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Home My WebLink AboutPermit Sidewalk 2011-4-15 ;- .. sp. RIN.G FIE~ 0 . .~ ,.: .,~ l- - OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00609 IVR Number: 811170268536 www.cLspringfield.or.us 225 Fifth St Springfield.OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permilcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 04/15/2011 04/15/2011 04/15/2011 SITE ADDRESS: 890 68TH ST. Springfield. OR 97478 AssEsOR's PARCEL NO: 1702341101900 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk repair at 890 68th street Phone Number: OWNER: ADDRESS: CORLEY MORRICE H 890 68TH sT SPRINGFIELD OR 97478 EXPIRES: VALUE: 10/12/2011 $0.00 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Phone Lie Exp # of Units: o 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 1st Floor: sq Fl2nd 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 w""'TTENTlON: Oregon law requIres you to Soils Repo~BUqwr~ules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-o0Hl010through OAR 952-001- 0090. 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). NOTICE" <::0'.:: ., .....:... ..<......~..., . ,. c...... . THIS PERMrT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMIVIENCED.OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 4/15/2011 8:54:10AM Page 1 of3 "- SP:~~G..._. FIEl.~ ~..,.......... ,- :.or \I;U ":. ;,'" ORE.GON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00609 IVR Number: 811170268536 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726.3676 permitcenter@cLsprlngfleld.or.us . PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 04/15/2011 04/15/2011 EXPIRES: VALUE: 10/12/2011 $0.00 04/15/2011 SITE ADDRESS: 890 68TH ST, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1702341101900 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Sidewalk repair at 890 68th 5treet DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot.Coverage: Highest point on structure to north properly line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvee of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID , Description , Technology fee (5% of permit total) Sidewalk Repair Tot~1 Amount Paid Amount Paid $0.78 $15.50 $16.28. Date Paid 04/15/2011 04/15/2011 ReciDt # 2011000725 2011000725 Springfield Building Permit 4/15/2011 8:54:10AM I Page 2 of 3 .~ 5, P,RING,FI"E,.,L~,', ' ~, , ;~. :i.'. OREGON CITY OF SPRINGFIELD Building I Resid~ntial Permit PERMIT NO: 811-SPR2011-00609 IVR Number: 811170268536 www.ci.springfield.or.us 225 Fifth SI 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: 04/15/2011 04/15/2011 04/15/2011 SITE ADDRESS: 890 68TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: '1702341101900 EXPIRES: VALUE: 10/12/2011 $0.00 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk repair al 890 681h slreel Plan Review I Deoartment Permit Issuance Received Due Date 04/15/2011 04/15/2011 Comoleted ' Result 04/15/2011 Issued Reviewer Ben Gibson Structural Review 04/15/2011 04/15/2011 04/15/2011 Comments: Over the counter permit Planning. Review:r. ~ ,.'::b' :l'Lj: -<~ 04J,15/20M;:2z'04l15/201c1':", it-bfu~~ri:t%t't;<6JefUle"counte'r,~perri1iri.;;:;j:'".~~ it - \ "~-")~;,';l,' ",......,'_..'_.";t.,,.,.,"\'..~,.......".,,-. ..... ~,>:...;:."' :.".' '.' ~'~-".'( Public Works Review 04/15/2011 04/15/2011 04/15/2011 Comments: Over the counter permit [CI!Hyal'-l3e,~,ie~~< J;";f .'(ti"y>' :.~., - Jj41~5/2, O,j~1:~,'/:04,l~5,', '/~Q1 :V:;1,O,.~l!J'lf_Q1: ":'+',<v..~-...'. ,J."''-_' 1""~.'\+r?Ji,". ,'"y~.'Yd'.'f"''' ~ Comments: Over~lhecounter,permlt: '. ~,' ~'. "'~ i '7":_;: .<~'''';_ L '4 ~..,," - C-' .... . , .. . . - ,'. .. ..... .'. $ , ~." " -.' ' _ ,..J' ~":" Not Required Not Required Inspections INSPECTIONS REQUIRED Ben Gibson Ben Gibson ~:1~:~~ib~O~:j'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 ~ommunity 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( ~/ 5"~1J /~ , Owner or Contractor Signature Date Springfield Building Permit 4/15/2011 8:54:10AM Page 3 of 3 .' .. Q' ",\:_".d;,lfJ'" .' . ." .. __ .., .' I '/goJ~rrnQJ'C!I'.'. "" '. .... :".e,.' (J,"",:" .. '. ~ ..1 ':.." ...:....'.__ '_"'. ,_ :,..._.:_._.~:.:.