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