HomeMy WebLinkAboutPermit Plumbing 2006-9-12 (2)
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01l69
ISSUED: 09/12/2006
APPLIED: 09/12/2006
EXPIRES: 03/12/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3971 JASPER RD
ASSESSOR'S PARCEL NO.: 1802061413200
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Site improvements- storm for Golden Eagle subd
Residential
Owner: MIKE BLANKENSHIP CORPORA TlON
Address: 8063 THURSTON RD
SPRINGFIELD OR 97478
Contractor Type
Plumbing
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I CONTRACTOR.INE10RMATION I
. OtegO,. ,- \,\e Ote9v" - 'Ion\'\
Contractol1\'1'SI'lI101'l. -'onted b'1 \ tllles ate1:iCense
I" \ I s au ... se 9\J"-Uv'
OWNER .,,\\o'i'l tll e ""ntet. 1\'\0_.."" 01>-1'1 ~"c. b'l
l'IotiliC:~.:i~ BU\II:;DING 'iNEORMA iioN(t,e
01>-" . ' .. , II . n
In 'loll ((\a'l v~' ~l'Iote'. .': 'v otllicatlo
0090. t\,\e lI[of'Sfbne~:\ U\lI\\'I N 4)
calling lot l;:Ieltfilf%'f'siru~ture.,4 .
bet . ....."iJu-
Oll((\ cefr.~plful Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Conslruction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
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W I\lt. "01
~uOI\\t. . ,,--r IS ,~
I PUBLIC IMPROVEMENT$III.:,\\-tI\1 S\l~\..~~-\\I\S ?~~~G rOl\
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I" :\\lOl\~iileWll~ifrp.!':u
~IJ "cD.\r,\:\) -~'I"D\'\"
"WI"" ownspouts raIDs:
Cv u \'O1l \)P-' ' -
~~,
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
"
'.
Slreetlmprovements:
Slorm Sewer Available:
Special Instruction:
"
Noles:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
225 Fifth Street, Springfi.eld, OR
54 I -726-3753 Phone
541-726-3676 Fax
54 Ie 726-3769 Inspection Line
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% Stale Surcharge
Slorm Sewer - 1st 50 Feet
Slorm Sewer Each AddU 100'
Total Amount Paid
.
Total Value of Project
Fees Paid I
Amount Paid
Date Paid
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01169
ISSUED: 09/12/2006
APPLIED: 09/12/2006
EXPIRES: 03/12/2007
VALUE:
Receipt Number
1200600000000001398
1200600000000001398
1200600000000001398
1200600000000001398
1200600000000001398
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.
$12.90
$6.45
$10.32
$45.00
$84.00
9/12/06
9/12/06
9/12/06
9/12106
9/12/06
$158.67
I Plan Reviews I
L.Reollired Insn~
Storm Sewer Line: Prior to mling trench.
'By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thaI all
information hereon is lrue and correct, and I further certify lhat any and all work performed shall be done in accordance with
the Ordinances of lhe City of Springfi.eld and the Laws of the Slate of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any slructure 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 lhis project.
I further agree to ensure that all equired inspections are requesled at the proper time, that each address is readable from the
street, that the permit card is I ted at lhe front of the property, and tbe approved set of plans will remain on the sile at all
times during construct' n.
M
Owner or Contractors Signature
Paee 2 of 2
er J /1) tJ
. .
Date
229'F'ifth '!street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1169
COM2006-0 1169
COM2006-0 1169
COM2006-0 1169
COM2006-0 1169
Payments:
Type of Payment
Check
cReccinl]
. GP;:Q~;~
Wit
C.ilI..of Springfield Official Receipt
"Iopment Services Department
Public Works Department
RECEIPT #:
Description
Storm Sewer Each Addtll 00'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Storm Sewer - 1st 50 Feet
Paid By
MIKE BLANKENSHIP CORP
1200600000000001398
Date: 09/12/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
10423
In Person
Payment Total:
Page 1 of I
9:16:23AM
Amount Due
84.00
6.45
10,32
12.90
45.00
$158.67
Amount Paid
$158,67
$158.67
9112/2006