HomeMy WebLinkAboutPermit Sidewalk 2004-7-13
.
. CITY OF SPKll'iut<lJ!,LlJ
Building/Combination Permit
PERMIT NO: COM2004-00832
ISSUED: 07/13/2004
APPLIED: 07/08/2004
EXPIRES: 01/13/2005
VALUE:
Status
Issued
225 Fifth Street, Springfietd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1100 PLEASANT ST
ASSESSOR'S PARCEL NO.: 1703264106100
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: Sidewalk repair for Springfield Maintenance. Art Ireland will be inspecting work.
Owner: CLINE FRANK A & C A
Address: 1100 PLEASANT ST SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Applicant
General
Contractor License
CITY OF SPRINGFIELD- PUBLIC WK DEPT
THOMAS ROGGE CONSTRUCTION 110976
BUILDING INFORMATION I
Expiration Date Phone
05/1112005 741-8134
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Set hack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Vatue
Date Calculated
Paee I of2
.
. CITY OF SPRIl'~uNELD
Building/Combination Permit
PERMIT NO: COM2004-00832
ISSUED: 07/13/2004
APPLIED: 07/0812004
EXPIRES: 01/13/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fp.p.s Paid I
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
I ~ri7\.~p.djons I
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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
"~OO"'''''''P'iO' )-, ~ _ O~
Owner or Contractors SigJfjure Date
Page 2 of2
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, , ._8 NO. "!<5oGa'if,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: Ff<ANK. KL/NF'
LOCATION: IIOQ r=Le:.A'5AJJ-r S-r.
DEVELOPMENT TYPE: LOlL - r:..A-/lA-&~
, 7 O?:.z.-(" 4- I - Cl b /()(\
BUILDING SIZE: 2-0 -I-"ZA-
LOT SIZE
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
SQ. Ft.
480
X $0.209 PER SQ. FT. ~00~0
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
X $43.26 PER PFU
3. TRANSPORTATION
c
'--
)
------
NO OF UNITS X TRIP RATE X COST PER TRIP
X X $436. 19 G )
---- -----
X X $436.19 $
X X $436.19 $
4. SANITARY SEWER-MWMC
NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
t::::::. _-:p." ...,L...k- Date: 5/Z'?/CJS
!J Kip Burdick / TOTAL SDC
SOC Coordinator
$
$
r--;
---- ---
$ 100 "'.:>2:.
G <5o~
'-- -----'
$ lO<:,M