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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.' .' 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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~. ., ~_lh '.. ,:.~ ,..~ 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