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Home My WebLink AboutPermit Plumbing 2006-1-9 Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CIT t Ul' SPRINGFIELD" Building/Combination Permit . PERMIT NO: cOM2006-00035 ISSUED: 01/09/2006 APPLIED: 01109/2006 EXPIRES: 08/02/2006 VALUE: SITE ADDRESS: 1620 KELLOGG RD ASSESSOR'S PARCEL NO.: 1703342200916 Springfield TYPE OF Plumbing Only TYPE OF USE: Repair PROJECT DESCRIPTION: Replumb 3 bath fixtures. Add bathroom upstairs. : Owner: PERRY TENDICK Address: 526 WALNUT PL SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION-Is you to A11 CI~ j ,JI'I: VI ">lV' , ,- he Oregon Utility Contractor follow rules adopted bYf;icenseare sExpitation Date lhoc-a. rlJlt::~ ~. ABSOLUTE PLUMBlll!G:,~.!t~~IGES1N'C . , 6.76!!tl. nM~ QI)2-0107/1112007 I BUIL,)ING:iNFORMAT-iONi, of the rules bY uu~u. 'V_". (N te' the telephone I". ~ tr.P r.enter. o. 'f' ,.~~ [#'ofoStoiies: 0 egon Utility Notl Ica{,;ot Size: ,,--.brtne r nHelgh'2f ,t '1_800-332-2344). Sq Ft 1st Floor: Type or'Hea'tf IS 'Sq Ft 2nd Floor: , Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Patb: Sq Ft Other: Sprinkled nla Occupant Load: Contractor Type Plumbing # of Units: , PrImary Occupancy Group: Secondary Occupancy JTrimary Construction Type Secondary Construction # of Bedrooms: ~ "Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: . Description Type of Construction Residential Phone Number: 541-556-0100 Phone 541-345-3055 R-3 VN , I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Handicapped: Paved Drive Rqd: ~act: % of Lot Coverage: \f ~~t. 'N Q~ . _1',r.~'. . 1:""-' \. t.'#..?~~~~~\~ \~ IPUBLIC IMis:RQ,\rE~Ni<;,,"~IJt.~ ~~~~QQ~~\) t ,. . \l '!' I \~. ~t>" ~\\i~~~~Ct.1J ~~~W6'!"alk Type: C~~ \I!l() IJ~~ Downspouts/Drains, I Valuation Descriotion , $ Per Sq Ft or multlp6er Square Footage or Bid Amount Value Date Calculated I of 2 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax '.541-726-3769 Inspection Line .. Fee Description + 100/0 Administrative Fee + 8% State Surcharge Fixture , Minimum/Adjustment Plumbing + 10% Administrative Fee + 8% State Surcharge Fixture Minimum/Adjustment Plumbing .". Sanitary Sewer - Improvement , Sanitary Sewer - Reimbursement SDC SanitarylStorm Admin " Total Amount . ,.. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00035 ISSUED: 01109/2006 APPLIED: 01/09/2006 EXPIRES: 08/02/2006 VALUE: Total Value of Project Fl'l'stlWLI Amount Paid Date Paid 1/9/06 1/9/06 1/9/06 1/9/06 2113/06 2/13/06 2/13/06 2/13/06 2/13/06 2/13/06 2/13/06 Receipt Number 2200600000000000027 2200600000000000027 2200600000000000027 2200600000000000027 1200600000000000156 1200600000000000156 1200600000000000156 1200600000000000156 1200600000000000156 1200600000000000156 1200600000000000156 $4.50 $3.60 $42.00 $3.00 $7.30 $5.84 $70.00 $3.00 $114.42 $150.42 $13.24 $417.32 I Plan Reviews , 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. ' Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. . . .. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon Is true and correct, and I furtber certilY that any and all work performed shall be done m accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem, and that NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certilY 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 5Jlfd iszoca d at the front of the property, and the approved set of plans wiD remain on the site 2' mes during construcrlolL , y"' -, _/ /) .~ <-v 0 . 2--/3-tJh ( cfw"~r or contractotJrs ignature Date ~ 20f2 ,. 225 Fifth Street . Spririgfleld, Oregon 97477 541-726-3759 Phone . a~~'!"..!!!'!~.........,... Wit-. ( n"... r " - .... .. ... '1, ~~ ~ --.-". . "., ,Ajty of Springfield Official Receipt Wevelopment Services Department Public Works Department Job/Joumal Number COM2006.00035 COM2006-00035 COM2006-00035 COM2006-00035 COM2006-00035 COM2006-00035 COM2006-00035 Payments: :rxpe of Payment Check , " 4 ;\ , :0 :'):1 '1 , , 4 RECEIPT #: 1200600000000000156 Date: 02/13/2006 1I:47:27AM Description Minimum! Adjustment Plumbing Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Fixture + 8% State Surcharge + 10% Administrative Fee Am... nt Due 3.00 150.42 114,42 13.24 70.00 5,84 7.30 $364.22 . i , Amount Paid;' . Paid By SHIRLEY TENDlCK Item Total: Lbeck Number AuUlOrization Batch Number Number How Received 1020 In Person Payment Total: $364.22 $364.22 Recei ved By djb "~I .. I ;, , :, " [ I , :')1 d ., I 4 .' 2/13/2006 1 of 1