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Home My WebLink AboutPermit Sidewalk 2011-3-18 S.PR. IN ~~ ~~~ ~~EGON CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00013 IVR Number: 811133915677 www.ci.springfield.or.us 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/18/2011 ISSUED: APPLIED: 03/18/2011 03/18/2011 EXPIRES: VALUE: 09/14/2011 $0.00 SITE ADDRESS: 230 CST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352310600 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk repair Phone Number: OWNER: ADDRESS: MILLER VALLEY L TO PTRSHP 3330 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name TRIPLE J CONSTRUCTION INC Lie Type CCB ~ BUILDING INFORMATION # of Units: . \ ',0 /. # of Stories: Height of Structure: Type of Heal: Waler Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: M-ychanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 124007 Lic Exp 03/13/2012 Phone 541-517-1516 Lot Size: Sq FI 1 sl Floor: Sq FI 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq FI Carport: Sq FI Olher: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: '11,.. Soils Report.Required: 'JIS p ~I:: ';i'r, '[111111r f/?FD SHA,LL : UND [)(p/' f) OR cl1 r/J R[ IF .,. IS '71S PI:. 'H[ ~ -,., ',') A,8A,tVD I1Mlr / 0111( ') ON[D F. S NOr OR 3/18/2011 11:42:40AM ATTENTION' Ore , follow rules ~do t~~n aw requires you to Notification Centtr Th by the Oregon Utility in OAR 952-001-0010 those rules are set forth 0090. You ma ob . rough OAR 952-001_ calling the c~nte;aln(~atpms of the rules by numb f . 0 e. the teJephon er ,or the Oregon urn N " . e Center is 1-60o_33~~134~~'f'catlon $pnngfleld BUlldmg Permit Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00013 IVR Number: 811133915677 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 03/18/2011 ISSUED: APPLIED: 03/18/2011 03/18/2011 EXPIRES: VALUE: 09/14/2011 $0.00 SITE ADDRESS: 230 CST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352310600 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk repair Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ 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 ~ Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion Technology fee (5% of permit total) ~ide~a~~tho."-g.t'.~ !<::'.'... ._ Amount Paid $4.40 --,---_._-~- $88.00 Total Amount Paid $92.40 Date Paid 03/18/2011 03/18/2011 Reciot # 2011000508 _.__._~---_.- 2011000508 Springfield Building Permit 3/18/2011 11 :42:40AM Page2of3 Sr~~N:~. FIEL:iJ 1IIJil~ .....'c.""OREGON CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00013 IVR Number: 811133915677 www.cLspringfield.or.us 225 Fifth St 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: 03/18/2011 03/18/2011 03/18/2011 SITE ADDRESS: 230 CST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352310600 EXPIRES: VALUE: 09/14/2011 $0.00 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk repair Plan Review I Department Application Acceptance Received Due Date Completed Result 03/18/2011 03/18/2011 03/18/2011 Application Accepted Permit Issuance 03/1812011 03118/2011 03118/2011 Issued tTr~Jfic'~Revlew F":,: ?t.~,,,;::,~:: ,.",...' -03/181201.1' -i;03/18/201f-.~ 03/18/20.11,;'; Approved. ::x; .~'. n,:~ ~~::~;: :~:',:;;,:tT~~~;i'~0"':;L";, '~'<iJL~0~'~Y~<"::i,}~ f' ' '~:'~~']~,#~X::,; , . . . ~'t/':. ~i' '." Reviewe r Kaye Wilson Kaye Wilson ",>::1f,Kay'eNVils'onl: ~"""' -- .F.>;; .j::.:,- _"'."<'-"~(~' "'~ :~;;:1~~, ,;' , .-"<. '--~r ,>1 . ,';;" INSPECTIONS REQUIRED ~ Inspections 9506 Sidewalk - Setback Sidewalk - Setback: After forms are erected but prior to placement of concrete. By signature, I state and agree, that I have carefully examined the complete9 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. ..3 J/ J- j; I Date/ I Springfield Building Permit 3/18/2011 11 :42:40AM Page 3of3 , ' .' Ci'H pi optingfiald .' ;~ :' '.: ':.....: " ' -;,.' '-..,_."" :'."".:.- '~,'. : ,-,' ~ "':~.: ~"-,~_:( ,~.~,'..;:" - :;.:_,~.{::.,.~:f1. /, "', . DRIVEWAy/siDEWALK '::, PERMIT ApPLICATION:', ':;.