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Home My WebLink AboutPermit Sidewalk 2011-6-24 , S~~~tij m.~ 1;'::,Z1"~"'). OREGON www.cLspringfield,or,U5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01578 IVR Number: 811167802735 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.U5 PROJECT STATUS: STATUS DATE: Issued 06/24/2011 ISSUED: APPLIED: 06/24/2011 06/24/2011 EXPIRES: VALUE: 12/20/2011 $0,00 SITE ADDRESS: 4030 SOUTHWAY LOOP, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1702314105404 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: sidewalk repair at 4030 and 4036 southway loop OWNER: ADDRESS: ROACH SHANE W 4030 SOUTHWAY LOOP SPRINGFIELD OR 97478 Phone Number: # of Units: CONTRACTOR INFORMATION ~ Contractor Name Lie Type Lie No Lie Exp Phone BUILDING INFORMATION ~ 0 # of Stories: lot Size: Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage: Hazmat: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 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: I Site Information ~ Contractor Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard ~n~NTION: Oregon law requires you to Retaining W<ll!lllow rules adopted by the Oregon Utility Soils Reporfflllqili1mlon 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). NOTICE: .,.', . ";"'-";,,..;,,,,,. THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. .. Springfield Building Permit 612412011 3:18:42PM Page 1 of 3 SPRINGFIELD ~)I,," -." ""'" ifri? ~fGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01578 IVR Number: 811167802735 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfleld.or.us permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/24/2011 ISSUED: APPLIED: 06/24/2011 06/24/2011 EXPIRES: VALUE: 12/20/2011 $0.00 SITE ADDRESS: 4030 SOUTHWAY LOOP, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702314105404 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: sidewalk repair at 4030 and 4036 southway loop 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 ~ Description Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Amount Paid $88.00 $4.40 $92.40 Date Paid 06/24/2011 06/24/2011 Reciol # 2011001770 2011001770 Springfield Building Permit 612412011 J:1B:42PM Page2of3 Spr.NG.~.E~ ~'~ 'ti ,~, ~1 ~7\ OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01578 IVR Number: 811167802735 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: 155 ued 06/24/2011 ISSUED: APPLIED: 06/24/2011 06/24/2011 EXPIRES: VALUE: 12/20/2011 $0.00 SITE ADDRESS: 4030 SOUTHWAY LOOP, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1702314105404 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: sidewalk repair at 4030 and 4036 southway loop Plan Review , DeDartment Permit Issuance Received Due Date Comoleted Result 06/24/2011 06/24/2011 06/24/2011 Issued Reviewer Ben Gibson ~~p~_~~a~.o~R~~~~t~,~~~t~~~::5_ _~_:A[~l4[?,~_1-'1?;' ~q~~~~~~~J::~~~!3~~~1'~~:'":~1?~:;~--k~~,9~~~P~ Comments: sidewa[kJepair at4030and,4036:southwayloop_,j - :.",/- --~'-'_ '-':~d.;,f'-;;Jr_ "'_.""" " _ _,...,.>_.,,'~t.J""',,' ""~"-'.'7_-'-..-""'.' ^..;,..... ....,.;..,+:_..~~~.:.-...'., Structural Review 06/24/2011 06/24/2011 06/24/2011 Not Required Ben Gibson Comments; Over the counter permit lP'~nriQ~F}e~iew:ic~'t'j:'::, D6/24/2Qt~XZQ~!~f~,01,~ ~et~~/t~f01 ~,~.6~f~9uirfd\~:t'.;;; '~1nGibspn' 2,1, ::7 ! .~ S:pmm,ent~:.~ "Ovewt.~.~RJ1n,ter perfl.11t:;~~-';;""r.?~'~:'b:!0 :<',; , "': :::. &~'>.L. ,;~ ,,~,:... ;.t'~:a..:t:<, --- p- ~ ~;,,> >~J-.. , . Public Works Review 06/24/2011 06/24/2011. 06/24/2011 Not Required Ben Gibson Comments: Over the counter permit IniUal'~ie~i7~~: "~":"1.1!:~,''e~6/2.~3~11,;{.~~~~!24l;Z.R) '2ff~~!2~/~2~.r-.;:'.' 'qv~,:9r~.~.~~,ntr:. .\~: ~ :-~~~~:-?,:)~son~;' ,~ :iT:.,Z ".Co~mmen~:;: Ove!.t!jesounter.p~V,~t; ,~;; '. :.:- i-c~'l:'..w>~"];~' " .' , , ~..~tt!;::'F.>,j,)-~~~$tt~~'.'." _ '.. -~' ;;~,!,,'_' Jt: ~';'(L,'; I INSPECTIONS REQUIRED ~ ','I '<;(j-,.,.".: '.' '~"" '-,'iJ,' . .... .;.... .,. ",/ . . ... .v Inspections 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 ~t the front of the property, and the approved set of plans will remain on the site at all times during ZA~a &: 2</' ;?