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HomeMy WebLinkAboutPermit Sidewalk 2011-4-28 f ." S.P..~ING. F.I.E.~. ifk-'( ..~ . ~~ . = 'OREGON CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00021 IVR Number: 811113792127 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.springfleld,or.us PROJECT STATUS: STATUS DATE: Issued 04/28/2011 ISSUED: APPLIED: 04/28/2011 04/28/2011 EXPIRES: VALUE: 10/25/2011 $0.00 SITE ADDRESS: 1284 HAMILTON ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703342200223 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Replacement of three sidewalk panels Phone Number: OWNER: ADDRESS: EMMETT ANDREW E & JANE E 1284 HAMILTON ST SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lic No Lic Exp Phone # of Units: BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 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: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: # of Bedrooms:ATTENTION: Oregon law reqMP.!';\cjI/j'YteevelopmenfCode: Sprinkled Build.rig:w rules adopted by the OPJ'!.n1birlgtSPl'cialty Code Edition: Fire Alarms: Notification Center. Those rUle'k~~ilt~fjti~jlrtCialty Code Edition: in OAR 952.001-0010 through ~R P'i2.~ - . . _ Energy Path: 0090 Y bt . , tillctiiral clalty Code Edition: . OU may 0 am cOPies 0 me rUles y calling the center. (Note: thr telepnOnESite Information MnTI number for the Oregon Utility : :v.:::v_.:v," _ , :;/:: .. ' _ Engineered Fill: Center is 1.800-332.2344). fHls p. ERM/T SHALL EXPIRE IF THE 'w Fill Volume: AU . . ORK Flood Hazard Area: C THOR/ZED UNDER THIS PERMIT IS NOT Land Hazard Area: OMMENCED OR IS ABANDONED FOR Retaining Wall: !.\Ny 180 DAY PERIOD Soils Report Required: . Springfield Building Permit 4/28/2011 10:58:07AM Page 1 of 3 .. 5PL....I~. G_..FIE~ ~~,~ ~OReGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00021 IVR Number: 811113792127 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 04/28/2011 ISSUED: APPLIED: 04/28/2011 04/28/2011 EXPIRES: VALUE: 10/25/2011 $0,00 SITE ADDRESS: 1284 HAMil TON ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703342200223 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: - Replacement of three sidewalk panels DEVELOPMENT INFORMATION ~ Overlay Dist: # 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 Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Technolo~y fee (5_% of permit total) Techn.?,logy fee 15.:',-,,1 permit total) Sidewalk Repair Technology.!:e (5% of permit total) Total Amount Paid Amount Paid Date Paid $-2.25 04/28/2011 $2.33 04/28/2011 0__.._______..__-'"--.___ $46.50 04/28/2011 $2.25 04/28/2011 $48.83 Reciot # 2011000821 2011000821 -.._,~--- 2011000821 2011000821 Springfield Building Permit 4/28/2011 10:58:07AM Page 2 of3 i. .' ... SP:~H:~.::EL~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00021 IVR Number: 811113792127 www.ci.springfield.or.us 225 Fifth SI 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: 04/28/2011 04/28/2011 Issued 04/28/2011 EXPIRES: VALUE: 10/25/2011 $0.00 SITE ADDRESS: 1284 HAMILTON ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703342200223 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Replacement of three sidewalk panels Plan Review I Deoartment Application Acceptance Result Application Accepted Received Due Date 04/28/2011 04/28/2011 ComDleted 04/28/2011 Permit Issuance Issued 04/28/2011 04/28/2011 04/28/2011 I;?l.an. ReVjew:g":;.~~ t~~~~~T~;~:S 94128120J 1'?t;loO~/]8!?91'1\<"O'V?~/~Q1-1\ f ::;~"$T"';~ ., ,.,,~c L'{0:G' '~'ID ,c'::, " '- .;", ~",:1~'J,::6?~:'~,7c " ~';~--..~{ N)prgy~d~ ' '.c,. ,"'{ ~J'L:1 :€';:, t~'~ : .' INSPECTIONS REQUIRED ~ Inspections Reviewer Todd Singleton Todd Singleton '1odd:~i~9.I.eton : . - "-'Q,-:4f. ''h-'';',,+-; -'-. Y:."",,_#r.:~-<. 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. 0J"j~~: LI-2 R--I / Owner or Contractor Signature Date Springfield Building Permit 4/28/2011 10:58:07AM Page 3 of 3