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Home My WebLink AboutPermit Sidewalk 2011-4-14 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00019 IVR Number: 811141050627 Issued 04/14/2011 ISSUED: APPLIED: 04/14/2011 04/14/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: 10/11/2011 $0.00 SITE ADDRESS: 668 67TH PL. Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702341401900 PROJECT DESCRIPTION: SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Sidewalk repair and driveway replacement. Phone Number: OWNER: ADDRESS: GILBERT ALAN R & SHAWNA R 668 N 67TH PL SPRINGFIELD OR 97478 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lic No Lic Exp Phone # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Waler Type: Range Type: Hazmat: 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 FI 151 Floor: Sq FI 2nd Floor: Sq Ft Basement: Sq FI Garage: Sq FI Carport: Sq FIOlher: Occupancy Load: o Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 4/14/2011 1D;23;4DAM ~ Page 1 of 3 SPX~::E~ ~'4~~ -ft,,'m_ OREGON CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00019 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us , IVR Number: 811141050627 pe rmitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/14/2011 ISSUED: APPLIED: 04/14/2011 04/14/2011 EXPIRES: VALUE: 10/11/2011 $0.00 SITE ADDRESS: 668 67TH PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702341401900 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Sidewalk repair and driveway replacement. DEVELOPMENT INFORMA TION ~ 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: Specjallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID I Descriotion Technolo~y fee (5% of permit total) Sidewalk Repaf~~_ ~Jrb CuUDriveway 1 st Cut Amount Paid $7.50 $62.00 ~'._---"'""'-'----"-"'._" $88.00 Total Amount Paid $157.50 Date Pa id 04/14/2011 04/14/2011 04/14/2011 Reciot # 2011000719 2011000719 ------_.... 2011000719 Springfield Building Permit 4/14/2011 10:23:40AM Page 2 of 3 S:A:\N;:L~. ~L~ ~,OREGON CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00019 IVR Number: 811141050627 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: Issued 04/14/2011 ISSUED: APPLIED: 04/14/2011 04/14/2011 EXPIRES: VALUE: 10/11/2011 $0.00 SITE ADDRESS: 668 67TH Pl, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702341401'900 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk repair and driveway replacement. Plan Review ~ Deoartment Plan Review Received Due Date 04/14/2011 04/14/2011 ComDleted 04/14/2011 Result Approved Reviewer M Greene !~~~~t'[:~"J~~a,~9~,;;;';~:';~<;"~~';,:';:;i9<t{4,~7~~f~:t,.:'~i_~!!I!~i{~:1;';~~~~1;1~f:?k41~~~W~0~-;)~:~035~~1;':~~~:~~e.~~:~-;~: ;~~,~~~ ~<',. ~,~,,':':~' F..' Comments:, '\Rebuilding' exlsting'drlveway.-alid'Wideningtto124';standardwidth: ,;Repairing,,4panels:;'- '_ ~:i<. ,,~t ,;-;,;,{,; ,:./,' ':'", -. '(( ",,::,::" L.~',., c,_ ", " '"~,,,1''' C" . ,~""~ c''.,;.',""''',':' ',', '1',,-. '">,,,,,-,,,'_~~":;__" -'- "",,''v"," -,",._, ~,.." "; _~"'.c'" .,,' ':.-.,.~, Traffic Review 04/14/2011 04/14/2011 04/14/2011 Approved M Greene jA'ppllcatiori Acd!!j5tan'c'l3~ I ' .. ,- ". , . -', ,., --',- ~7\>.'.i.-. 2' ;:;:,..,~, ",,_" >-,-;..."',,~, "04/14/20111 ,,04/14/201,1-;:: 04/14/201{:r' . . f ;_!_:It~;7:_,~;~,~"'~~i::t~:~:~:~':"~~~~Y~;fi-. -. Application:Accepfed, '!"~'~;-:;"7~:; L'~ ~ff''"' >." ~'~:~':7C~ ~:f ,',". INSPECTIONS REQUIRED ~ Inspections , U' . ,,'~. ~;4 :.:...:.:1 .,."'''' ""'. , . :: ~~ i~~ ~:s:~ ~'; ;:~',: ;1 By signature, I state and agree, that I have carefully examined the completed application and do hereby ce~ily 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. ~G~~ </1'1- (/ Owner or Contractor Signature Date Springfield Buildi~g Permit 4/14/2011 10:23:40AM Page 3 of 3 . - ... Ci!JJofOpringfidd .... ,., e-: i<.....::: ':'; :-':..':~:/'.'. ..~::.~: ,'. ';... ...,.~~.':'.''- :.....;.. .:',"~~':.;. .~i-:t'"T~~r;~ /->..'i:)RIVEVvAYlSIDEWALK . :: . .~. PERMIT-APPLICATION' .