The URL can be used to link to this page

Home My WebLink AboutPermit Sidewalk 2007-9-7 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01367 ISSUED: 09/07/2007 APPLIED: 09/07/2007 EXPIRES: 03/07/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1010 MAIN ST ASSESSOR'S PARCEL NO.: 1703354105200 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: New Public PROJECT DESCRIPTION: Owner: LANE REGIONAL AIR POLLUTION Address: 1010 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Contractor TOM ROGGE License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I ~f0~,*:,\ ~~ ~\:) , # of Stories: ~ -<;: ~~fu ize: . Height of Structure: <J.~~ r.v~~ t 1st Floor: Type of Heat: ~ -&> <:( ~<.() q Ft 2nd Floor: Water Type: ~\, "\'(\ ~~\S Sq Ft Basement: Range T~. ~ Co~~~~~ ~<Q~ Sq Ft Garage/Carport Ener~ &~ ~ ~ ~ ~ ~. Sq Ft Other: Sp~~~t ~~ \S r.v~~/a Occupant Load: I DEVELOP~~f~~;;ON . ~ REQUIRED PARKING Overlay Di~ Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: _.\ \.0 . ~~tmU~~~OVEMENTS I . .01 ,0 a~!()';') s s:,\J' Street Improvements: ^ \~"f' "",0 ~e t'\~~ 'O"l ~O,. ~~' ~eS ~ '";I ~eS Storm Sewer Available: '. O,e ~e6, 'Q Ose \: ~ O~ ,<<,e '~,<,0~0 ~ Special Instruction: ~O~ ~6,O~ ~. "\~ '<<"O~~eS 0' \.e\e~~c"/).~ ~~ t~0fJCe~\~r::,\() ~cO~~.~0 ~O\,\N . Notes: ~O~~ tJ.\0~?,~()\ 0'O\~ ~O~ 'Vw~,. ~O\~\C o.~~. ((\e.i ,.(\\0'. ...o,.O~ ~?: , v' ~va 0.... v' U ==-- ~ f?I()' ~ ,<<,0 \' - I ()~ '_...~\~C>J ~ '0' ~e' \S Valuation Description r:r.~'Oe Ce~ t\~ Type of Construction Sidewalk Type: Downspouts/Drains: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of 2 , Status Issued CITY OF SPRINGFIELD. > Building/Combination Permit PERMIT NO: COM2007-01367 ISSUED: 09/07/2007 APPLIED: 09/07/2007 EXPIRES: 03/07/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project .1 Fees Paid-l Fee Description Amount Paid Date Paid Receipt Number Total Amount Paid $0.00 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reauired Insoections I By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during constrUC~iO . ~ 1~I~OI '" Owner or Contractors Signature Date Pae:e 2 of2 ". '". "", : 1'"'./ ,f>-~ . ~f:1'd ' ' ,~~ ,<~, ..::~ ;' ," . : ' . . ,ullJJ ,OJ, LJpn'!!l.Jtc/t .i' ", '. ' ,.' " ' ' ;:"'i:.,'.( ,: ':': '"," , ." , ", .. "","'" " · ,':,'" '~.~ DRIVEWAY/SIDEWALK'., " , PERMIT APPLICATION 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION OFFICE TELEPHONE (503) 726-3753 ~~ PERMIT NUMBER: DATE ISSUED: APPLICATION DATE: SITE INFORMATION: LOCATION OF WORK: f 0 I 0 ~ V\Gl. \ ~ APPLlCAN~","McS,." 0 ~,~ ADDRESS: f.~ ( R \-\~ '\~.Jo-l S)- CITY: S~& STATE" !J (l "' SUBDIVISION: OWNER: ADDRESS: _' r y- (7, () ~r:vt\.J< Jl PHONE 5r:S'-IO(S" TAX MAP: ZIP: OJ/40t'l TAX LOT' PHONE: CITY: STATE: ZIP: REQUESTED PERMITS: o SIDEWALK: ................................,.............,..........................................$ ,85,00 ,.......................... = $ AMOUNT OF SIOEWALK IN EXCESS OF 90FT. ' @$O,08 SF.' = $ tZl- SIDEWALK REPAIR:......,............................;..........,......................,......$15.00............................ = $ o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS x ...........,............$ 85,OO...1st Cut = $ o MULTIPLE PERMIT DISCOUNT EA: .........(MAX 2) ,.........,.................$30.00 ...2nd Cut =$_(- (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION ,lllilJi APPLIES TO 2nd AND 3rd PERMITS ONLY, NOT SIDEWALK REPAIRl ' =$ ,.._~ 5% Technology Fee $ TOTAL DUE WITH PERMIT $ " 'I o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK ,IS DONE BYI PROPERTYOWNER CONTRACTOR INFORMATION: "" \ t.~..~ Qo;}-(A. , , U6- ~,,~~~~ 1,~~ CONTRACTOR: ADDRESS: CONTRACTOR REGISTRATION NO: PROJECT SUPERVISOR: PHONE: I' EXPIRATION DATE: PHONE: INSPECTIONS: AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER TH,E PROPOSED WORK HAS BEEN Fa RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB " NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REQUESTED, AND WHEN YOU WILL BE READY FOR INS PECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00 AM, WILL BE MADE THE SAME DAY, REQUESTS AFTER 7:00 A,M, WILL BE MADE THE NEXT WORKING DAY, INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE. YOU ARE REOUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S 1l0NE CALL NUMBER" 1-800-332-2344 . j1 . 48 HOURS BEFORE DIGGING SIGNATURE:<) ~ r<;rx-- (j~ 1 AMOUNT RECEIVED: RECEIPT NO: \ DATE PAID: RECEIVED BY: By signature, I state and agree, Ihatl have carefully examined Ihe completed application and do he reby certify that all information herein is true and correct and I further cerlifY lhat al"]Y and all work I?erformed shall be done in accordance with the Ordinances of the Citv of Springfield, applicaole City titandard specifications and DrawinQs, and the laws .01 the State of Oregon pertaining to the work described herein, 1 further certify fhat .only contractors and employees who are in compliance wilh ORS 701,055 will be used on Ihls prolect. The City may inspect the work site described in this permit at any time during a one year period fo 1I0wing Ihe receipt by the City of notice of completion of Ihe described work and specify, at Ihe City's sole discretion, any additional restoration work reqUired to return the site to a standard accep.table to the City, The permillee will be notified in writing of any work required and will have Ihirly days (30) from the dale of the nolice to complete Ihe work. Work not completed althe end , of the thirly days will be performea by tlie City and Ihe costs will be billed to llie permittee. , I furl her agree 10 ensure that all required inspections are requesied atlhe proper time, Ihal proj ect address is readabte from fhe street, and the approved set at plans will remain on the site at all times during construction, ........ Signalure " '>>Oale . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01367 COM2007-0 1367 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Sidewalk Repair Permit + 5% Technology Fee Paid By TOM ROGGE City of Springfield Official Receipt Development Services Department Public Works Department 3200700000000000605 Date: 09/07/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received njrn 07831Z In Person Payment Total: Page 1 of 1 3:54:40PM Amount Due 15.00 0.75 $15.75 Amount Paid $15.75 $15.75 9/7 /2007