HomeMy WebLinkAboutPermit Sidewalk 2011-3-22
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,';';'''*'0t~ OREGON
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00014
IVR Number: 811193701019
www.cLspringfield.or.us
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:
APPLIED:
03/22/2011
03/22/2011
Issued
03/22/2011
EXPIRES:
VALUE:
09/18/2011
$0.00
SITE ADDRESS: 937 D ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703351307700
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk repair
Phone Number:
OWNER:
ADDRESS:
HOLMBERG DIANE STAR & ALBERT E
937 D ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION ~
Contractor Type,
Lie Type
eea
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Contractor Name
ROGGE CONCRETE LlC
# of Units:
o
# 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 F11st Floor:
Sq F12nd 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
loll.ow rules adopted by the Oregon Utility
!'Iolillcatlon Center, Those rules are set lorth
In OAR 952-001-0010 through OAR 952-001-
0090,. You may obtain copies of the rules b
calling the center. (Note: the telephone y
number lor the Oregon Utility Notification
Center is 1-800-332-2344),
NOTICE: IF THE WORK
THIS PERMIT SHALL ~~~~ERMIT IS NOT
I\UTHORIZED UNDER FOR
-'MMENCED OR IS ABANDONED
. . ,'~ "AV PERIOD.
Springfield Building Permit '
3/22/2011 9:35:41AM
Page 1 of 3
www.ci.springfield.or.~s
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00014
IVR Number: 811193701019
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 STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
03/22/2011
03/22/2011
EXPIRES:
VALUE:
09/18/2011
$0.00
03/22/2011
SITE ADDRESS: 937 D ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703351307700
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
~
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
r
Description
Techn_ologl0-,,_~5% ofJ?-,,~il Iota I)
Sid~~~"I~_ ~:pajr _+ _ 4 _ _._, ++.
Total Amount Paid
Amount Paid
$3.10
$62.00
$65.10
Date Paid
03/22/2011
03/22/2011
Recipt #
2011000520
2011000520
Springfield Building Permit
3/22/2011 9:35:41AM
Page 2 of 3
5~AG=;..?ii..D ,
~~
~OREGON
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00014
IVR Number: 811193701019
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
03/22/2011
ISSUED:
APPLIED:
03/22/2011
03/22/2011
EXPIRES:
VALUE:
09/18/2011
$0.00
SITE ADDRESS: 937 D ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: '1703351307700
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk repair
Plan Review
I
DeDartment
Plan Review
Received Due Date
03/22/2011 03/22/2011
Comoleted
03/22/2011
Result
Approved
Reviewer
Kaye Wilson
Application Acceptance
03/22/2011 03/22/2011
03/22/2011
Application Accepted
Kaye Wilson
p.erfl:1~t~ls~1l~n_9~,,'<'>(,_:_~::~:,;~:~:q3~~2/~91 r~: ';b~/2?12ql:1.i~Q_?i??J?91,1'l_ _' IJsued ~;'~""k:r. ,;;$ ,. Kay"e'Wils'on' ':":-~_':T<
~ '" -/f ~ ,,' -', " "C'" - -,-, ., .,N ;to-._", ,~- 'j ,"t :,':~'~':ii ,'..j"_;,',,"',."/ ^~.",,';~":~.~,\_~.
C~~_.~:: ,":2,~/~"~-_;' ',,: ,;-~ '..;~,;,:'<;,~;: ~:~. ;"r\: ;:~~;;,~"!t-~~{;ji;-"-~-:--:~--; ~'f;~~i; ;:;.f~~ ;.,:/ "4:.3i;:-' ::':ffi~ ~ ,-~ '\> ~ .l" <t,70. _
:::<~;r';~!lil
INSPECTIONS REQUIRED ~
Inspections
9506 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. 1 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.
~
J ~d-'2~ II
Date
Springfield BUilding Permit
3/22/2011 9:35:41AM
Page 3 of 3
S~::~~~IE~
L~~
~ORl:GON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-PW2011-00014
937 0 ST
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
perm itcenler@ci.springfield.or,us
RECEIPT NO: 2011000520
[bESCRIP..TION'~L,,0'\:'; ': "e' ":~-:0"2/~f,'" ,"',;
SidewaJ~ Repair
Technology fee (5% of. permit_!otal)
RECORD NO: 811.PW2011.00014 DATE: 03/22/2011
',;,;J0i,0",~',l:#:::?ACCOUN:(cObE ",?:*E~:ctc~ EAI\IIOl.lNJ'j)UE'.
201-00000.428060 62.00
100-00000-425605 3.10
TOTAL DUE: 65.10
~-~ ;;F~ ~(OMMEifis:"::, '.r .'.",,' '_?~_. .AMEUNT'pA~~?..;i"~J
Sidewalk repair 65.10
r.:...eAYMf,NLlY~!"~_:"': P~RQR~::CASHIERK.wiLSON .
Credit Card Tom Rogge
06189
TOTAL PAID:
65.10