The URL can be used to link to this page

Home My WebLink AboutPermit Sidewalk 2005-12-13 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY VI' ~PRINGFIELD c Building/Combination Permit PERMIT NO: COM2005-01724 ISSUED: 12/13/2005 APPLIED: 12/13/2005 EXPIRES: 06/13/2006 VALUE: SITE ADDRESS: 1464 PLEASANT ST ASSESSOR'S PARCEL NO.: 1703253206800 Springfield TYPE OF WORK: PROJECT DESCRIPTION: Sidewalk Repair permit TYPE OF USE: Owner: AKER CARRIE LAINE Address: 1464 PLEASANT ST SPRINGFIELD OR 97477 ~f:j~~ I DEVELOPMENT INFORMATION I .,.},t ,-,f:j\ ~ \~ "'" \':l" Front yard Sethack: fc.i-~\~ ~fc.~~'i. f.cf:j~ Overlay Dist: SidSiSetba~t>-\.\. \~\f::J 'i:>f:j~fc.f:j # Street Trees Rqd: ~~~~~c '~f:j<:c.~ t>-'Ot>-~ Paved Drive Rqd: ~~~~ ~ \f::J 'i:> % of Lot Coverage: '\ OJ~~! e~ nG~\'iJ 0 b,\) ,,'<;- 'i 'I'~ ,,\)"'" 'O\) vi. , ~'\.\ Street Improvements: Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Fully Improved Yes I CONTRACTOR INFORMATION I License Expiration Date Phone BUILDING INFORMATION' # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Setback 5' A rDownsp.ouWDrains: , ~'" 1\'''', uregon law requires you to follow rule~ adopted by the Oregon Utility Notification Center, Those rules are set forth '::^~~~,952-001-0010 through OAR 952,001- '0'" '.. '''uy uu'alll l;UfJIeS OI!ne rulos by I Valuation Descriotion I Culling the cenler, (Note: the tol(',]llono numoer for liw Oregon UNity Notli,c:llion Square Footage COlltE:r iV~ 1I'btJtJ.332'2:'D'" C I I d BOd A t a ue ate a cu ate or I moun $ Per Sq Ft or multiplier Pa!!e I of2 -~~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-0I724 ISSUED: 12/13/2005 APPLIED: 12/13/2005 EXPIRES: 06/13/2006 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 FI'I's tiW!J Fee Description Sidewalk Repair Permit Amount Paid Date Paid $10,00 12/13/05 Receipt Numher 2200500000000001698 Total Amount Paid $10.00 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 Rl'nuirl'd Tn..n~ 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 in rormation 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 or the Community Services Division, Building Safety. I rurther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I rurther 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 Pace 2 of2 -225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . RECEIPT #: .~ WiL .. ~ty of Springfield Official Receipt Wevelopment Services Department Public Works Department 2200500000000001698 Date: 12/13/2005 Job/Journal Number Description COM2005-0 1724 Sidewalk Repair Permit Payments: Type of Payment Cash :1 :i 12/13/2005 Paid By CARRIE AKER Received By swbb Pa~e 1 of I Item Total: Check Number Authorization Batch Number Number How Received In Person Payment Total: 2:03:09PM Amount Due 10,00 SIO.OO Amonnt Paid SIO.OO SIO.OO 225 FIFTH STREET BPRINOPlBLD SPRINGFIELD, OREGON 97477 ~ ENGINEERING DIVISION OFFICE TELEPHONE (503) 726-3753 ~ APPLICATION DATE: 1d-.lf9/D5 PERMIT NUMBER: (' I) (1;( d-.OO ~-() (7-:Z~ SITE INFORMATION: LOCATION OF WORK, ILlloL\ '-I"IPa..AilJ1C:t APPLICANT 01) yy i (I) AIuf ADDRESS I Lt ,01-\ -V\~ ~N::b m >t- . CITY: ~s\d\ STATE: i5'R.... SUBDIVISIO : OWNER, fl [f'\ 0, K;~ 0 I,( ADDRESS: I L( loll llo 11 \Q tk-T 'Sf. CITY Jt-. PHONE ( ~L/ I 'vl'1 g, -=?>:~b5 TAX MAP: ZIP: 0,,'1-1'1 TAX LOT: ';)~;'i \ P~O~.,E: STATE: () 'K- ZIP:cr7L.Ji 7 REQUESTED PERi\1ITS: o SIDEW AI,K: ..........................................................................................................$ 80.00. = $ AMOUNT OF SIDEWALK IN EXCESS OF 90FT. @$0.08 SF. _ = $ 12!1 SIDEWALK REPAIR: ..........................................................................................$ 10.00.. = $ /0 Cf) o CURBCUTfDRIVEWAY: NUMBER OF DRIVEWAYS X .................$ 80.00.. = $ o MULTIPLE PERMIT DISCOUNT EA: ..(MAX 2) ..........................................$ 30.00.. =$_(- (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTIONJlliLY APPLIES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAIR) TOTAL DUE WITH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER CONTRACfOR INFORMATION: \ / n _ .c:7b , CONTRACTOR fJrnA r ltJ CI 09 lv\0-tr 'Art \i)Y\ ADDRESS 5LjC", ~ ~S-0. - 7\f. '-;)Wi I CJ\I.2- CONTRACTOR REGlSTRA TION NO: ~J1 ~~ ~ PROJECT SUPERVISOR: FYi! 1'1 Ie ~ ^ r')", V' ~ - L11'-1l~ plIONE ~~O-i1JtJ I It; EXPIRATION DATE: pIIONE: .5J.O~(cl\Q INSPECTIONS: AN INSPECTION REQUEST SIIOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FORMED AND MADE READY TO POUR. cUlm CUT AND SIDEWALK INSI'ECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINA TED CITY JOB NUMBERII'ERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REQUESTED. AND WHEN YOU WILL BE READY FOR INSPECTION, CONTRACTOR'S OR OWNER'S NAME AND PIIONE NUMBER. REQUESTS RECEIVED BEFORE 7:00 A.M. WILL BE MADE TilE SAME DA Y. REQUESTS AFTER 7:00 A.M. WILL BE MADE THE NEXT WORKING DA Y. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE. YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 48 HOURS BEFORE DIGGING SIGNATURE: AMOUNT RECEIVED: RECEIPT NO: DATE PAID: RECEIVED BY: By signature. I stale and agre:e, that I have carefully examined the completed application and do hereby certify that u11 information herein is true and correct ami I furthcr certi1y that any and all work Qenonned shall be done in accordance with the Ordmances of the City ofSpringlield. applicable City Standard specifications and Drawingsl and the laws oftlle State of Oregon pertaining to the work described herein, I further certify that only ~ont~cfors and employees who are in compliance with ORS 701.055 wi 1 be used 011 thIS project. The City may inspect the work sile described in this permit at any time during a one year period following the receipt by the City of notice of completion of-the described work and specify, at the City's sole .discretion1 any' additional restoration work required to return the sile to a standard acceptable to the City.. The pcnruttee will be notified in wtiling of any work requirea and WIll have thirty days (30) from the date of the notice to complete the work. Work not completed at the eno of the thirty days will be performed ?le City and the costs will be billed to the permittee. I further agree to ensure that all reqll1red inspectIOns are requested ut the proper time. that project address is readable from the 'lreC~,:~a~~:~;~ ,;':r:lan' WIl~:e ,lie" all Urnes durin8 con,OUcUon ~'e y \ >( \~f ~S