li1 ..l' OREGON , CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00051 IVR Number: 811107747813 www.ci.springfield.or.us 225 Fifth SI 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: 01/10/2011 01/10/2011 01/10/2011 EXPIRES: VALUE: 07/09/2011 $0.00 SITE ADDRESS: 1072 B ST, Springfield, OR 97477-4810 ASSESOR'S PARCEL NO: 1703351415800 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk curb cut permit Plan Review ~ Deoartment Application Acceptance ComDleted 0111012011 Result Over the Counter Received Due Date 01/1012011 01/10/2011 Reviewer Ben Gibson Permit Issuance 01/1012011 01/10/2011 01/10/2011 Issued ~~~Q!,~',~orkf:~~fi~J~?;'0:~~~!:~~,?,1j~~~f~:~i~11l1,~~~~~1~~~{~g,~,,~:.~~qt',R.~~,~~j~;&~; .~Comments:, .,Over:Jhe,counterpefmlt<<fC;p,;;:';k~\ ~,,,,:k~ ~;:08:~.~; - .~, ,';,: -.i;l7 1E;'..,.. (~"~'./'.r~'}fp:Y;l"" _ _ --~#i;:; - -- - "-"~, t""~--' -:r!'f_'-'C'_"'r'- .-~~ .'_ -, '.'~'~"'_~'-'": '<%__ ',""~ .J',-. ,';' '-, 'I<o;_.,-_,,"",:~- -', Structural Review 01/10/2011 01/10/2011 01/10/2011 Not Required Comments: Over the counter permit ~1~?nlr'~"~~~!~0W'~:~'i'" 7, <~_'~-..f~:~:~~,;2Q)~~74~~1/"~:q~S"1,~t<9J/1 0/201,1 J' Comments:. Qver the.counter:,permit ',":, :~_~l"'IL,'>, 1-,~~ ',I' " t'>"'" :_^",,::;::;;;::;J~~,!:;-dil.-,,,,,,,.. """i'f"> '.I Ben Gibson Ben Gibson , . ;"!,,-~ , L -, "~'"'_:, -c"-. . 'j ~Ben Gibson>' .:.~ '" ~.;~;y",,\:~~.?~,,~, ""'{:"-'~::'~.;'. .. - ~ ;:-~, c INSPECTIONS REQUIRED Inspections ," '1. .....,. 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 performectshal1 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 ot,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. htfVt . - \ Owner or Contractor Signature Date Springfield Building Permit 1/10/2011 10:35:19AM I '() \ Page 3 of 3 ...... . G (OJ 'lffl~'d . $ , .. , ' ,'" ~ , ...... '.. ...._...,: .'. il!Jo lpnn . .'. :..... .... ". '" ~:.j, ,<"":.,~'.' .,.~"..,:: .,.) ,:_"",..","':.'~._:-:~~, ;:",;' .':.~:<,'~~'.;>~,:;;'~;.S~t ,'''' > DRIVEWAY/SIDEWALK ." .> PERMllAPPLlCATION' Y':,i;;j ; 225 FIFTH STREET SPRINGFIELD. OREGON 97477 ENGINEERING OIVlSION OFFICE TELEPHONE (503) 726.3753 "R.:.~~ ~~. PERMIT NUMBER: DATE ISSUED: 8ll- S]>~ :hl- d::O~ I APPLICATION DATE: '}-Ic>- ).,,, . , SITE INFORMATION: LOCATlONOF~RK: }o7'}'" I ! , , I , APPUCANT ADDRESS: e <;'/"" - <;: 5(0 --lt9 e;l,er)~;-::-I1f1 u2 STATE. e:lR PHONE S"r I 8 '3 (, O}.1 00 RD. TAXMAP: 41/ ;>,I? {)CJ ZlP: (7 '-n., TAX lOT: .170 '3 ~.$/'-f Lvr- em: VP..A( ^) SUBDIVISION: iuu-EA/E-2f .Viqul ADDRESS: 167.,l JJ 5{ orr: HvrnF<) 5'1' R FL--f) - PHONE: STATE: a R.... ZlP: "?? '7'7 :> . OWNER \ REOUESTED PERMITS: ~ SIDEWALK:. ..................... .......................... .................... ................ $88.00 ....... ................. ~ $ AMOUNT OF SIDEWALK IN EXCESS OF 90FT. @$O.08 SF, =$ o SIDEWALK REPAIR:.......... ................. ........... ............. ... ................. $15.50 ........................... ~ $ ~RIVEWAY: NUMBER OF DRIVEWAYS_ X...................... $88.00 1st Cut = $ J2l' MULTIPLE PERMIT DISCOUNT EA: .........(MAX 2) ...........................$30.00 2nd Cut -$_(- (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION ~ APPUES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAIR) =$ Z 5% Technology Fee $ TOTAL DUE WITH PERMIT $ I o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION: 52>. E:...