HomeMy WebLinkAboutPermit Miscellaneous 2006-5-31 (2)
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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
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- -. .-. ........ ~.'-...."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