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HomeMy WebLinkAboutPermit Sidewalk 2011-3-22 s.~:~:~ P~(~. ,';';'''*'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