HomeMy WebLinkAboutPermit Sidewalk 2011-4-28
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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
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~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
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~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
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INSPECTIONS REQUIRED ~
Inspections
Reviewer
Todd Singleton
Todd Singleton
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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.
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Owner or Contractor Signature
Date
Springfield Building Permit
4/28/2011 10:58:07AM
Page 3 of 3