~~ii~: 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DMSION OFFICE TELEPHONE (503) 726.3753 'P.!:.:'hD~ ~~. PERMIT NUMBER: DATE ISSUED: APPLICATION DATE: SITE INFORMATION: LOCATION OF WORK: ;>. :; 0 C- 5r APPUCANT ~ld 1t.0I.....{1 ~".M~ PHONE ADDRESS: ~,-<;" H<lr!'>l!' a.'cI. 6 aTY~STATE: cHI-- ZlP: q'1Y'1-? SU8DMS10N: OWNER !'rh.... m, Cl..t.v (2'111 r.4.<--f ,'S \('i<.') ADDRESS: CITY: STATE: TAX MAP' TAX lOT: PHONE: StiI,l{lp 310<87 ZIP: REOUESTED PERMITS: 1 :~~t~~;~~~~;~~~~~;;~~~.. !do ;-nn.n'@$008 $~~:oo...... : ~ o SIDEWALK REPAIR: ... ............ .................. ....n nn.......... ...n $15.50 ........................... ~ $ o CURB CUT/DRIVEWAY: NUMBER OF DAIVEWAYS_ X n.', $88.00 1 5t Cui ~ $ . 0 MULTIPLE PERMIT DISCOUNT EA: n:..n(MAX 2) .......n.... .. ... ....$30.00 2nd Cut ~$_(' (MULTI PERMIT D!SCOUNT GOOO FDA ONE SITE AND ONE srTE INSE'ECTlON...QM.Y APPUES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAJRl =$ o 5% Technology Fee $ TOTAL DUE W!TH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPEATYOWNEA CONTRACTOR INFORMATION: CONT~TOR: '/i-'rl-<..... T c.-oPSTVV<L.1&t'V"'> ) :L"" ~ ADDRESS: lO >K Do....d.e..o- &t- ~f'l"( Of{ q--rl{7g- PHONE: 5f/S/1-/ )/4> CONTRACTOR REGISTRATION NO: " 2.--'-\ 00 7 I .. I EXPlRATlON DATE: PROJECTSUPERVlSOR: ...JEA= 131l.fJo 1l.-:5 PHONE: "'J'I-m"'- INSPECTlONS: AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE AFTER THE PROPOSED WORK HAS BEEN Fa RMED AND MADE READY TO POUR. CURB CUT AND SIDEWAlK INSPECTIONS CAlL 726-3769 (RECORDER) STATE YOUR DESIGINATED CI1Y JOB NUMBERIPEAM!T NUMBER, JOB ADDRESS, TYPE: OF INSPECTION REOUESTED, AND VV'HEN '(OU WILL BE READY FDA INS PECTlON, CONTRACTOR'S OR OWNEA'S NANlE AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7:00 A.M. WILL BE MADE THE SAME DAY, REOUESTS AFTER 7:00AM. VV1LL BE MADE-THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CAlLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK 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: AMOUNTRECEWED: ~~ ~~. // v D~TE PAID: RECEIVED BY: RECEIPT NO: By signature, I slale and agee\ lnall have carefully examined !he completed applicalioo and do he reby certify that aU information herein 1st/we and correct B('1d I. further c~rlifV lha. Bl"!Y and all work Qertormed shalf be, done in acx:ordance WIth Ihe Ordinances of .. ..' the qtv 01 SpflnglJeld, applicable Gill Slandard specflcalions and DraWIngs, and the laws of Ihe Slale 01 Oregon pertalnmg to the work descnbed herelll. I tunher cE!lliIy thal.only conlraaars and empoyees who are in compliance with ORS 701.055 will be used on Ihlspl'ojec.. The City may inspecl ,the work si!e described in this permil at any lime during a one year period 10 nCMliSlg the receipt by the City 01 nollce 01 com~elion of Ihe d.escnbed ytOI'k and.~pel;lfy. i!ol,lhe Cay's sole discretion, any additional, restoration \YO(\( reqUired to return the sile to a standard aa::ep'lable to the Ci . The perrrurtee will be nO!lhed In wfltJng of anywOlil: required and will have.th1l1y days (30) lrarn lhe dale of lhe notice to camplele lhewark. Work nOI com eled al the end ollhe thirty days will be per10fmed by liie City and the costs wW be billed to lhe permillee. . I further agree 10 ensure lhat aU required inspections are reQuesled at the proper lime, that proj ect address Is readable trom the street, and Ihe apprOYed set 01 plans wllf remain on the slle at all times during conslrucUan. . Signature Dale TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-PW2011-00013 230 C ST permitcenter@ci.springfield,or.us RECEIPT NO: 2011000508 RECORD NO: 811-PW2011-00013 DATE: 03/18/2011 tbESCRIB:l]ONV~J---*"~'1-fc~-' '" :'.Tr::;-<--~:;.;. -,-,,-,~,rt.-r.;l':'.;---". ''-Acc.6(jNi~c.ODE",:7-;'.'' ;'AMOUNT.JpUE0";;'.,._ Sidewalk up though 90 Feet 201-00000-428060 88.00 Technology fee (5% of permit total) 100-00000-425605 4.40 TOTAL DUE: 92.40 tiLp~yN(~I'F T'(EE~" '.~!,~y:qrf,;:"CASHIER~KWIb.S_O~_~:2::.~:' : G:QMMENI~ii;j I&-i,'J;' .~"-':S~i-: ,AII!!2.UNTP AID'~._.:.;;.: ':...':.'J I Check Triple J Construction sidewalk repair of 60 feet 92.40 1494 TOTAL PAID: 92.40