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Home My WebLink AboutPermit Sidewalk 2011-6-24 . . S~;~NC~~ ~,~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01573 IVR Number: 811182141190 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 06/24/2011 06/24/2011 Issued 06/24/2011 EXPIRES: VALUE: 12/20/2011 $0.00 SITE ADDRESS: 1840 15TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703252302501 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk repair at 1840 15th - 1 panel Phone Number: OWNER: ADDRESS: HARDWICK CLAVIS D 1840 15TH ST SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMA TION ~ 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: 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: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazar.!\}J,F.NTION: Oregon law requires you to Retaining .Jia~w rules adopted by the Oregon Utility Soils Rep~~&t1\1i.Ilr. Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of fhe rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). 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: ~.,~ '. ;::.:~.~..." NOTICE: . TH IS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOr COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. .. .. Springfield Building Permit 6/24/2011 11 :35:22AM Page 1 of 3 S~hNG.~.FI.ELD. ~~ ~.ORfGON www.cLspringfield.of.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01573 IVR Number: 811182141190 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 06/24/2011 ISSUED: APPLIED: 06/24/2011 06/24/2011 EXPIRES: VALUE: 12/20/2011 $0.00 SITE ADDRESS: 1840 15TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703252302501 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Sidewalk repair at 1840 15th.1 panel DEVELOPMENT INFORMATION I 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutlDrains: Valuation Description I Descriotion TVDe of Construction Unit Amount Unit TVDe Unit Cost Value FEES PAID I Descriotion Technology fee (5% of permit total) Sidew~~=p~~____" Total Amount Paid Amount Paid $0.78 -_.- $15.50 $16.28 Date Pa id 06/24/2011 06/24/2011 Recivt # 2011001766 2011001766 Springfield Building Permit 6f24f2011 11:35:22AM Page 2 of3 SP~IIN.~:~ .~~:.~ ,; <',:~ ORt:GON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01573 IVR Number: 811182141190 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: ,541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcente r@ci,springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 06/24/2011 06/24/2011 Issued 06/24/2011 EXPIRES: VALUE: 12/20/2011 $0.00 SITE ADDRESS: 1840 15TH ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703252302501 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk repair at 1840 15th -1 panel Plan Review I Deoartment Received Application Acceptance 06/24/2011 Comments: Sidewalk repair Due Date 06/24/2011 Result Over the Counter Comoleted 06/24/2011 Permit Issuance 06/24/2011 06/24/2011 Issued 06/24/2011 Reviewer Ben Gibson Ben Gibson rPUbiiC'.worFs"Revi~W7:':~t:,' 06/241~.91 r ~ ~bg~~~~~~1X~,",~q~(~~I~?f1~_:;' '" -~ot,~e~~ir~ed%~i?~:3 ;,,; 'B~~ ~~9~'o_r\" ~, :,~ ,. ~ >t L._~~~~.:~ ~?~~eJ,~~n~:~p_~~~i~~~~_i~{:~':)~'~ ~:.~_~d:.~~;<~0t?S~:\. ~ :'_,.~:i;::,~)~> .~..::... ~~. :...:.~~~~~ Structural Review 06/24/2011 06/24/2011 06/24/2011 Not Required Ben Gibson Comments: Over the counter permit Planning RevtEl~ ,~~ "~" ,,~O?J2~/~O~;1' .. '06/24~pj:1,l<.p6j24i2on . >f ~o~J~equir~~l~ '" Corfi,m'~nts; >'(>ve'rthe c;Jrrte't;p~rfhit<::. " .~;.::..~;,;ft.t~~';il},1:~",',. <~fr~~, .~,~: <~~1:~,;.;~.;;;;;..~,:..>,. ,,""-' ,< ,,-,'-,,'" 0'''''''-'0,-/-,;;' .". '~1>~," _" ' ,', _:;::;,' , :::", _ ,__ o::!l ',_ c, ] :J Ben'Gibson, ., " l ~ ';-:;"'''' -;. ." ~ ' ;::~:: "';; ~:?," ""',~C" ,'m,'" INSPECTIONS REQUIRED I 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 afthe front of the property, and the approved set of plans will remain on the site at all times during construction, ~ M ~QLfzJ/{~<;Zt) ~-2 V-If Owner or Contractor Signature Date Springfield Building Permit 6/24/2011 11 :35:22AM Page 3 of 3 S.P~IN. G.=~ ~A4" ~.