HomeMy WebLinkAboutPermit Sidewalk 2011-8-24
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CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00058
IVR Number: 811110130536
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
08/24/2011
08/24/2011
Issued
08/24/2011
ISSUED:
APPLIED:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
EXPIRES:
VALUE:
02/19/2012
$0,00
SITE ADDRESS: 1102 S 69TH ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802022604100
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Second Driveway
Phone Number:
OWNER:
ADORESS:
AMUNDSON DANIEL W & DIANE C
11025 69TH ST
SPRINGFIELD OR 97478
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lie Type
Lie No
Lie Exp
Phone
# of Units:
BUILDING INFORMATION ~
# 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 Ft 2nd Floor:
Sq Ft Basement:
Sq Fl Garage:
Sq Fl Carport:
Sq Ft Other: 0
Occupancy load:
Site. Information
~
Engineered Fill:
Fill Volume: ,( 17178<;-<;88-008- ~ S! JajUaa
Flood Hazarln.'i~~I)!jON Ajll!ln uoBaJO a~j JO) Jaqwnu
Land Hazarf! J\V.Pa~d818j 8~j :8jON) 'J8jU80 8~j5u!lleO
Retainin VJ~I~alnJ a~j)O S81doo U!ejqo Aew no", '0600
Soils Re g o;,l-RQ-~\'~d~\lO ~BnoJ~j O~00-~00-<;S6 !:J\IO U!
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Al!I1ln u05aJO 8~j Aq paldope SEllnJ MOllO)
OJ nOA saJ!nbaJ Mel u05aJO :NOIIN311\l
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD, .
Spri~gfteld Building Permit
8/24/2011 10:39:51AM
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00058
IVR Number: 811110130536
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permltcenler@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/24/2011
ISSUED:
APPLIED:
08/24/2011
08/24/2011
EXPIRES:
VALUE:
02/19/2012
$0.00
SITE ADDRESS: 11025 69TH ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802022604100
SCOPE:
WORK INVOLVED:
lYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Second Driveway
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
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
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
FEES PAID
I
Amount Paid
$97.00
- , ,".,~ "
$4.85
$101.85
Date Paid
08/24/2011
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08/24/2011
ReciDt#
2011002307
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2011002307
Springfield Building Pennil
8/24f2011 10:39:51AM
Page 2 of3
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~OREGON
CITY OF SPRINGFIELD
Building I Public Works Permit
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
PERMIT NO: 811-PW2011-00058
IVR Number: 811110130536
pe rm itcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/24/2011
ISSUED:
APPLIED:
08/24/2011
08/24/2011
EXPIRES:
VALUE:
02/19/2012
$0.00
SITE ADDRESS: 1102 S 69TH ST, Springfield, OR 97478
ASSES OR'S PARCEL NO: 1802022604100
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Second Driveway
Plan Review
I
Deoartment
Application Acceptance
Received Due Date
08/24/2011 08/24/2011
ComDleted
08/24/2011
Result
Appltcation Accepted
Reviewer
Todd Singleton
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Permit Issuance 08/24/2011 08/24/2011 08/24/2011 Issued
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Todd Singleton
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I INSPECTIONS REQUIRED
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Inspections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereo"n 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 plan~ will remain on the site at all times during
construction.
a~ ~flPlY'.
Owner or Contractor Signature
. 0 LlfSoZY,~O\1
Date
Springfield Building Permit
8/24/2011 10:39:51AM
Page3of3