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Home My WebLink AboutPermit Plumbing 2005-7-21 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00956 ISSUED: 07/2112005 APPLIED: 07/2112005 EXPIRES: 0112112006 VALUE: . Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ SITE ADDRESS: 1650 KELLOGG RD ASSESSOR'S PARCEL NO.: 1703342201100 Springfield TYPE OF Plumbing Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Septic tank pump and fill. Sanitary connection done previous on permlt# 980131 Owner: HARRY LEUALLEN Address: PO BOX 50058 EUGENE OR 97405 I CONTRACTOR INFORMATION' Contractor Type General Contractor WALTER DREWS III License 124842 I BUILDING lNFORMATIONI # f U i . I~VI feC\ullesf s'ito{ll)rI. ,\?, o n Is. . Ol~gon ~ It.8u.. .. es, Primary occupancIlJ1,tilllti\'!ON. op'~ b,/ tM 0 !'~i~!<9f1~~t~ Se~ondary oCCUP~&.OVl (Ules ad Po inose lule^~f~ 1!~!lea~: ' Ynmary Construct g~,f~!l:Jn cent ~o tnloUgn ~n!f.J (1)pe:J'/ Secondary Constr ;~Jl.R 952-00t -0 tain copies Ra\ng~J.'Ype:, # of Bedrooms: In 90 ~oU (l\a'/ ob /\'.\ote'. t\En{t1o;'~~!h-=i) 00 . . centel, \ tWS' ~lIiik,d nla calling tM ....0 Olegon \J_A ,!'.,/l4\. nU(l\O~'c~'ntel is t-7;;~.;-;':OPMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dlst: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS' .g.MJ2,sos (.t.I Expiration Date 0812512005 ' Phone 541-606-1755 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: , \\' 1\11'. ~~unl' ~OI\C~, Mil S\1!\ll r.Y-PIRr. r.RMII ~~o~nspoutslDralns :{:J~Ir.D UN~~; ~~~~60Nr.D rOR Mr.NCr.D On C?,~ H>.II Ol\'i pr.RIOD, Street Storm Sewer Available: Special Instruction: Notes: fl". I Valuation Descrintion I Description Tvpe of Construction $PerSqFt or multiplier Square Footage or Bid Amount 1 of 2 Value Date Calculated . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00956 ISSUED: 07/2112005 APPLIED: 07/2112005 EXPIRES: 0112112006 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 L.Fp.p.s PaW $4,50 $3.15 $45.00 Date Paid 7/21/05 7/21/05 7/21/05 Receipt Number 1200500000000001057 1200500000000001057 1200500000000001057 Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary or Storm Sewer Cap Amount Paid Total Amount $52.65 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. IRf>n~ Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the Inspector with receipt and verification from company performing pump and fill. Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as required by the code. 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 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 herein, and that NO OCCUPANCY wiD 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 that all required inspections are requested at the proper time, that each address Is readable from the street, that the permit d located at the front of the property, and the approved set of plans wiD remain on the site at all times dU~./". ructi ~''W-;. ~ 7/21,10 ')-- Owner-;;r t'ontractors s~aturl Date f 2 of 2 225 Fifth Street - . SprIngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00956 COM2005-00956 COM2005-00956 Payments: T)1le of Payment CreditCard , \ :; , \ " 7/2112005 . RECEIPT #: ~j:~~~.d_ :. L!&..., .. ~,-,j ltli.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001057 Date: 07/21/2005 Description , + 7% State Surcharge + 10% Administrative Fee Sanitary or Storm Sewer Cap Paid By STEW ART MEYERS Received By djb item Total: LneCK Number Authorization Batch Number Number How Received 087994 In Person Payment Total: I of I 12:19:57PM Amount Due 3,15 4.50 45,00 $52.65 Amount Paid $52.65 $52.65