~ ~ ,,', OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us 811-SPR2011-01573 1840 15TH ST permitce nter@cLspringfiefd.or.us RECORD NO: 811-SPR2011-01573 DATE: 06/24/2011 ~'. :pi:t<'f"~,~s' ::r{~":.1.'~ ~.;~. ': -:ACCb)jNj~C.0DE:g:":' ~i;'/~:'*'~~';'2J:iAMO,UNf..:DtiE 201-00000-428060 15.50 100-00000-425605 0.78 TOTAL DUE: 16.28 [,~~XME:Ni~tvl~~L~Ai6BC:I\SfllE~;~~G.!!ljON'_L::.:,--::cc_OlYlIviEN1$ ,C\"",# ";. . .~-~~ :.1.AII'IOUNT PAID; Cash Clavis Hardwick Sidewalk repairal 1840 15th 51. 16.28 RECEIPT NO: 2011001766 [DESCRIR.TION':r;'k",<c , Sidewalk Repair Technology fee (5% of permit total) I . . ] .--'l...J TOTAL PAID: 16.28 " -". '. . ,.' .' n~, ,r,~_"".I1-1J .. "' '. >..', '......-t: , ..... , , . , ...,1'1S p.I.vjlnnlfl'l!Iu . ,,' . ..' ,. 0,'. .~;~~: ~;~/r '. ""'~"'-" . '~-..;~:'."::< -~,.'.> 0<> o' ~~ ',' ',~.:; ,":I'~.:. .;.<_..: .: . ~ ., : .~~~ :.>. ~. - ,l~.._ .>. r:,:~:' j:;\';~S~~ ';\;'>.:DRIVEWAY/SIDEWALK '..,::'::: PERMIT APPLICATION ;';":?!l~~ {it .rC\ .' ,\., "-'~ . PERMIT NUMBER: DATE ISSUED: 8l \ - '::f"fC)D \ \- 0 IS:[ "S G,- -;).y - J-'t\ . APPLICATION DATE: SITE INFORMATION: LOCA nON OF vyGRK: APPLICANT (l,.lo..yt'~.' ill) I~ . \-\"'),(.(w1'C kl'HONE ADDRESS i32lLO !JI /.-i "S,~; ~~ CITY 5Pr/Y/9/J /!pI tJlr.TE f') /I ZIP, 9 '7 r,- '7 ? SUBDfVISION: OWNER ~ It'! u ,'.5 p<:! t -( r-\- A rt1( \...l ) I 'rJ ( AODRESS, 1&'11) .11/ /,-j .,1- Cln' ,<;PO'n.5./lc// STATlO 7 <: 41- bOb -'7 '2.>1 z.. T~MAP: TA;(lOT: PHONE, 5' c/ 1 cPP 606 -$"2.gc ZIP i'?Y7? REOUESTED PERMITS: ~ ~~~~:;:~;~~~~.;~.~;~~~~.~;.~~:". ~IDEWALK REPAIR:. .......... .................... o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS_ X. $88.00 @$0.08 SF. $15.50 ....".. = $ =$ .. ........". = $ f~, i' .....,.. ~ ." .......... $88.00 1stCul = $ o MULTIPLE PERMIT DISCOUNT EA: "....,,(MAX 2) . ........$30.00 2nd Cut ~U' (MUL T1 PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION...QM.X . . APPLIeS TO 2nd AND 3,d PERMITS O,!~OT SIDEWALK REPAIR) g-so/c Technology Fee $ 0, TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTY OWNER CONTRACTOR INFORMATION: =$ 1(., ~. CONTRACTOR: ADDRESS' CONTRACTOR REGISTRATION NO: PROJECT SUPERVISOR: PHONE: EXPIRATION DA IE: PHONE: INSPECTIONS: AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK KAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CAlL 725-3769 (RECORDER) STATE YOUR OES1GINATED CITY JOB NUMBEAIPERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE READY FOR INS PECTtON, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER AEOUESTS RECEIVED BEFORE 7:00 A.M. WILL BE MADE THE SAME DAY, REOUESTS AFTER 7:00 A.M. WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED ,IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS tN PLACE BUT PRIOA 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: / (P. :)"B DATE PAID: RECBIlED BY: :i- :1A - :-0' \ .~, By signalure, ! slale and ag-ee, that I have carefully examined the completed application and do he reby certify that aM inrormalion herein is true and com:'!ct and I further certifY thaI any and all work performed shall be dooe Ifl accordance wllh the Ordinances of Ille City of Springfield, applica6le City Slandard specif1cation~ and Drawinqs, and the laws of lhe Slate of Oregon pertaining 10 the work described herein, I further ,certlfy/hal on/y contrac!crs and employees who are in ccmphance Wllh ORS 701.055 WIll be used on thlsf?'ojed. . The City may inspecl.lhe work site described in this permit at any lime during a ooe year period fo lIowing Ihe receip! by the Cily ot notice 01 com~feliOll 01 fhe described wQ{k and spealy, al_ the Oly's sole discretiOl1 any addilional, restoration work required !o return tn_e sile to a standard aceep.table to lhe Ci . The permirte€ will be notilied in wnllng of any wo.1<. reqUired and WIll have _thirty days (30) Jrom the dale 01 lhe notice to complele the work, Work no! camp eled al Ihe end of Ihe lh1rly days will be per10rmea by llie City and the coslS will be billed to the permlllee. \ I IUr1her agree to ensure thaI all required inspectioos are requested at the plOPey time, thai proj eel address is readatje from the street, and the approved set of plans will remain on the slle at all times dUllng c truclion.' _ Signawre Dale 6-2'j-/(