HomeMy WebLinkAboutPermit Encroachment 2007-8-16
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01211
ISSUED:
APPLIED: 08/16/2007
EXPIRES:
VALUE:
SITE ADDRESS: 6572 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344200305
Springfield
TYPE OF WORK:
TYPE OF USE:
PROJECT DESCRIPTION: Encroachment Permit for LTD
Contractor Type
Applicant
Contractor
LANE TRANSIT DISTRICT
.A_TTC,~; ''IN' Ore
fO/~~w rules ~doPt~~n raw requires yoU to
,NotIfIcation Center. Th by the Oregon Utility
n OA~~52-o01.00;p th~~~r'ules are set forth
~g.. ,"u I/Iay obtain co ; SR OAr. ~oc:!-U01..
I CONTRACTOR INFO~_Center. (No~:et~~ft~~: rUles by
the Oregon Utili .1?hone
LiceRfilter IEi~!l~~~'f'CPWm.e
Owner:
Address:
GIBSON JEREMY B
6572 MAIN ST
SPRINGFIELD OR 97478
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure: Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled BuilJMaTICE: n/a ,QckWl~.WORK
Tille p(;P'"IT ~""A' EXrllit:: It 1m:
DEVELOPMENT INF. NDER THIS PERMII I~ NU I
COMMENCE OR IS ABAND~~~D PARKING
Overlay Dist: ANY 180 DAY PERIOD. Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
/
Notes:
I Valuation Description I
Description
. Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of 2
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01211
ISSUED:
APPLIED: 08/16/2007
EXPIRES:
VALUE:
Total Value of Project
Fees Paid I
$6.50
$130.00
8/16/07
8/16/07
Receipt Number
1200700000000001054
1200700000000001054
Fee Description
+ 5% Technology Fee
Encroachment Permit
Amount Paid
Date Paid
Total Amount Paid
$136.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reouired Insoections I
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 of 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 construction.
Owner or Contractors Signature
Date
Pa!!e 2 of 2
.
....
8/17/2007
8:51:08AM
City of Springfield
Development Services Department
Public Works Department
Transaction Log
For Date: 08/16/2007
Receipt No: 1200700000000001054 II
Line Items:
Line Item Total:
Amount Paid
$130.00
$6.50
$136.50
COM2007-01211
COM2007-01211
1143
2099
Oescrintion
Encroachment Permit
+ 5% Technology Fee
Revenue Account No
201-00000-428060
100-00000-425605
Job/Journal Numb Tran Cod
Payments:
Method Paid By Received Check How Amount Paid
~v No Aooroval # llc:iI
Check LTD brc 63440 In Person $136.50
Payment Total: $136.50
'"
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Page 8 of 15
cTransactionLog.rpt