>.)s;: 225 FIFTH STREET SPRINGFIELD. OREGON 97477 ENGINEERING OIVlSION OFFICE TELEPHONE (503) 726-3753 .PE~~ ~~ PERMIT NUMBER: DATE ISSUED: APPLICATION DATE: r'< SITE INFORMATION: LOCATJDN OF ~ORK: I' Pl""h 'If PHONE '5'1/- 73liJ-rZ.1 L., TAX MAP: APPUCANT s\"\CH.o 1'\6. '"R. Aa hPA"I- ADDRESS: LPlo?" W1~ f'lQ~ em: 'S~b... STATE: DR. ZiP: SUBDIVISION: OWNER a~~ f: Slotat.clllllL 6.1l.U'+ C)'147 g TAX LOT: PHONE: .:ci._ ADDRESS: C ... . CITY: STATE.: ZIP: REQUESTED PERMITS: .0 SIDEWALK: ..... ....--.............. ...............--.. ........................ AMOUNT OF SIDEWALK IN EXCESS OF; 90FT. I!!f' SIDEWALK REPAIR:....... ................... .....w...... ........... .......... ~ CURB CUTIORlVEWAY; NUMBER OF DRIVEWAYS~ X ................ $88.00 .........w.......... @$O.OB SF. ........ $15.50 .....__............ .. =$ =$ ....... = $ 15.50 i~ /?'l,oo ........ $88.00 1st Cut = $ . 0 MULTIPLE PERMIT DISCOUNT EA: "'" ...(MAX 2).... ..w ...... ...... ..$30.00 (MULTI PERMIT OISCOUNT GOOD FDA ONE SITE AND ONE SITE INSPECTION..max APPUES TO 2nd AND 3rd PERMITS ONLY. NOT SIOEWALK REPAIR! o 5% TechnOlogy Fee $ TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER 2nd Cut =$-" =$ 1~7J:::;O . CONTRACTOR INFORMATION: ADDRESS: /21 y, '~~R- 11-/lMA\ -trm .s.\- I '}I; 3'5/ Z .,.(1 PHONE; '5'1 5 - 10 "7<' CONT';'CTOR:..:::TO 1'11\ CONTRACTOR REGISTRATION NO: PROJECT SUPERVISOR: EXP!RATION OA TE PHONE: INSPECTIONS: AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB NUMBER/PERMIT NUMBER. JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE READY FOR INS PECTJON. CONl'RACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REQUESTS AECENED BEFORE 7:00 AM. WILL BE MADE THE SAME DAY, REOUESTS AFTER 7:00 A.M. WILL BE MADE THE NEXT WORKJNG DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FOAM WORK IS IN PLACE BUT PAIOR TO POURING CONCRETE. YOU ARE REOUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 .a HOURS BEFORE DIGGING SIGNATURE: AMOUNT RECEIVED: i ( S 7. SO RECEIPT NO: PI 1\ 'R,) 2611---000 ,9 D~TEPAID: '-t114 /2() II RECE/V'EDBY: \L:'fU: (.....oCR-<Jt:: By signalure, I state and agee\lhat I have carefuny examined Ihe completed application and do he reby cerlily thaI al information herein Is lrue and correct and I further cerliWtha any and all workper:!ormed shall be dona in accordaru::e with the Ordinances or the City of Spring/ield, applica6le Cily ::ilandard specifications and DrawinQs, and the laws 01 the Slale 01 Oregon pertaining 10 the work desaibed herein. I runher carMy that aniy contradors and anlploytles who are in compliance with ORS 701.055 will be used en lhls projed. The Dty may inspect ,lhe work sile desaibed in this permit al,any lime during a one yam period to nowing the receipl by the City at notice 01 COlT)~elion 01 lhe desOlbed work and spoof)', allhe Oty's sole drscretioo any addlliooal restoratlOl1 work reqUired 10 return Ih,e site to a stanclard acceptable to the CI ,The permlrt~ will be nolified in wriling of any wqrk required and will have .thiny days (30] (rom the date 01 the nOllce to complete the wor1(. Work nat com eled atlhe end 0) !he lhirty days will be pertOl'med by lhe City and Ihe costs wiD be billed to llie permlllee. ' I furtnet ag'rae 10 ensure thai alf [~~!r~_~ inspecllons are requested at the proper time. Ihal proj ect adctess is reada~e fn:rnlhe street, and ad sel 01 plan~emajn on the sile at all times during conslrucllon. . 5'( "-- ~ ...L '- Cl /~ ...... Date i'11~11 _o SP~:\N_~El~ ~~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811.PW2011.00019 668 67TH PL permltcenler@ci.springfield.or.us RECEIPT NO: 2011000719 lDESCRIf>.TION Curb CuUDriveway 1 sl Cui Sidewalk Repair Technology fee (5% of permit total) RECORD NO: 811-PW2011-00019 ACCOUNLCODE 201-00000-428060 201-00000-428060 100-00000-425605 TOTAL DUE: DATE: 04/14/2011 AMOUNT.DUE~__; 88_00 62_00 7_50 157.50 AMOUN!PAID . _I 157.50 L~AYMENT;iYPi:: Check 'PAYOR -:'CASHIER:-KGREENE"""i>-_;"'. COMMENTS-,T;. Shawna Gilbert TOTAL PAID: 157.50