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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 lIeS'! .' . .... ,eo,u _ '1\11,\,/ . .. r"'\t'eQO\ I ,w. .......P O{IG'::'...... set \o{\" I COIS:r.RAG'FOR,INFORMATlON; I,e 9:;2.00\- . . Ilo'I'J IU''''~ - l\lel. ,,'v- <lugn u,...?- '\lIeS '0'1 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 ..~l \01 ., _\)0 # 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\ .Q':'\' ~\\ \'" Side,,;~.I" Typ~:\ o;,'\)~ ",\ \". '(..~0.\S 'i'v ,,\~'i) ,,,'\;;. ;\ s"no~nspoutslDralDs: ~~\ \.~~to.\ \)~'\)'(..~ ~1i>~\"'\.O . ~ \\\\s ~'\)~\l\.~'\) (J~ 'I ~'\)'\). ~\)\ ~\.~C; ;:{ '?\.~ ~('\-J( _" \)'r' 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