HomeMy WebLinkAboutPermit Miscellaneous 2011-7-5
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00036
IVR Number: 811194361745
www.ci.springfield.or.U5
PROJECT STATUS:
STATUS DATE:
Application submitte ISSUED:
07/05/2011 APPLIED: 07/05/2011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541_726-3676
permitcenter@ci.springfield.or.us
EXPIRES:
VALUE:
12/31/2011
$0.00
SITE ADDRESS: 958 NORTHRIDGE AVE, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703261204316
SCOPE:
WORK INVOLVED:
lYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Overwidth Application
Phone Number:
OWNER:
ADDRESS:
CAGLE ROY R & lETA M
958 NORTH RIDGE
SPRINGFIELD OR 97477
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lie Type
lie No
Lie Exp
Phone
# of Units:
BUilDING INFORMA TION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alanns:
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:
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 Ar'l'lITENTION: Oregon law requires you to
land Hazard ArqilHow rules adopted by the Oregon Utility
Retaining Wall:Notification Center. Those rules are set forth
Soils Report Rq'N!rI',~ 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: 0,"'-' .
THIS PERMIT SHAll EXPIRE IFlHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR "
ANY 180 DAY PERIOD.
SpringfielCl Building Perm~t
7f6f2011 9:04:29AM
Page 1 of 3
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~OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00036
IVR Number: 811194361745
225 Fifth St
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:
ADDlication submitte ISSUED:
07/05/2011 APPLIED: 07/05/2011
EXPIRES:
VALUE:
12/31/2011
$0.00
SITE ADDRESS: 958 NORTHRIDGE AVE, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703261204316
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overwidth Application
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:
Downspout/Drains:
Valuation Description
I
Descriotion
Tvoe of Construction
Unit Amount Unit Type
Unit Cost
Value
FEES PAID
~
Descriotion
Overwidth I Second Driveway
9.~^:~.i~~J Sec~~~_Drjvew~r.._"." ~__'_'__",._
Technology fee (5% of permit total)
~urb Cut/Driveway 1 st Cut
Total Amount Paid
Amount Paid
$49.00
$2.00
$7.40
$97.00
$155.40
Date Pa id
07/05/2011
07/05/2011
_...~.,._._..._.._~._,----
07/06/2011
07/06/2011
Reciot #
2011001879
2011001879
2011001881
2011001881
Plan Review
I
Deoartment
Received Due Date Comoleted Result
Reviewer
Springfield Building Permit
7/6/2011 9:04:29AM
Page 2 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00036
IVR Number: 811194361745
225 Fifth St
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:
ADDlication submitte ISSUED:
07/05/2011 APPLIED: 07/05/2011
EXPIRES:
VALUE:
12/31/2011
$0,00
SITE ADDRESS: 958 NORTH RIDGE AVE, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703261204316
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Overwidth Application
INSPECTIONS REQUIRED ~
Inspections
9501 Curbcut - Overwidth
Curbcut - Overwidth: 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 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 Ihat 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 c is located at the front of the property, and the approved set of plans will remain on the site at all times during
constr cti n.
Springfield Building Permit
7/6f2011 9:04:29AM
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