HomeMy WebLinkAboutPermit Sidewalk 2011-3-4
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00012
IVR Number: 811129966421
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
03/04/2011
03/03/2011
Issued
03/04/2011
ISSUED:
APPLIED:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
EXPIRES:
VALUE:
08/31/2011
$0.00
SITE ADDRESS: 23410TH ST, Springfield, OR 97477-4706
ASSESOR'S PARCEL NO: 1703354200200
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
5X5 panel
Phone Number:
OWNER:
ADDRESS:
PETERSON TODD 0
PO BOX 223
SPRINqFIELD OR 97477
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
ROGGE CONCRE:TE LLC
# of Units:
o
Lie Type
CCB
BUILDING INFORMA TION ~
# 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
183518
Lic Exp
08/11/2012
Phone
541-513-1075
lot Size:
Sq Ft 1st Floor:
Sq Ft2nd 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:
ATTENTION: Oregon law requires you to
foll.~w rules adopted by the Oregon Utility
t'Jotlflcatlon Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090.. You may obtain copies of the rules by
callmg 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
,NY 180 DAY PERIOD.
Springfield Building Permit
3f4/2011 2:43:39PM
Page 1 of 3
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00012
IVR Number: 811129966421
225 Fmh Sf
Springfield,OR 97477
Phone: 541-726"3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
03/04/2011
ISSUED:
APPLIED:
03/04/2011
03/03/2011
EXPIRES:
VALUE:
08/31/2011
$0.00
SITE ADDRESS: 23410TH ST, Springfield, OR 97477-4706
ASSESOR'S PARCEL NO: 1703354200200
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
5X5 panel
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMA TION ~
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
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descrietion
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
FEES PAID
~
Descriotion
Sidewalk Repair
TechnologLfe,e (5% of permit total)
Total Amount Paid
Amount Paid
$15.50
$0.78
$16.28
Date Paid
03/04/2011
03/04/2011
Reciot #
375780
375780
Springfield Building Permit
3f4/2011 2:43:39PM
Page 2 of 3
S~RIN..G_.FIE~.
~'~4.' .'
',,'~
\,,". OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00012
IVR Number: 811129966421
225 Fifth SI
,Springfield,OR 97477
Phone: 541-726_3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitce nter@ci.springfield,or.us
PROJECT STATUS:
STATUS DATE:
Issued
03/04/2011
ISSUED:
APPLIED:
03/04/2011
03/03/2011
EXPIRES:
VALUE:
08/31/2011
$0.00
SITE ADDRESS: 23410TH ST, Springfield, OR 97477-4706
ASSESOR'S PARCEL NO: 1703354200200
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:'
5X5 panel
Plan Review
I
Deoartment
Traffic Review
Received
0310412011
Due Date
03/0412011
Comoleted
03104/2011
Result
Approved
Reviewer
Kaye Wilson
Application Acceptance
03103/2011
03/0412011
Application Accepted
Kaye Wilson
G~~fi\;;c_,:~::;'~:::~:~':~;J.~;~:J!;:~~t:f:rt~~~~i:~~':~:Y~:W~.~~~L -~~~s2~~: :J
INSPECTIONS REQUIRED I
Inspections
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 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 wil.! remain on the site at all times during
construction. '
'~41A
f . "-
Owner or Contractor Signa re
~ ~dOlr
Date
Springfield Building Permit
3/4/2011 2:43:39PM
Page 3 of 3
S~~I~.G...:.>.F.IEL~. .,
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,:.~
,..~ OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield, OR 97477
541.726-3753
www.cLspringfield.or.us
permitcenter@ci,springfield.or.us
RECEIPT NO: 375780
RECORD NO: 811.PW2011.000l2
DATE: 03/04/2011
I ','." , ~
:OESC'RIPIION." ..; :,- ~, '-l;::ttr;:sJ,:
~- ,"'-'~""''''
Technology fee (5% of permit total)
Sidewalk Repair
':~ :\" ::' ,~'~'~~'~j~~8t;~)" - 'r-..~ ~"^:' ,::'i;
."""ACCOUNTC:OOE:;'.:. .
,. --. . ,
100.00000.425605
201.00000-428060
{'0~
~", ,'" '.. ;" "" _.
:~f'{~EN:i:r~~E.:i:;: ,
Cash
',' ".AMOUNT"DUE
$0.78
$15.50
TOTAL DUE: $16.28
, ?~'j0"""<G::_:Z-;,k$". -;"'" . '''_~~: 4f++:F>0o/:_'_:';':"'~_ ,_'""iC:': Z:;"-',"<,:" '''''": .-- . '.-,' '. ....;,;;:'-.:.1 .-.," "',?:".'.-C""-',!"-,<,,,,)c!,,'J\
PA V,OR' . .,:';CASHIER:'.KV\1J;SO!:l!~';";;;cO~MI;.",;rll;W",{,.\~,;'~:,{.;; ,~..;,,,,.,.; " .t-MQU"'TW~ID ':".
Tom Rogge $16.28
..cd
'I
",,;
. .
TOTAL PAID: $16.28