~/7 Owner or Contractor Signature Date Springfield Building Permit 6/24/2011 3:18:42PM Page 3 of 3 . . . . .' 1"'" .r_~ ..~{;1J' . .' ,,-, '.. ' . '. .' .. . , , L"l!J (JJ,~pnniiJiClU ., . ". .' '" ,:<:-'~.:;.;-: ;.<~/<;.:.:,: <:,. ~ ....::.. '>' .'::,.:..;: '.::!.i:'<>' . .C', '''' " , '.::Sfit ..,C. ;.: .; , DRIVEWA Y/SIOEWALK ':., ;". ; .: : PERMIT APPLICATION.. ':;':'!~:l!r:, ., ::Jol\ PERMIT NUMBER Bd - ~;)O\l- 01 s:--::I-'2, DATE ISSUED G, - ').'-\ - ~, I SITE INFORMATION: LOCA liON OF "YORK: u o t, "\\- PHONE TAXM,.;p: STATE: ZIP: TAX LOT: PHONE' CITY: STATE.' ZJP. SIDEWALK: ......... .................... AMOUNT OF SIDEWALK IN EXCESS OF 90FT. $88.00 @$OOB SF. .. $15.50 ........... = $ =$ ..... =$ o SIDEWALK REPAIR'... o CURB CUT/DRIVEWAY, NUMBER OF DRIVEWAYS_ X .. $88.00 1 5t Cut = $ o MULTIPLE PERMIT DISCOUNT EA .........(MAX 2) .... ......$30.00 (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION .rlliI.LY ~UES TO 2nd AND 3rd PE"P-S QitLi!)NOT SIDEWALK REPAJRl . ......e:r-5% Technology Fee $ ~ - TOTAL DUE WITH PERMIT $ o PROOF DF INSURANCE, $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER 2nd Cut =$ (, =$' q~. ) ':\.0 CONTRACTOR INFORMATION: CONTRACTORI:JOI. \ \-Drt.w s C.JI) S + of!,.. c \\0 Y'\ ADDRESS 0..,4'/ L e.."\'Y-c J-:r z v~. O~ CONTRACTOR REGISTRATION NO. !().L! Cf;4 2 <:::: c. D PROJECT SUPERVlSOR. \ :\ 1\ \r ' INSPECTIONS: EXPIRATlONOATE: PHONE: q) AN INSPECTION REQUEST SHDUUJ BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CAlL 72&3769 (RECORDER) STATE YOUR OESIGINATEDCITY JOB NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REQUESTED, AND \tVHEN YOU WILL BE READY FOR INS PECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7:DO AM. WILL BE MADE THE SAME DAY, REQUESTS AFTER 7:00 A.M. VV1LL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM 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: .9;)" DATE PAID: RECEIVED BY: (~ d..y-~\ \ ..1 G : By signalure, I slale and agee, that I have carefully examined the compeled application and do he reby certify thai all information herein is lrue and correct a~df.(Urlher c,?rfifV fIlat any and aU workpooOl'med sha~ oo.drns in aa::ordance wilh Ille Ordlnancl.!s 01 .. ,. the City of S. pflngfleld, applicable Diy Slandard speClficalions and Dra\oYlnqs, and the lam althe Slale of Oregon perlarnlng to ftte work desarbed heren ) IUlther certify Ihal only contraclors and employees who are in compliance Wllh ORS 701.055 WIll be used on IhlsprojeCl.. The ell)' may inspecl_the work site desaibed in lhis perm~ at ,any lime during a one year period fa /lowing Ihe receipl by the eil)' 01 nolice 01 com~lelion ot lhe d.escribed Viork and.~p~fy. al_ the Oty's sole dIscretion, any ?J,cldl(jQ{1al_resloralion work reqUired 10 relurn IIl_e sile 10 a slandard accep'!able to lhe Ci . The permittee will be nOlllied in wnllng of any wOl'k required and WIll have _thirty oays (30) Irom tile dale ollhe nolice 10 complele the work Work nol c:omp eled allhe end olllle thirty days will be performed by llie City and (he COSTS wW be blUed to llie permittee. \ Ilurther agree 10 ensure that all required inspeclions are requested at the proper lime, that prO) eel address is readable trorn tile street, and Ihe approved sel 01 lens 'Mil . the sile al aJllime~ during construclion. . 1 SignatUrE! Da" d ~L/_ 20// / www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01578 4030 SOUTHWAY LOOP CITY OF SPRINGFIELD 225 Fifth Sl , Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us PAYMENT TIIlE"'"~ ", PA'[OR,"cASl-lIER:'BGIBSON < Check Walt Drews 3419 RECORD NO: 811-SPR2011-01578 DATE: 06/24/2011 .. :.dl,i ;.': " ;ii;);.cCOUNT~c6bE::1 ",: ~+ . -. P. AMQUNT.DUE ,'.- 201-00000-428060 88.00 100-00000-425605 4.40 TOTAL DUE: 92.40 '0"~ \''':G.OMMENfs'''';&,;' .'. . ~ .AMOUNT PAID-0+ " " >. ! sidewalk repair at 4030 'and 4036 92.40 southway loop. RECEIPT NO: 2011001770 tOESCRIP..TION' ~~;':'-~'{/, ,~~~ T>:~~~. <~'\c)';b:'C.;T; Sidewalk up though 90 Feet Technology fee (5% of permit total) TOTAL PAID: 92.40