HomeMy WebLinkAboutPermit Miscellaneous 2006-5-31
.
Status
Issued
*
. CITY OF SrK11~t..."lI'.,LD'
Building/Combination Permit
PERMIT NO: COM2006-00654
ISSUED: 05/31/2006
APPLIED: 05/31/2006
EXPIRES: 01/21/2007
VALUE:
225 Fifth Street, Springfield; OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4866 MAIN ST
ASSESSOR'S PARCEL NO.: 1702324100300
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Sewer and storm improvements for Vaugbn Partition at 4866 Main Street
Residential
Owner:
Address:
JOKINEN TERI L & G STEPHAN
4866 MAIN ST
SPRINGFIELD OR 97478
Phone Number: 541-726-6721
Contractor Type
General
01.1 10
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Contractor \0 '\lcallon ce \ .00\0 1\~~'h~1!~e)\ IneE~.~,r,ation Date
DUANE A KNIGHTS ~o~"R 952.00.. "bli,nl.nlJ Ine lele~..~&7/10/2006
BuibDlNG)~lioRMATION'I.lI\\'I'! ;~v4).
ca"'"'' In'" ". ~ - 0:;;32-2
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# o,(lStorle~cenlel ,S Lot Size:
Height of St'ructure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Phone
541-726-2960
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
-........
I rUDLIC IMPROVEMENTS I <- \\\\. ~;'(J\
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Side,,;~.I" Typ~:\ o;,'\)~
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I Valuation DescriD~~~ I
Notes:
Description
. Type of Construction
$ Per Sq Ft
or multiplier
_Square Footage
or Bid Amount
Value
Date Calculated
Paee I of3
.
. CITY OF SPRIr"llJ1'lJ!,LU'
Building/Combination Permit
PERMIT NO: COM2006-00654
ISSUED: 05/31/2006
APPLIED: 05/31/2006
EXPIRES: 01/2112007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
FpPf, P~i<l I
$35.60
$28.48
$45.00
$182.00
$45.00
$84.00
$14.30
$11.44
$45.00
$98.00
5/31/06
5/31/06
5/31/06
5/31/06
5/31/06
5/31/06
7/21/06
7/21/06
7/21/06
7/21/06
Receipt Number
2200600000000000699
2200600000000000699
2200600000000000699
2200600000000000699
2200600000000000699
2200600000000000699
1200600000000001131
1200600000000001131
1200600000000001131
1200600000000001131
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtlIOO'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll 00'
+ 10% Administrative Fee
+ 8% State Surcharge
Water Line - 1st 50 Feet
Water Line - Each AddtlIOO'
Amount Paid
Date Paid
Total Amount Paid
$588.82
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.
UeonirecUnsnections I
Sanitary Sewer Line: Prior to liIling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Water Line: Prior to liIling trench and including required testing.
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00654
ISSUED: 05/31/2006
APPLIED: 05/31/2006
EXPIRES: 01/21/2007
VALUE:
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, tbat I have carefully examined the completed application and do hereby certify that all
information bereon 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 berein, 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 tbat all required inspections are requested at tbe proper time, that each address is readable from tbe
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.
Ar~' 9. _I,
?_;l.I-al..
Owner or Contractors Signature
Date
Paee 3 of3
225 Fifth Street
Springttefd; dregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00654
COM2006-00654
COM2006-00654
COM2006-00654
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
.~-
Description
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
GAROLD JOKINEN
<A of Springfield Official Receipt
_Iopment Services Department
Public Works Department
1200600000000001131
Date: 07/21/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 347 In Person
Payment Total:
Page I of I
3:07:23PM
Amount Due
45.00
98.00
II .44
14.30
$168.74
Amount Paid
$168.74
$168.74
7/21/2006