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Home My WebLink AboutPermit Sidewalk 2011-5-11 ~ - " www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00022 IVR Number: 811142103484 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 05/11/2011 ISSUED: APPLIED: 05/11/2011 05/11/2011 EXPIRES: VALUE: 11/06/2011 $0.00 SITE ADDRESS: 465 21ST ST, APT# 3, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361304700 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk Repair Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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 r Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descrietion Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID I DescriDtion Technology fee !.?::? of permit total) Sidewalk ~:.p~l~_,__" Total Amount Paid Amount Paid $1.55 $31.00 $32.55 Date Paid 05/11/2011 05/11/2011 ReciD! # 2011000919 2011000919 Springfield Building Permit 5/11/2011 10:45:'42AM Page 2 of 3 .~ . . CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00022 IVR Number: 811142103484 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/11/2011 05/11/2011 Issued 05/11/2011 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fex: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: 11/06/2011 $0,00 SITE ADDRESS: 465 21ST ST, APT# 3, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361304700 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk Repair Phone Number: OWNER: ADDRESS: LARELLE G GRANT TRUST 1863 PIONEER PARKWAY E #369 SPRINGFIELD OR 97477 Contractor Type Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic Type OWNER BUILDING INFORMA TION ~ # of Stories: Height of Structure,: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # 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: Lie No 0000000 Lic Exp 08/12/2025 Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Fl Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land,Hazard Area: Retaining Wall: Soils Report Required: 'f.. , I'\E W ""(\"IE \)'J~~"I '\')1\Ct.. 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OREGON CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00022 IVR Number: 811142103484 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: 05/11/2011 05/11/2011 05/11/2011 EXPIRES: VALUE: 11/06/2011 $0,00 SITE ADDRESS: 465 21ST ST, APT# 3, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361304700 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk Repair Plan Review I DeDartment Application Acceptance Received Due Date ComDleted Result 05/11/2011 05/11/2011 05/11/2011 Application Accepted Reviewer Kaye Wilsan Plan Review 05/11/2011 05/11/2011 05/11/2011 Approved Kaye Wilsan ~Tf~:~",eVieW'1\~' :b,f"':' '~-". 05/11/20.11 'A.o~/}!/2011 . _05/11/2~11'~', -~P"~0o.",v, ~~;<~_,,:~;,,__ ',~,'~'_'~_'~.:~~_:._~'-..~,.-:,:~a~__:_~:,~.W_:_~,.~s_~_"n,__-~,:.-_,,~,:~_~.-,'f':' ~:.:~~-;~"~;~~C(..;;~-, t>' :~~ ;~:/::~:'.: ~ '4 ':x~ '-:ii: ~~~:!:~-~"i: ~~,_ ~~~--,}_::_~: -, . _" ":-_~- . ~w_ - .'. ..... 't~ '~"__ _ -. .'_ INSPECTIONS REQUIRED ~ Inspections 9506 Sidewalk - Setback Sidewalk - Setback: After forms are erected but prior ta placement .of cancrete. By signature, I state and agree, that I have carefully examined the campleted applicatian and do hereby certify that all infarmatian herean is true and carrect, and I further certify that any and all wark perfarmed shall be dane in accardance with the Ordinances .of the City .of Springfield and the Laws .of the State or Oregan pertaining ta the wark described herein, and that NO OCCUPANCY will be made .of any structure with aut permissian .of the Community Services Division, Building Safety. I further certify that .only contractars and emplayees wha are in campliance with ORS 701.005 will be used an this project. I further agree ta ensure that all required inspectians are requested at the praper time, that each address is readable fram the street, that the permit card is lacated at the front .of the praperty r and the approved ~et of plans will remain an the site at all times during construction. #k?j::;-t~ ~-/'~ II Owner .or Cantractar Signature Date Springfield Building Permit 5/11/2011 10:45:42AM Page 3of3 '~ "'.,, ..' ,~C;!!J(Jfq,ringftc/d' "....: '-:,. :. ':::;0'; . . . , f _; _ C": ..': _'. : __:.: .".'