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HomeMy WebLinkAboutPermit Sidewalk 2011-5-16 s;~~. ~~.F.I.E tij ~~'~" ~'~ i"/!::-:;::" ~,. '~. . .:e:",,,,,?:;,:;. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00806 IVR Number: 811191972919 www.cj.springfield.or.us 225 Fifth SI 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: 05/16/2011 05/12/2011 05/16/2011 SITE ADDRESS: 1120 KELLY BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703341100500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: secondary driveway Phone Number: OWNER: ADDRESS: BRISTOL BRUCE S 1120 KELLY BLVD SPRINGFIELD OR 97477 EXPIRES: VALUE: 11/11/2011 $0.00 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Lie Exp Phone # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alarms: Ener9Y Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: . Municipal J Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1st Floor: Sq Ft2nd 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: . I \ Soils Report Required: OOIl:J3d A\iO 08, AN, lJO:l 03NOON\i8\i SIl:JO 03JN3lNIJ\J0 ION SIIllNl:J3d SIHIlJ30Nn O3ZI80'-!! ' )ll:JOM 3HI:l1 381dX3 ll\iHS Ilv'lml ' _, Sl la)UaO . (\1\18Z-Z88-009 'al\\ IOllaqUlnU r \" uo6aJO 5 III' eo uOl)llo!l!loN I'\!\!.' ' ) 'Ja\uao al\\ u'. 0 auol\dala\ al\\ ,at~ ule\qo f;eUl no).. 060u1 Aq saInI :~~~ ~~\n~ll\\ 0 ,.0o-~gg-~;~~~I~ON -,oo-~;s are saInI asol\l 1~;pll salO! MOIIOI l\X\~:\n uo5aJO al\\ Aq~;ciaJO :NOI1N311'<l 0\' noA sal\nbaJ M1l1 Springfield Building Permit 5/16/2011 9:40:12AM Page 1 of 3 SPi~G~~ .~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811.SPR2011-00806 IVR Number: 811191972919 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/16/2011 ISSUED: APPLIED: 05/16/2011 05/12/2011 EXPIRES: VALUE: 11/11/2011 $0.00 SITE ADDRESS: 1120 KELLY BLVD, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703341100500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: secondary driveway 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 Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAlO I Descriotion Amount Paid Date Paid Recio! # $2.25 05/12/2011 2011000929 $45.00 05/12/2011 2011000929 ..,.--.-,.----...."'-"'.-'"-- '~-_._.."'.__.._-- Curb Cut/Driveway 1st Cut $88.00 05/16/2011 2011000948 Technologt~: (5% of~p'~~~lt}O~----'~"-'-- -----s4:4o----ii5i1'6!~?~1.1.__-===~=_ 2ii1i-0iiii948 Total Amount Paid $139.65 !.,!c_hnoI09-y" fee (5% of permit total) ~.~e_~_i.~!,~.,L~.~~ond~r.iy.:":Y~L_ ."",_,~.,"_,__._",_,,_ Springfield Building Permit 5/16/2011 9:40:12AM Page 2 of 3 SP~~ING~EL...~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00806 IVR Number: 811191972919 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 05/16/2011 ISSUED: APPLIED: 05/16/2011 05/12/2011 EXPIRES: VALUE: 11/11/2011 $0.00 SITE ADDRESS: 1120 KELLY BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703341100500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: secondary driveway Plan Review I DeDartment Initial Review Received Due Date 05/16/2011 05/16/2011 Comoleted 05/16/2011 Result Over the Counter Planning Review 05/16/2011 05/16/2011 05/16/2011 Comments: Over the counter permit Not Required Structural Review Not Required 05/16/2011 05/16/2011 05/16/2011 Comments: Over the counter permit Reviewer Kaye Wilson Kaye Wilson Public Works Review 05/16/2011 05/16/2011 05/16/2011 Not Required Comments: Over the counter permit INSPECTIONS REQUIRED I Inspections 9502 Curbcut - Second Kaye Wilson Curbcut - Second: After forms are erected but prior to placement of concrete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aU 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. ~...; ...f (J, ~ : ".I;.,t SIIf9/tl Owner or Contractor Signature Date Springfield Building Permit 5116/2011 9:40:12AM Page 3 of 3