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HomeMy WebLinkAboutPermit Sidewalk 2011-1-28 CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00005 IVR Number: 811147845012 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/28/2011 ISSUED: APPLIED: 01/28/2011 01/28/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us EXPIRES: VALUE: 07/27/2011 $0.00 . SITE ADDRESS: 1224 PARKER ST, Springfield, OR 97477-4132 ASSESOR'S PARCEL NO: 1703264416100 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Repair sidewalk paonels Phone Number: OWNER: ADDRESS: WILLIAMS CONSTRUCTION COMPANY INC 38168 PLACE RD FALL CREEK OR 97438 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name WILLIAMS CONSTRUCTION CO INC Lie Type CCB # of Units: o 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 157195 Lic Exp 10108/2011 Phone 541~937-4215 Lot Size: Sq FI 151 Floor: . Sq FI 2nd Floor: Sq Ft Basement: Sq FI Garage: Sq FI Carport: Sq Ft Other: 0 Occupancy Load: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ATTENTION: Oregon law requires you to foUow rules adopted by the Oregon Utility ~otlflCation Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090.. You may obtain copies of the rules b caUlng the center. (Note: the telephone Y 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 Spc'ogfield B"i1d~~Y:r1'80 DAY PERIOD. 1/28/2011 8:26:34AM Page 1 of 3 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811.PW2011-00005 IVR Number: 811147845012 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.OLuS PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 01/28/2011 01/28/2011 EXPIRES: VALUE: 07/27/2011 $0.00 01/28/2011 SITE ADDRESS: 1224 PARKER ST, Springfield, OR 97477-4132 ASSESOR'S PARCEL NO: 1703264416100 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Repair sidewalk pannels DEVELOPMENT INFORMATION I 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I DescriDtion TVDe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I DescriDtion Sidewalk Repair Technc:'.,,[Y fee (:.% of permit to!al) Total Amount Paid Amount Paid $31.00 $1.55 $32.55 Date Paid 01/28/2011 01/28/2011 ReciDt # 2011000175 2011000175 Springfield Building Permit 1/28/2011 8:26:34AM Page 2 of 3 S~~~N~~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00005 IVR Number: 811147845012 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 01/28/2011 ISSUED: APPLIED: 01/28/2011 01/28/2011 EXPIRES: VALUE: 07/27/2011 $0,00 SITE ADDRESS: 1224 PARKER ST, Springfield, OR 97477-4132 ASSES OR'S PARCEL NO: 1703264416100 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Repair sidewalk pannels Plan Review ~ DeDartment Plan Review Received 01/28/2011 Due Date 01/28/2011 ComDleted 01/28/2011 Result Application Extended Permit Issuance 01/28/2011 01/28/2011 Issued 01/28/2011 Reviewer Kaye Wilson Kaye Wilson !A'ppli&tT6~tce:ptance~::.':::f!'\$Yb,1128/20,1 t:~:C017?872011~" 011287201T~pplicatIOnAECepted'' ~ ~Kaye Wilso"'n~"'~---:--,- :- ~'-:;-"'-~-f tz~~~t:~':--~;:1~,/J~'>;:"~::~"?i~'~~:'~',~<~"':~~:~~:;1 ~:}is~~~(-~":',- .'c" ~ ,;_ ~ . J -Co,; ~ t< " it .~; ;:~- ,,'--~ ~ ..___ ~h . ~,,- , - Plan Review 01/28/2011 01/28/2011 01/28/2011 Approved ~ ",,:Oi;?8/?..Q'1.1", ~/2~/~9,H'" 9.1;28/20":"': b~pr~Y"9 ;;;>;7; ;'J~ ~;;;- K~y~, VYil~o;';;'. - ;', ," . ":"M.'$.};;\~":;:j"<r;65 ,,' ",,:J..:-,j'~:'~~F~lF'i';;i;:';~':~f\;1:"'.'~:rJ,'?%,f:~{\~~y,,~,:.," ~. , :.',,'- ~:." <.,;-' INSPECTIONS REQUIRED I Inspections 9509 Shoulder Repair Kaye Wilson ',".' 1 ;' ~ I 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. ~~ f)1~ ~ Owner or Contractor Signature I-de:; - II Date Springfield Building Permit 1/28/2011 8:26:34AM Page 3 of3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-PW2011-00005 1224 PARKER 5T CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECORD NO: 811-PW2011-00005 DATE: 01/28/2011 ':.;'~~~~'22~~;~':, ~,i; ~ ~,;.:~it;;::... .",_,"i?:~AC,Go.U Nt~C'Cj'DE'~ ~ ~,~ '>'::i~;.":~-ilAMOU NJ;::DU E~.:. _:-~~,\~_~~ 201-00000-428060 31.00 100-00000-425605 1.55 TOTAL DUE: 32.55 bYAtr.iENT tyl7'.~+ 2~ -~ PA'I'Q~:CASHiER: KwiLS6N1;,?,!:.wi;." C61v1MENt:S;~:";' -i.{:-.<.; +7/' '>A~:.;.'(;' j Check Scott Williams 32.55 1164 RECEIPT NO: 2011000175 [beSCRIf>.TIONt' '4;~~+.;. .y.' Sidewalk Repair Technology fee (5% of permit total) TOTAL PAID: 32.55