HomeMy WebLinkAboutPermit Plumbing 2006-04-13Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00350ISSUED: 0411312006
APPLIED: 0312412006
EXPIRES: 10/1312006
VALUE:
SITE ADDRESS: 149 9TH ST Springfield TYPE OF WORK: Plumbing Only
ASSESSOR'S PARCEL NO.: 1703354204100
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Add 2 sinks. Change-in-use from SFR to Hair Salon
Owner:
Address:
FRISENDAHL RONALD J & MARIE F
475 RIVERVIEW BLVD
SPRINGFIELD OR 97417
Expiration Date
0211712008
Commercial
Phone
s4t-726-9854
\\License
833r I
Contractor Type
Plumbing BARNES
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
PLUMBING INC
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh ol Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other;
Occupant Load:nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
FUBIIC TMPROVEMENTS
v
Description Tvpe of Construction
Page I of2
Value Date Calculated
BUILI.,ING INI UT(IVTA I TUN I
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
F PRIN FIE
Building/Combination Permit
PERMIT NO: COM2006-00350ISSUED: 0411312006
APPLIED': 0312412006EXPIRES: 10/1312006
VALUE:
EE*frI
Fee Description
+ l0oh Administrative Fee
+ 87o State Surcharge
Fixture
Minimum/Adj ustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
4n3t06
4n3t06
4n3t06
4n3t06
4n3t06
4n3t06
4n3t06
4n3t06
4n3t06
4n3t06
Receipt Number
1200600000000000472
1200600000000000472
r200600000000000472
r200600000000000472
1200600000000000472
1200600000000000472
1200600000000000472
1200600000000000472
l 200600000000000472
l 200600000000000472
$4.50
$3.60
$28.00
$17.00
$18.07
$25.07
$2.2r
$44.53
s726.02
$164.60
$1,033.60
Plan Reviews
Public Works Review 04n0t2006 04n0t2006 APP SB SDCs for Change-in-use added.
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 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 will be made of any structure without permission of the Community Services Division, Building Safefy.
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 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.
Owner or Signature
Pase 2 of 2
Date
4-w -bL
t
I(eouired lnspecttons I
225 Fifth Street
Srringfield, Oregon 97 477
541-726-3759 Phone
Ci' of Springfield Official Receipt
D. ;lopment Services Department
Public Works Department
RECEIPT #: 1200600000000000472 Date: 0411312006 8:06:50AM
Job/Journal Number
coM2006-00350
coM2006-00350
coM2006-003s0
coM2006-00350
coM2006-003s0
coM2006-00350
coM2006-00350
coM2006-00350
coM2006-00350
coM2006-00350
Description
Fixture
M inimum/Adjustment Plumbing
+ 8% State Surcharge
+ l0% Administrative Fee
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC Sanitary/Storm Admin
SDC Transpo Admin
Item Total:$1,033.60
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check HAIR BY KIM ADAMS Jmp t 12t In Person
Payment Total:
$ 1,033.60rc6-o''
cReceintl Page I of I 4t13t2006
ffi*
Amount Due
28.00
17.00
3.60
4.50
25.07
18.07
t64.60
726,02
2.21
44.53