.' '.:" _ ._' ._ ~ . ~- . : > ~~:~~.~~;~t {,' : DRIVEWAY/SIDEWALK ~. ,:\ PERMIT APPLICATION ,: ::';:;I,~ 225 FIFTH STREET SPRINGFIELD. OREGON 97477 ENGINEERING DIVISION OFFICE TELEPHONE (503) 726,3753 OP.=:'::iJ ~ 'PuJ ZVt ( - O()ll "2.2-, APPLICATION DATE: PERMIT NUMBER: DATE ISSUED: SITE INFORMATION: c.-rtJCAnONOFWORK: ./IvS- AJ ::ll H'.' LAPPUCANT P/V+lloN~ PA.r~ l..:ui ",AoORESS: 'l.5j'li7 (!'"I~"k~<MrE eel L-ciTY: t '-'i, c> we' STATE: () .< t' SUBDIVISION: PHONE .5''11 - 521 - 44 fL TAX MAP: ZIP: q '7 'i' J.. TAX LOT: t.rOWNEA: ADDRESS: If~/fbwv 1-14;"('''':(,,1 ) i/'f77 rj,d.~4.....,~ CITY: kfJ~ e~J~ STATE PHONE: (\f(_ j~"{/" ~-2/ - '19' , '2 ~P: Q7o/J;). REQUESTED PERMITS: o SIDEWALK: ........._..........~.............................. ............... ................... $88.00 ......................... = $ ~~::: S~O:;:: ''..~~~~~'..~~.......,...................~~~0:1 :.:0 ....'............... :: ~ o CUR8 CUTIORIVEWAY: NUMBER OF DRIVEWAYS_ X...................... $88.00 1st Cut = $ . 0 MULTIPLE PERMIT DISCOUNT EA: .........(MAX 2) ...........................$30.00 2nd Cut =$_(- (MUL 11 PERMIT DISCOUNT GOOD FOA ONE SITE AND ONE SITE INSPECTJON...atll.X APPUES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK AEPAlf1l. =$ o 5% Technology Fee $ TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACTOR INFORMATION: ADDRESS: ? ,,"/) 1 CONTRACTOR REGISTRATION NO: PROJECT 5UPERVlSOA; (3.,deAJ h f)""c. AIV./""""I i2d /-1i;l'c,! t..J EO ~\j ,.,..... PHONE: f'/ I- -'21- '15"2. EXPIRATION OA TE: CONTRACTOR: OUJlJee. 5' P"..,e PHONE; INSPECTIONS: AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE. Af:TEA THE PROPOSED WORK HAS BEBI FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK iNSPECTlONS CAlL 726-3769 (RECORDER) STATE YOUR OESIGlNATED CITY JOB NUMBER/PEAMlT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND '^'HEN YOU WILL BE READY FOR INS PECTlON, CONl'RACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECEiVED BEFORE 7:00 AM. WILL Be MADE THE SAME DAY, REQUESTS AFTER 7:00A.M. WIll BE MADE-THE NEXTWOAK1NG DAY. INSPECTIONS ARE TO BE CAlLEQ IN AFTER EXCAvAl10NS ARE MADE AND FOAM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE. YOU ARE REOUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 48 HOURS BEFORE DIGGING SIGNATURE: AMOUNT RECEIVED: RECEIPT NO: ~TE PAID: RECENEO BY: By signature, I sla.te a.nd a.gee, that I have care(uJIy examined the compleled application and do he reby cerlify that all inlormatien herein is lrue and correct and I further certifY that any and all work perlcrmed shall be dene in acccrdance with the Ordinances 01 . the Dlv of Spflnglield, applicaele City Standard speaTlCBtiOfls and D(awings, and the laws of !he Slate el Oregon pertaining to the work described herein, I further certify thal.only contractors and employees who are ill compliance 'NlJh OAS 701.055 will be used . oothisprolect. . The Diy may inspeclthe work site described in lhis permit at.any time during a one year period 10 noMng the receipl by the City at no/ice 01 com~lelion 01 the described work and specify. al the City's sole discretion any addlliOllal.reslOlalion WOfk: required Ie return the site to a slarldard accep.table to Ihe Ci . The perrrunee will be notified in writing et any WOO< required and will have lnlfty days {30l frem the dale ollhe nolic!! Ie complel!! lhe wOl1l Werk not com eted at the end 01 lhe Ihirly days will be per!ormed by the City and (he cosls will be billed 10 ttie permittee., . I further agiee Ie ensure lhat all required inspections are requesled at the proper lime. that proj ect adc:Ye5S is readat::le !rom the street, and the approved set 01 plans will remain on the sile al all times during conslrucllon. . Signature 0.<0