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HomeMy WebLinkAboutPermit Miscellaneous 2006-7-25 . . CITY OF SPRING.. IJ<.LD Building/Combination Permit PERMIT NO: COM2006-00935 ISSUED: 07/25/2006 APPLIED: 07/25/2006 EXPIRES: 01/25/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 7032 Main St ASSESSOR'S PARCEL NO.: 1702353100900 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Site improvements for partition. Parcel 3 Owner: MAX NORRIS Address: PO BOX 311 LOWELL OR 97452 Phone Number: 541-912-8158 Contractor Type Plumhing Contractor OWNER I CONTRACTOR INFORMATION I ATTENTION' License Expiration Date Phone 'nlln... '..'u ,Oregon law requires YOU to II\BUlI;D1NGrINFOR'MA:i'ION (egon Utility In U;.ri %2-001-0010 lhrou h)S are set forth 000'# of ,stories: bt . .9 OAR 952-CUdtSize: v_. ,~-.. "" 0 aln caples f th ca Height of-Structure 0 e ruJesSijlFt 1st Floor: :type'~fH';~il"r. ll~ote: the telephonlSq Ft 2nd Floor: nun,l~c, 1,,( III" Oregon Ut'l'l N ., Water Ty,pe: II Y otlflcatioSq Ft Basement: Ran~iTyeJ~:S 1-800-332-2344). Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I Froutyard Setback: 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: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLlO,Il\IPRQVEMENTS I 1 HIS PeRMl1 :ihI\LL EX~\~fJ~J~~p~~RK '\U1HORIZED UNDER 11-% l-'tKMII I:> ~.nT , IS AB Down.poutSIDi'alns: COMME.NCED OR Ml.Jv' ,.-" , '''' ,'.I\!YI eLl DAY PfRIOD. Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Sq uare Footage or Bid Amount Value Date Calculated Paee I of 2 . . CITY OF SPRINGl'lJ<.LlJ Building/Combination Permit PERMIT NO: COM2006-00935 ISSUED: 07/25/2006 APPLIED: 07/25/2006 EXPIRES: 01/25/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees ~ Fee Description + 100/0 Administrative Fee + 8% State Surcharge Water Line - 1st 50 Feet Water Line - Each Addtl 100' Amount Paid Date Paid Receipt Number $5.90 $4.72 $45.00 $14.00 7/25/06 7/25/06 7/25/06 7/25/06 1200600000000001139 1200600000000001139 1200600000000001139 1200600000000001139 Total Amount Paid $69.62 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. L.Rel1l1irerllnsn~ Water Line: Prior to filling trench and including required testing. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon i. 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 ofany .tructure without permission of the Community Services Division, Buildiug 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. ~ [ o/1dvwo 7/25'/0{ I Owner or Contractor. Signature ( Date Paee 2 of2 225 Fifth StYeet Springfield, Oregon 97477 541-726-3759 Phone .~~ ar of Springfield Official Receipt _elopment Services Department Public Works Department Job/Journal Number COM2006-00935 COM2006-00935 COM2006-00935 COM2006-00935 Payments: Type of Payment Check cReceintl RECEIPT #: Description Water Line - 1st 50 Feet Water Une - Each Addtl1 00' + 8% State Surcharge + 10% Administrative Fee Paid By REN FUR LLC 1200600000000001139 Date: 07/25/2006 Item Total: l:heck Number Authorization Received By Batch Number Number How Received djb In Person Payment Total: 1591 Page I of I 1:32:50PM Amount Due 45,00 14,00 4.72 5,90 $69.62 Amount Paid $69,62 $69.62 7/25/2006