HomeMy WebLinkAboutPermit Building 2008-6-6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00803
ISSUED: 06/0612008
APPLIED: 06/06/2008
EXPIRES: 12/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5747 MINERAL WAY
ASSESSOR'S PARCEL NO.: 1802033300400
SPRINGFIETYPE OF WORK: Site Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Private storm drainage system lots 243-248
Residential
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Phone Number: 541-228-6935
I CONTRACTOR INFORMATION ~
Contractor Type
General
Contractor
KIPKO
License
52470
BUILDING INFORMATION I
Expiration Date
02/03/2011
Phone
541-689-9265
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: ArrENTlON: Oregon ~W.'t@~Qi!th: 0
foll.?w rules adopted b~9'efr~~Hm~ty
IJudll\.QllVII vt'J1 ' ,.[,. .. or -+ +--
In OAR 952-001 .. A TION
0090. You may obtain copies of the rules by
calling the center. (N~~rfta~ _hone
number for the Orego,# ~t~#M PF~~!GItijiln
Center is 1-80ON~j1Ak Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Total:
Handicapped:
Compact:
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:
NOTICE:
THIS PERMIT SHA
~~!HORIZED UND}~ ~~~~~}F T~E~ORK
u"",jI\"I:/\Il;LD 0- - - .. -nMIl 'v IVU'
~tJXll.aWi~'\D~~~gnONED FOR
.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal.!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00803
ISSUED: 06/06/2008
APPLIED: 06/06/2008
EXPIRES: 12/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$9.80
$11.76
$4.90
$50.00
$48.00
6/6/08
6/6/08
6/6/08
6/6/08
6/6/08
1200800000000000604
1200800000000000604
1200800000000000604
1200800000000000604
1200800000000000604
Total Amount Paid
$124.46
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.
I Reouired Insnections I
Storm Sewer Line: Prior to filling trench.
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.
tZ, t-1U ~;d~-3
ownel or Cont~actors Signature
Date
Pal?:e 2 of2
225 FifthStreet
Spr-ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00803
COM2008-00803
COM2008-00803
COM2008-00803
COM2008-00803
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
Description
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ROY HANKING
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000604
Date: 06/06/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How ReceIVed
dJb 02579C In Person
Payment Total:
Page 1 of 1
10:27:19AM
Amount Due
5000
4800
490
11 76
980
$124.46
Amount Paid
$12446
$124.46
6/6/2008