HomeMy WebLinkAboutPermit Sidewalk 2011-8-8
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. . 0,1X~ OREGON
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00048
IVR Number: 811149314478
www.ci.springfield.or.U5
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:
APPLIED:
08/08/2011
08/08/2011
Issued
08/0812011
EXPIRES:
VALUE:
02/03/2012
$0.00
SITE ADDRESS: 2086 DONNELLY DR, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271303300
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
"
Sidewalk repair
OWNER:
ADDRESS:
-j
I
Phone Number:
LOCHA VEN LLC
1399 HWY 99N
EUGENE OR 97402
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 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:
lot Size:
Sq Ft 1st Floor:
Sq Fl 2nd Floor:
Sq Ft Basement:
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:
Soils Report Required:
"JIIGE:
ellS PERMIT SH
,UT!10RIZED UN;LL EXPIRE IF THE WORK
.'OMMENCEQ OR ER THIS PERMIT IS NOT
!W\/ 180 DAY PER;~DABANDONED FOR
ATTENTION: Oregon law requires you to
foHow rules adopted by the Oregon Utility
~otlflcatlon Center. Those rules are set forth
m OAR 952-001-0010 through OAR 952-001-
0090.. You may obtain copies of the rules by
calimg the center. (Note: the teiephone
number for the Oregon Utiiity Notification
Center is 1-800-332-2344).
Springfield Building Permit
8/8/2011 10:25:14AM
Page 1 of3
S~~IN..G.FfE. L~
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":'l~~ OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00048
IVR Number: 811149314478
225 Fifth SI
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:
Issued
08/08/2011
ISSUED:
APPLIED:
08/08/2011
08/08/2011
EXPIRES:
VALUE:
02/03/2012
$0.00
SITE ADDRESS: 2086 DONNEllY DR, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703271303300
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk repair
Frontyard Setback:
Interior Setback:
sideyard Setback:
Rearyard Setback:
Solar Setback:
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
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Tvoe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
FEES PAID
I
Total Amount Paid
Amount Paid
$1.70
$34.00
$35.70
Date Paid
08/08/2011
08/08/2011
R'eciDt #
2011002205
2011002205
DescriDtion
Technology fee (5% of permit total)
~~, Repair_
Springfield Building Permit
8/8/2011 10:25:14AM
Page 2 of3
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00048
IVR Number: 811149314478
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
08/08/2011
08/08/2011
Issued
08/08/2011
225 Fifth Sl
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pennitcenter@ci.springfield.or.us
EXPIRES:
VALUE:
02/03/2012
$0.00
SITE ADDRESS: 2086 DONNELLY DR, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703271303300
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk repair
Plan Review
~
Department
Application Acceptance
Received Due Date ComDleted Result
0810812011 08/08/2011 08/08/2011 Application Accepted
Permit Issuance 08/08/2011 08/08/2011 08/08/2011
Comments: Sidewalk repair
l}oi." ReView:;:i'--;," '~.:':",..58108:~011~'()8i58/20)1[Y"';08/~8/2011
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'- - ........ ._."~._ .J<:y,'~:f;&~.'
Issued
.' Appro~,ed;~.~~~;
, . "'."""~
INSPECTIONS REQUIRED ~
Inspections
Reviewer
Kaye Wilson
Kaye Wilson
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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 t all required' spections are requested at the proper time, that each address is readable from the street, that the
permit rd is loc dat front of the property, and the approved set of plans will remain on the site at all times during
constr ction.
'f!:,-fJ-lj
Owner or Contractor Signature
Date
Springfield Building Permit
8/812011 10:25:14AM
Page 3 of 3
SPRIN. G. FIE~
.'--
.~.\ ~EGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 81
Springfield,OR 97477
541-726.3753
www.ci.springfield.or.us
811-PVV2011-00048
2086 DONNELLY DR
permitcenter@Cl.springfield.or.U5
RECEIPT NO: 2011002205
lDESCRI~TlbN
Sidewalk Repair
___ ~~c.~nology fee (5% of permit total)
RECORD NO: 811-PW2011-00048
DATE: 08/08/2011
ACCOUNT.COOE AMOUNT.D.UE
201-00000.428060 34.00
100-00000-425605 1.70
TOTAL DUE: 35.70
_' ~_ ~ C.Qi\1MtNJJL _ ~ ___~~~_NT PAID
2086 Donnelly 35.70
i._~YMENT.=.ngE:_ __l'.1-Y.QR.c CASHIER, KWILSON
Credit Card gooden harrison
218002
TOTAL PAID:
35.70