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HomeMy WebLinkAboutPermit Miscellaneous 2006-5-31 (2) -Iii" . Status Issued * .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00654 ISSUED: 05/31/2006 APPLIED: 05/31/2006 EXPIRES: 11/30/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 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 Vangbn Partition at 4866 Main Street Residential Owner: JOKINEN TERI L & G STEPHAN Phone Number: 541-726-6721 Address: 4866 MAIN ST SPRINGFIELD OR 97478 ATTENTION: Oregon law requires you to 1.....11.....,.. r,,1__ __,~. _~. " "' _ Contractor Type General ,.,........:t;..._...:_ ~ ....... --,-r---:. -, ..,...... .....,I.;.~U.I UlIlllY I CONTRACTOR INFORMA'fH')N Ire set forth - --. -- -- ""vv".. vnR 952-001- Contractor 0090.You may obtain C(ILi~nse!he nExpir;ation Date DUANE A KNIGHTS calling the center. (Nqt21 file telephonW7II0/2006 ~..~'----"'- "'-' . - -. .-. ........ ~.'-...."l ....'''ly I\lUliIlL:ClUOn BUlLDING,INFORMAffiION'12344) . Phone 541-726-2960 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor, Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Occupant Load: n/a. Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I NOTICE: WORK THIS P~~!i'lfy~\~tLl EXPIRE IF THE AUTH~~1tt'1itm:~H~q<!!.IS PERMIT IS NOT COM~a~'tedB~~'~ ~q~13ANDONED FOR 'YJ, of~ol.t (lyer!'lle, ANY 18tJ UAY I-'KIULJ. REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEl''lJ'''' 1 ~ I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type, Downspouts/Drains: Notes: I Valuation DescriDtionJ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00654 ISSUED: 05/31/2006 APPLIED: 05/31/2006 EXPIRES: 11/30/2006 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 ~ Fee Description + 10% Administrative Fee + 8% State Surcbarge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Eacb Addtll 00' Storm Sewer - 1st 50 Feet Storm Sewer Each AddtllOO' Amount Paid Date Paid $35.60 $28.48 $45.00 $182.00 $45.00 $84.00 5/31/06 5/31/06 5/31/06 5/31/06 5/31/06 5/31/06 Receipt Number 2200600000000000699 2200600000000000699 2200600000000000699 2200600000000000699 2200600000000000699 2200600000000000699 Total Amount Paid $420.08 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. IRmw~ Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. By signature, I state and agree, that 1 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 witb the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure without permission of tbe 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 tbis project. I further agree to ensure tbat 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 tbe site at all times during construction. A~ /, 5-~I-Ob Owner or Contractors Si~ature Date Paee 2 of2 225 Fifth Street ---" .. Springfield, Oregon 97477 541-726-3759 Phone .iii~ Capf Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006-00654 COM2006-00654 COM2006-00654 COM2006-00654 COM2006-00654 COM2006-00654 Payments: Type of Payment Check cReceintl RECEIPT #: Date: 05/31/2006 2200600000000000699 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Stonn Sewer - 1st 50 Feet Stonn Sewer Each Addtl 100' + 8% State Surcharge + 10% Administrative Fee Paid By GAROLD JOKINEN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 331 In Person Payment Total: Page I of I 2:29:48PM Amount Due 45.00 182.00 45.00 84.00 28.48 35.60 $420.011 Amount Paid $420.08 $420.011 5/3112006