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HomeMy WebLinkAboutPermit Sidewalk 2011-4-8 Sf..~I..NGFI.EL.~D . . ~L~' '-itil&h f!~~lX \:..;;.;.Jl *''''''': ::1.0"" 'OREGON CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00016 IVR Number: 811127642770 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 , Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/08/2011 ISSUED: APPLIED: 04/08/2011 04/05/2011 EXPIRES: VALUE: 10/05/2011 $0.00 SITE ADDRESS: 1622 EST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703362117500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk Repair 1 panel Phone Number: OWNER: ADDRESS: KELLOGG WILLIAM G 1344 LAWN RIDGE AVE SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lie No Lie Exp Phone # of Units: 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: Lot Size: Sq Ft 1 5t Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Ca rport: Sq Ft Other: 0 Occupancy Load: I Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ATTENTION' Ore 0 follow rules ~do.? n law requires you to Notification Centtr e1h by the Oregon Utility In OAR 952-001-00'10 those rules are set forth 0090. You may obtain rough OAR952-001. calling the center (rfoPles of the rules by number for the Or~ 0 ote:. ~he tele~hone Center is 1_~00n3U3tl"ty Notification - 2-2344). "OTlCE: 'ns PERMIT ' '::HJRIZED J~~ll EXPIRE IF THE WORK "~r:~!CED ER THIS PERMIT IS NOT ., 1}4Y ~ER IS ABANDONED FOR Springfield Building Permit RIOD. 4/8/2011 3:17:00PM Page 1 of 3 S~RIN..G. FIEL~ .~~ ~~ .!11 .. ~~~, OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00016 IVR Number: 811127642770 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541~726-3769 Fax: 541~726~3676 permitcenler@cLspringfield.OLUS PROJECT STATUS: STATUS DATE: Issued 04/08/2011 ISSUED: APPLIED: 04/08/2011 04/05/2011 EXPIRES: VALUE: 10/05/2011 $0.00 SITE ADDRESS: 1622 EST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703362117500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Sidewalk Repair 1 panel DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: Oft, 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 ~ Descriotion ~chno~g~..fee (~o~<:~ e.~~it total) ~dewalk ~P~~.__ Total Amount Paid Amount Paid 50.78 515.50 $16.28 Date Paid 04/06/2011 04/08/2011 Reciot# 2011000668 .~- _._-~ 2011000688 Springfield Building Permit 4/8/2011 3:17:00PM Page 2 of3 SP. ,R"ING"F_IEl ~ ~~._,.. ,,' <~ ~C~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00016 IVR Number: 811127642770 225 Fifth St 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: APPLIED: 04/08/2011 04/05/2011 Issued 04/08/2011 EXPIRES: VALUE: 10/05/2011 $0.00 SITE ADDRESS: 1622 EST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703362117500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk Repair 1 panel Plan Review ~ DeDartment Application Acceptance Comoleted 04/08/2011 Result Application Accepted Received Due Date 04/05/2011 04/05/2011 Plan Review 04/08/2011 Approved 04/08/2011 04/08/2011 ITraffic'Review; _'." .-.. ," ",04/08/2011 . ~04/08/201 h_ 04108/2011- .' --Approved :'."" t~~;~ff "i,~,~,:1t~;,:~ !~~':, ~: ; 77~';L~;; ~"~~2 .~;~l,~. ~ 'cl.: ~S:fE;:~2~~~f4Y~~~;,~;: -~S~~'.~'~:_"~;~~ ,':~~' '> INSPECTIONS REQUIRED ~ Inspections Reviewer Nancy Machado Nancy Machado Nancy Machado' ; ." ti. ;" ',:'~'-lk, _ ., ~ ;,"~'L," L/<'\;,~ "'"',,, ~, . ' 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 ;s located at the front of the property, and the approved set of plans will remain on the site at all times during ~""'"""" ~ ~ -6 I'P"! If ~ II . o:n~ignaturo Date Springfield Building Permit 4/8/2011 3:17:00PM Page 3 of 3