HomeMy WebLinkAboutPermit Sidewalk 2011-9-1
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00064
IVR Number: 811137951259
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfieJd.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
09/01/2011
08/31/2011
EXPIRES:
VALUE:
02/27/2012
$0.00
09/01/2011
SITE ADDRESS: 4439 CAMELLIA ST, Springfield, OR 97478
ASSES OR'S PARCEL NO: 1702323404416
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk
OWNER:
ADDRESS:
SISCO JERRY R & JUDY L
90022 ROYSTER RD
EUGENE OR 97402
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lic Type
Lic No
Lic Exp
Phone
# of Units:
BUILDING INFORMA TION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
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:
# 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
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
. ,. '. ~
ATTENTION: Oregon law requires you to
fOll,o,w r~les adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090., You may obtain copies of the rules by
callmg the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NOTICE: WORK
THIS PERMIT SH/I,LELRET~~~~~~~iIS NOT
AUTHORIZED UNO
r;OMMENCED OR IS ABANDONED FOR
'N 180 DAY PERIOD,
Springfield Building Permit
9/1/2011 11 :2B:54AM
Page 1 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00064
IVR Number: 811137951259.
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:
Issued
. 09/01/2011
ISSUED:
APPLIED:
09/01/2011
08/31/2011
EXPIRES:
VALUE:
02/27/2012
$0.00
SITE ADDRESS: 4439 CAMELLIA ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702323404416
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Sola'r 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
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Tvpe of Construction
Unit Amount Uni~ Tvoe
Unit Cost
Value
FEES PAID
~
DescriDtion
~ec.hnolo~t!ee (5% of permit total)
Sid:~,~!k up_though_ 90 Feet
Total Amount Paid
Amount Paid
$4.85
$97.00
$101.85
Date Paid
09/01/2011
09/01/2011
ReciDt #
2011002374
2011002374
Springfield Building Permit
9/1/2011 11:28:54AM
Page 2 of3
.
S~~I.NG FIE~LD -
~
~- ~.
"".~ ~ORe.GON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Public Works Permit
PERMIT NO: 811-PW2011-00064
IVR Number: 811137951259
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
09/01/2011
ISSUED:
APPLIED:
09/01/2011
08/31/2011
EXPIRES:
VALUE:
02/27/2012
$0.00
SITE ADDRESS: 4439 CAMELLIA ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702323404416
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Sidewalk
Plan Review
~
Department
Traffic Review
Received Due Date Completed
09/01/2011 09/01/2011 09/01/2011
Result
Approved
Reviewer
Chris Carpenter
Application Acceptance
08/31/2011 08/31/2011 09/01/2011
Application Accepted
Chris Carpenter
Plan Review
09/01/2011 09/01/2011 09/01/2011
Approved
Chris Carpenter
INSPECTIONS REQUIRED I
Inspections
9506 Sidewalk - Setback
Sidewalk - Setback: 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 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 plans will remain on the site at all times during
constru~tion.
~
q-I-' \
Owner or Contractor
Date
Springfield Building Permit
9/1/2011 11 :28:54AM
Page 3 of 3
~
SP.,~I,N..GF IE~
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. 'c,'~, OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.cLspringfield.or.us
811-PVV2011-00064
4439 CAMELLIA ST
perrnitcenter@ci,springfield.or.us
RECEIPT NO: 2011002374
tDESCRIIUfoN.' ", ;,J;-./~-".~t~i.'i:'...
Sidewalk up though gO Feet
Technology fee (5% of permit total)
RECORD NO: 811-PW2011-00064
'i..#.!!jFr.~'KF, ':Acc.~uN:r:c6DI::,>
201-00000-428060
100-00000-425605
TOTAL DUE:
DATE: 09/01/2011
. '-;;; rl';<-.lii';:J>.M6uNT~D.UE- , o'.;j
97.00
4.85
101,85
",': ,c+;'<4'h " ", iAMOLJNTeA1D~';~;' ".::;~:l'\:;t;';:7'/:i
101.85
I PAYMENT y;yp~"J..r~PAy6R'CASHIER;CCARI'ENTER':;'(;', ~ C:QM~EN'fs"t....,;
Credit Card tom rogge
077314
TOTAL PAID:
101,85