- '68 ~ ~ ~o. ) )s.~ CONTRACTOR: ADDAESS: CONTRACTOR REGISTRATION NO: PROJECT SUPERVlSOR: PHONE: EXPIRA110NDATE: PHONE: INSPECTIONS: . AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, Ai=TER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CLIT AND SIDEWAU< INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGlNATED CITY JOB NUMBER/PERMIT NUMBER, JOB ADDRESS, lYPE OF INSPECTION REQUESTED, AND IflrlEN YOU WILL BE READY FOR INS PECTlON, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REOUESTS RECENE.D BEFORE 7:00 A.M. WILL BE MADE THE SAME DAY, REQUESTS AFTER 7:00A.M. WIll BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE SlIT PAIOR 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: I~s. ~ ""TEPAlD: -1- 10 -' ';).0\ \ RECEIVED 8Y: ~ F ~ \ (,;, f!;. S ",.J o By signalure. I slale and agee, that! havE:! careluRy examined !he completed appRCafion and do he reby certify !hat an irIfamaUon herein Is !rue and correct and r further certWtl1at any and aU workper.tOO1led shall be dens in accardance wilh Ihe Ordinances of ll1e Cllv 01 SpllngJield, applicable Cily Standard speallcalions and D(aYv'inQs. and the laws 0( the Slale 0( Oregon pertaining /0 Ihe \o\OfX described hBfein. I further cer1ily Ihat only conlradors and employees who are in canpliance'Mlh GRS 701,055 1'1111 be used an IhlsPfojecl.. . The City may lnspecl ,Ihe work site described in lhis permit at any lime during a ane yea! period 10 Rowing the receipt by the City of notice 01 com~lelion 01 the d_escnbed wak and speafy. at the City's sole discretiCil any addilional resloraliOfl work reqUired 10 return Ihe sile to a slandard accep'!able to lhe Ci . The permirtee will be notified in writing of any work reQuired and will have thirty days (30}lrom the dale 01 the notice to complete the work. Work not comp eted allhe end ollhe thirty days will be pef10rmea by toe City and the costs wiU be billed 10 the permittee, . I further agree to ensure that alf reqUired Inspecllons are r~uesled at the proper lIme lhal prol ect ada-ess IS reada~e from the '"':o~~:' 'PP,~.d '''f)L''m'," 00 'h. ,," " I"",,, du"oO "',,""u""oo 0,,, \ \ () " \ I .h sr.~I^N.G.~ O. . . Il,,". -;n: m. .~...~ .1'. ~ , " .OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield, OR 97477 541~726.3753 www.ci.springfield.or.us 811-5PR2011-00051 1072 B 5T permitcenler@ci.springfield.or.us RECEIPT NO: 2011000075 RECORO NO: 811-SPR2011-00051 DATE: 01/10/2011 IDESC RI~TI()N. {r+-i(,;;,;:;.;~;,:~~~.t'!F 4i!:_1if,;.;.-_'-.;~i".,-.i; . ACe'aU NIiC()DE~ "" '4':;.V'i'0AMOUN"j'jiUl:'.,,'f I Curb CuVDriveway 1st Cut 201-00000-428060 ~~~__~~O . Multiple Permit Discount (Max 2) 201-00000.428060 -30.00 -~---'i-------~----"- _.,.,---",-~,,----_._~-~~._-,-~----_._--_.~ Sidewalk up ~~et _____...,2~1-00000-428060 8800 _____ ~chnolojlX..!:'.e (5% of permit total) _____ 100-.~0000-425605 ,7,.30_ ______ TOTAL DUE: 153.30 ~RAYMENf;tYE.$ :_'t'r:;R~Y()R"""'_~CASHTE-R;BGIBS2B~E'::!l!.l:;_QMMgN;f5-'-,,0' ; ~~i"~:i~tl~rv19.uNl:RAIR./-'- i!i:.'~, ',! Check Jerry Smith Services 1072B Street, Sidewalk and $153.30 6798 curb cut TOTAL PAID: $153.30