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Home My WebLink AboutPermit Curb Cut 2011-2-2 S~~.~N..~..FjE~.O. ~.tih ., .'-"""-c~' . OREGON. CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00007 IVR Number: 811166586809 www.ci.springfield.or.us 225 FiHh St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02102/2011 ISSUED: APPLIED: 02/02/2011 02/02/2011 EXPIRES: VALUE: 08/01/2011 $0.00 SITE ADDRESS: 285 S 42ND ST, Springfield, OR 97478-5977 ASSES OR'S PARCEL NO: 1702323301900 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Curb Cut Weep Hole Phone Number: OWNER: ADDRESS: HlllVIEW BAPTIST CHURCH PO BOX 70002 EUGENE OR 97401 Contractor Type Contractor Name CONTRACTOR INFORMATION I . Lie Type Lie No Lie Exp Phone # of Units: BUILDING INFORMATION I # 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: Mu"nicipall Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Fl Other: 0 Occupancy Load: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: ATTENTION: Oregon law requires you to Soils Report ReJ6jV.rdY rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone 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 2/2/2011 9:14:27AM Page 1 of 3 WW\N. d. s pri n gfield. or. us CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00007 IVR Number: 811166586809 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/02/2011 ISSUED: APPLIED: 02/02/2011 02/02/2011 EXPIRES: VALUE: 08/01/2011 $0.00 SITE ADDRESS: 285 S 42ND ST, Springfield, OR 97478.5977 ASSESOR'S PARCEL NO: 1702323301900 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Curb Cut Weep Hole DEVELOPMENT INFORMA nON ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutJDrains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unlt Tvpe Unit Cost Value FEES PAID I Descriotion ~_CutlDrive\'l,~L!!~<:-'!~__~_____ Te:h~?!,,-gy fee f~o/~()!p_~~,:,i~,L______, ?.!.~2walk Repai~'__^$~.__^__"_ !~:~nologL fee (5% of pe~w total) Total Amount Paid Amount Paid Date Paid Reciot # $88,00 02/02/2011 2011000209 ........-..~_.._,------- $4.40 02/02/2011 2011000209 ^,....._..~______,____~___._.___.__~ ...__~~ - _w ____ _~_ $15,50 02/02/2011 2011000210 ._.'_.._'~--'~'---'.--_._._.'-'- ~ -- -- - - ~ .-.-. -- - - -.. $0,78 02/02/2011 2011000210 --------'- ..,-,--... ---... $108.68 Springfield Building Permit 2/2f2011 9:14:27AM Page 2 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00007 IVR Number: 811166586809 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield,or.us PROJECT STA TUS: STATUS DATE: Issued 02/02/2011 ISSUED: APPLIED: 02/0212011 02/02/2011 EXPIRES: VALUE: 08/01/2011 $0,00 SITE ADDRESS: 285 S 42ND ST, Springfield, OR 97478-5977 ASSESOR'S PARCEL NO: 1702323301900 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Curb Cut Weep Hole Plan Review I Department Traffic Review Received 02/02/2011 Due Date 02/02/2011 Completed 02/02/2011 Result Approved Reviewer Kaye Wilson Plan Review 02/02/2011 02/02/2011 02/02/2011 Approved Kaye Wilson Applicatidii'Acceptarice~<: _':,::7',02/021201 j,':'-02/02/2011:"',0210272Qi:1r;f, 'APplicatio~ Atr~i:;d":zr:Kaye'WiisonY.~:' -- ';~" '-,I' "-;-'T .' - -, " INSPECTIONS REQUIRED I Inspections 9503 Curbcut - Close & Replace 9508 Sidewalk 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 afthe 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. ~I# 2-- - Z -2011 Owner or Contractor Signature Date Springfield Building Permit 2/2/2011 9:14:27AM Page 3 of 3 ,_. ,,". " . ..Ci/jJofopringfidd~. '''..' .... "':., ~:::ji.' -. ,.." ..:':.'~, .": >- ,',; - -:, - ':: , . : :.... '-"'; , . -.:. ~-. ".':'..~....':" _ - ". I.,.:.'":~/:.~t~t ;,' . ..:. DRIVEWAY/SIDEWALK: _-., .,::. PERMIT APPLlCATION-:.:".::::.!~'~ . 225 FIFTH STREET 'P'l:.':"~ SPRINGFIELD. OREGON 97477 ~~. ENGINEERING DIVISION OFFICE TELEPHONE (503) 726.3753 PERMIT NUMBER: APPLICATION DATE: DATE ISSUED: SITE INFORMATION: LOCATION OF >yyGRK: 7I;/Jt/(~W I.. (J Th'lCk.r,.};j APPUCANT J d(l. H-u-"",.., PHONE Ii 41-5-~/-'1131 ADDRESS: z{( t; '. <; 42".1 5TY-<t<,-T TAX MAP: aTY: <; fr~r-;.elJ STATE: OR... ~P: '~7 '17<< TAX LOT: - SU8D1V1SION: OWNER: PHONE: ADDRESS: CITY: STATE.: ZIP: REQUESTED PERMITS: 0 SIDEWALK: .............................. ..........." ........... ... .......................... $88.00 . .............. ..".... ~$ . AMOUNT OF SIDEWAlK IN EXCESS OF 90FT. @$O.OB SF. ~$ 0 SIDEWALK REPAIR: ...... ..................... .............. ...... ..... ... nO. ........ $15.50 ............. .... ........ =$ l!ll CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS - X ...................... $88.00 1st Cut =$ 0 MULTIPLE PERMIT DISCOUNT EA: .........(MAX 2) .................... .....$30.00 2nd Cut ~U- ) (MUl T1 PERMIT DISCOUNT GODO FOR ONE SITE AND ONE SITE INSPECTION ..Qbll.Y =$ APPUES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAIR! 0 5% Technology Fee $ TOTAL DUE WI1H PERMIT $ 0 PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION: CONTRACTOR: QW(ltX'" ADDRESS: PHONE: CONTAACTOR REGISTRATION NO: EXPIRATION DATE: PROJECT SUPEAY!SOA: PHONE: INSPECTIONS: AN INSPECT10N REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE. AF:TEA THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CAlL 726-3769 (RECORDER) STATE YOUR DESlGINATED CITY JOB NUMBER/PEAM1T NUMBER, JOB ADDAESS, TYPE OF lNSPECTJDN REQUESTEO, AND VV'HEN YOU WIll BE READY FOR INS PECTlON, CON"fRACTOA'S OR OWNER'S NP.ME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00 AM. WILL BE MAOE THE SAME DAY, REOUESTS AFTER 7:00A.M. WlLL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM Vv'ORK IS IN PLACE BUT PAIOR TO POURING CONCRETE. YOU ARE REOUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 4B HOURS BEFORE DIGGING SIGNATURE: " AMOUNT RECENED: ~TE PAID: RECEIPT NO: RECEIVED 8Y: and ~~r~~%7a~~'II~~~~ a;~.w~\ ~nat ~~~:II~~~U~=~~~h~le b~DrJ~~I~d a~~~~:I~ d~~b;a~an~~lyorat an information herein is true . the 9~ of Springfield. applic e Cil~ ~andard speCl~catiOI1~ and Dr.awinRs. and the lay..rs oIlhe Stale of Oregon pertaining 10 the 'MJrk described herein. I further Cel1lfy hat .only contradors and empoyees who are in compliance WIth 0 S 701.055 wdl be IJsed on this project. . Ttle Cily may inspecl ,the work 5~e pesoib~d in lhis permi! at_l!ny lime during a one year period fa nowVlg I/']e receipt by the City of notice of com~eliCX'l of the d_escnbed work and spealy. aI, the Oly s sole discr~lian any addlUonal, re5!ora~on work reqUired 10 return the site 10 a standard accep'!able 10 the CI . The permlnee will be nolmed in wriilng of any wor1< r~wred and will have lhlny days (30) lrom the dale oIlhe nollce to complele the work. Work not camp eled althe end o/Ihe thrrty days will be per1()(med by tHe Cily an Ihe cosls wiD be billed to the permittee. . I further ag'ree to ensure Ihal an required inspections are (~Ue5Ied all/1e pfcpl!f lime, thel proj ect ado-ess is readal::le ITem the street, and the approved set 01 plans Will remain on the sile al I times during construction. . Signature Dale . Sr.~I..N...~.FI.E~ ,.ll~_,: " , I~,', tf!h ",:0%:;:'" ;'''hi?f;;~: 0 R E GO N TRANSACTION RECEIPT CITY OF SPR1NGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.U5 811-PVV2011-00007 285 S 42ND ST permitcenler@ci.springfield.or,us RECEIPT NO: 2011000209 RECORD NO: 811-PW2011-00007 DATE: 02/02/2011 tD'E'S-CRfe.TIOff"-~;;'~'";~i~~~E"~~~j~~~;"ff;;;~'ti~?'4 f':t <i::':,_~" ''''J~i~.::~t~fi~"Ac.C()_UNTl:CODE',~xwr+f' ~~::>jZ"'~;;t 7AM0.UNT~[j,UE-." '; 's~~l':-;- '_~J Curb CutlDrjvew~y 1st Cut 201-00000-428060 88.00 Technology!ee (5% of permit total) 100-00000-425605 4.40 _____ TOTAL DUE: 92.40 Irp;.\YMENT.;l;Yp.E" 'iJ2"~PA YOR;'l'fCAS-HlliR,:KWILSON~ :~~41::1::T;;[(;J)_M.M~1!ltS'f"~w"'- .:-:;'>',,\"1 '0"" ,j,~~O!JNT"PAID;;.l: "~';.' ';.; ",;. "u Cash Jeff Herman 92.40 TOTAL PAID: 92.40 SP1:~G.:E.~. D ~~ ~'OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-PW2011-00007 285 S 42ND ST CITY OF SPRINGFIELD 225 Fifth Sf Springfield,OR 97477 541-726-3753 permilcenter@cLspringfield.or.us RECEIPT NO: 2011000210 tr>'E'S<: RI ~TioN:':;;:Sd~~;..':t~.,:'t~'~dt:~~:, .",:. . __~~?ew~rk Repair Technology fe",.E:':'~ of permit total} RECORD NO: 611-PW2011-00007 DATE: 02/02/2011 " ,::" f~:';;><c'j*ii~'~.:::2i~,:t:,~~?7ACCvdIfNt~c,6DE~,'i'::;:'~.;-", t-'--=--b:~:AMdu NTJjtJE~T~-;:~i,~ ~_ ! 2D.1-00l.E9-428060 ._____.!..5.:.~Q.._____ 100-00000-425605 0.78 TOTAL DUE: 16.26 >:.~%' ....;'.:AMOUNT.PAID-.. .,,; ,. }~'<"j ~.,;...;:"'".~~- --~ -'*,- . 16.26 t';;;PA YMErH,i;Y~E0:z-'~'" ':PAYORi::rcAsHi~RrKWlLSON {,,';J;~!~' <;:OM.MENi~1i"~'i. Cash Jeff Herman TOTAL PAID: 16.26