<~~t -",:: ~.tjRIVEWAY/SIDEWALK '. ,:::'-PERMITApPLlCATlON" '::..:q~: 225 FIFTH STREET SPRINGFIELD. OREGON 97477 ENGINEERING OMS ION OFFICE TELEPHONE 1503) 726.3753 .~~~ wa:~ PERMIT NUMBER: t6\~- Sow ?-<>\\~oot06\ DATE ISSUED: '-\ - IS: - J-=ll APPUCATION DATE: SITE INFORMATION: lOCA nON OF ~RK: APPUCANT ADDRESS: 70"-' 'fA.'1 0 LD H 'k:oc;: C. C .' PHONE TAX MAP: CITY: SU8DMSlON: GINNER: ADDRESS: STATE: . ZIP; TAX lOT: PHONE: OTY: STATE: ZIP: \ REOUESTED PERMITS: o SIDEWALK: ........._..........~.................................................................. $88.00 ......................... = $ AMOUNT OF SIDEWALK IN EXCESS OF 90FT. @$O.08 SF. =$ zr SIDEWALK REPAIR:...................................,...... ................................. $15.50 ........................... = $ J \. -L': o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS_ X...................... $8B.00 1st Cut = $ . 0 MULTIPLE PERMIT DISCOUNT EA: .........(MAX 2) ...........................$30.00 (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTlON.ow APPUES TO 2nd AND 3rd PERMITS~ NOT SIDEWAU< REPAJAl .e- 5% Teclmology Fe. $ O. TOTAL DUE WIlH PERMIT $ o PROOF OF INSURANCE: $500.000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER 2nd Cut =u- =$ . "11L. /&..:28 . CONTRACTOR INFORMATION: \ -~~ (""^~~ ) , . ADDRESS: ~, \ . 9- CONTRACTOR REGISrnAnoN NO: CC ~ \ 3.5 \ PROJECT SUPERVISOR: PHONE; S1S-)t>7') EXPIRATION DAlE: PHONE: INSPECTIONS: 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 SIDEWAU< INSPECTIONS CAli ne..3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB NUMBEA/PERMfT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REQUESTED, AND WHEN YOU WILL BE AEADY FOR INS PECOON, CONl'RACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECENED BEFORE 7:00 A.M. INIlL BE MADE THE SAME DAY, REQUESTS AFTER 7:00A.M. 'MLL BE MADE T'r-tE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PlACE SlIT PAlOR TO POURING CONCRETE. YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 48 HOURS BEFORE DIGGING SIGNATURE: .A.MOUNT RECEIVED: RECEIPT NO: Ie.. 22- ~TEPAlO: RECEIVED BY; Y - I,r- - .:10 1\ R:::r:C, . . By si91lllure, t slale and agee, thai I have careluly examined the compleled appUcation and de he reby certify thai aI inlamaUon hB"ein Is lIue and COffeet and I further certifY that at!'! and all wack gedooned shall b~ done in accordaJ1ca wilh Ihe Ordinances of Ihe DIY of Springfield. applicable City Slandard specifICations and DfawinQ5, and Ihe laws oIlhe Slale 01 Oregon pertaining 10 !he work desaibed herein. I further certify lhat only contractors and employees wtIo are 111 canpliance v.1th ORS 70 1 ~055 ".,.,U be used . on Jhisproied. . The Dlymay inspecl,the work site described in this permfllJt,~ lime during a ens year period!o nowing Ihe receipt by theCiry 01 nollce oj COITl%elion ollhe described wak and speoly, allhe Diy's sofe discretion, any addiuonal,feSleralion wOO< requIred 10 relurn the slle to a standard accep'lable to the Ci . The perminee will be nolified in writing of any work reQuired and will have thirty days (30) !rom the dale of Ihe nolice 10 complele the work. Work nol camp eled althe end ollhe thirty days wilt be pertOl'mea by t1ie City and lhe cosls will be billed 10 the pelTJ'll1fee. . . Ilurltler agree 10 ensure lhal ~~_~ tnspectials are reQuesled at the proper lime. ltIal proJ eo add-ass IS readat:te from the street, ancllhe approvea set 01 p1j }remall1 on the SIte at all limes clJrtllg construction ~_~{~ Da. ~-IS;-)\ r;u ' ~ S~~I~~~~ ~~ ~OREGON www.ci.springfield.or.us TRANSACTIOf\j RECEIPT 811-SPR2011"00609 890 68Tfj ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permilcenter@ci,springfield,or.us RECEIPT NO: 2011000725 RECORD NO:'811-SPR2011-00609 DATE: 04/15/2011 tDEscRIP..tr6N,i0,*,V;~ J""~4';;;'''~::'l';f,;";,;,;;t~;;;':,i;;Y;;',,K~k.cC:QtiN:tEc6t)E''''r~,; ,~.;;"3~;,Il;M6tiNToD.UE, : , 0 :;j Sidewalk Repair 201.00000-428060 15.50 Technology fee (5% of permit total) 100-00000.425605 0.78 TOTAL DUE: 16.28 U&M.ENJjjPE>:i;.".:;I'AY.9R:':~-c;'sHiER'ElG~ON?f;,,)i j~t,';'~t:rCOMMEN'LS, ,,,'t'f_: .'~',;::'}; ;~, .. t4MOUNT PAID >. 00 .' ~: Cash Tom Rogge Sidewalk repair at 890 S 68 16.28 TOTAL PAID: 16.28