HomeMy WebLinkAboutPermit Sidewalk 2011-4-11
S!.~II...GFIEL~
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.-:' OREGON
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00017
IVR Number: 811195705380.
WW'W.ci.springfield.or. us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Issued
permitcenler@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
04/11/2011
04/11/2011
04/11/2011
ISSUED:
APPLIED:
EXPIRES:
VALUE:
10/08/2011
$0.00
SITE ADDRESS: 1155 56TH ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702280002300
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
City repair of sidewalk
OWNER:
ADDRESS:
JONES JON ANDREW
1155 56TH ST
SPRINGFIELD OR 97478
Q
Phone Number:
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
ROGGE CONCRETE LLC
# of Units:
o
Lie Type
CCB
BUILDING INFORMATION ~
# 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:
Lie No
183518
Lie Exp
08/11/2012
Phone
541-513~1075
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd 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:, E" ORK
'UIllI" EIFTHEW
CHIS PERMIT SHA~~ ;.x~~ PERMIT \S NOT
mHORIZED UNO ABANDONED FOR
COMMENCED OR IS
!-\NY 160 DAY PERIOD.
,r,HENTlON: Oregon law requires you to
1')110'.v rules adopted by the Oregon Utility
. . Jtification Center, Those rules are set forth
1 Ol,R 952-001-0010 through OAR 952-001-
;090,. You may obtain copies of the rules by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit
4/11/2011 1:17:19PM
Page 1013
SI.RI.NGF IEL~
~
.~
~. OREGON
INWW. ci. spri ngfield. or. us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00017
IVR Number: 811195705380
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@Cl.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
04/11/2011
ISSUED:
APPLIED:
04/11/2011
04/11/2011
EXPIRES:
VALUE:
10/08/2011
$0.00
SITE ADDRESS: 1155 56TH ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702280002300
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
City repair of sidewalk
DEVELOPMENT INFORMATION ~
Overlay Dis!:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
PROJECT DESCRIPTION:
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 UnitTvoe
Unit Cost
Value
FEES PAID
~
Description
Amount Paid
Date Paid
Reciot #
Total Amount Paid
Springfield Building Permit
4/11/2011 1:17:19PM
Page 2 of 3
Sj.RING FIEL;.iij
~~
'.~.
'~ OREGON
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00017
IVR Number: 811195705380
www.ci.springfield.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:
04/11/2011
04/11/2011
Issued
04/11/2011
ISSUED:
APPLIED:
EXPIRES:
VALUE:
10/08/2011
$0.00
SITE ADDRESS: 1155 56TH ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702280002300
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
City repair of sidewalk
Plan Review
~
Deoartment
Application Acceptance
Received
04/11/2011
Result
Application Accepted
Due Date
04/11/2011
Comoleted
04/11/2011
Reviewer
Kaye Wilson
Permit Issuance
'04/11/2011 . .04/11)2011" 04/11/2011
Issued
K~ye'Wilson
Comments: City contraetordoinQ sidewalk'repai~
Plan Review
Approved
04/11/2011 04/11/2011 04/11/2011
Kaye Wilson
Traffic Review
04/11/2011 '04/11/2011 04/11/2011
Approved
Kaye Wilson
INSPECTIONS REQUIRED ~
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 will remain on the site at all times during
construction.
/l;r.
, """-
Owner or Contractol ignature
L/~/2-1\
Date
Springfield Building Permit
4/11/2011 1:17:19PM
Page 3 of 3