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HomeMy WebLinkAboutPermit Sidewalk 2011-4-11 (2) S~A~~G..:..IEL;j ~ ~OREGON CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00017 IVR Number: 811195705380 VNVW.ci.springfield.or. us 225 Fifth Sl 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: 04/11/2011 04/11/2011 Issued 04/11/2011 EXPIRES: VALUE: 10/08/2011 $0.00 SITE ADDRESS: 1155 56TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702280002300 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: City repair of sidewalk Phone Number: OWNER: ADDRESS: JONES JON ANDREW 1155 56TH ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name ROGGE CONCRETE LLC # of Units: o lie Type CCB BUilDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazma!: # 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: Lic No 183518 Lie Exp 08/11/2012 Phone 541-513-1075 lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemen!: 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: <11,lTf"C. Soils Report Required: ., . , THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ''-NY 180 DAY PERIOD. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 4/11/2011 1:17:19PM Page 1 of 3 Sf~. I"'..GFJEL.~ ~ ~ :, OREGON WNW.d.springfield.or.us CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00017 IVR Number: 811195705380 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 04/11/2011 ISSUED: APPLIED: 04/11/2011 04/11/2011 EXPIRES: VALUE: 10/08/2011 $0.00 SITE ADDRESS: 1155 56TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702280002300 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: City repair of sidewalk DEVELOPMENT INFORMATION ~ 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: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion TVDe of Construction Unit Amount Unit TVDe Unit Cost Vaiue FEES PAID ~ Descriotion Amount Paid Date Paid Reciot # Total Amount Paid Springfield Building Permit 4/11/2011 1:17:19PM Page 2 of 3 S.PRI~G. 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OREGON CITY OF SPRINGFIELD Building I Public Works Permit PERMIT NO: 811-PW2011-00017 IVR Number: 811195705380 www.ci.sprlngfield.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: 04/11/2011 04/11/2011 Issued 04/11/2011 ISSUED: APPLIED: EXPIRES: VALUE: 10/08/2011 $0.00 SITE ADDRESS: 1155 56TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702280002300 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: City repair of sidewalk Plan Review ~ Department Application Acceptance Received Due Date Completed 04/11/2011 04/11/2011 04/11/2011 Result Application Accepted Reviewer Kaye Wilson Permit Issuance 04/11/2011 04/11/2011 0411112011 Issued' Comments: qtYc()ntrac:tordo~~g sidewalk, repajr Plan Review 04/11/2011 04/11/2011 04/11/2011 Approved Traffic Review 04/11/2011 04/11/2011 04/11/2011 Approved Kaye Wilson Kaye Wilson INSPECTIONS REQUIRED ~ Kaye Wilson Inspections 9508 Sidewalk 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 remam on the site at all times dunng ~"ruct""~ft!: IUJ '(f;:;, Contractor Signature 3 4--- /1 - /1 Date Springfield Building Permit 4/11/2011 1:17:19PM Page 3 of 3