HomeMy WebLinkAboutPermit Plumbing 2006-12-1
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01536
ISSUED: 12/0112006
APPLIED: 12/0112006
EXPIRES: 06/0112007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2692 VILLA WAY
ASSESSOR'S PARCEL NO.: 1703233300207
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Remove and replace shower valve.
Owner: BECK ALAN M & VIRGINIA H
Address: 2692 VILLA WAY
SPRINGFIELD OR 97477
Phone Number: 541-914-4594
Contractor Type
Plumbing
I CONTRACTORINFO~
Contractor T~I,p fE~MIT ~itainmlifa~ THi?"~HUlK
KRENIK PLUMBING LLC Al11ftWIZEO UNDijlV~oofTERMI15U-OO:ro450
J;JfJ.l"ici~vtu Uti ,"- AI-IANUUNEO" FOR
I BUILDING INFORMA _ u u
. 0 OAY PERIOD.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nfa
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:.
% ofLot~overage:,.,;
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS.
Street Improvements:
Storm Sewer Available:
Special Instruction:
..., ...._~ 1_ .. _4 .
. Sidewalk Type:
Downspouts/Drains:
.f, ),
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01536
ISSUED: 12/01/2006
APPLIED: 12/01/2006
EXPIRES: 06/01/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$4.50
$2.25
$3.60
$14.00
$31.00
12/1/06
12/1/06
12/1/06
12/1/06
12/1/06
2200600000000001641
2200600000000001641
2200600000000001641
2200600000000001641
2200600000000001641
Total Amount Paid
$55.35
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.
I Reouired Insoections I
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 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 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.
'~~~
} Z-~ I --- 0 ~
Owner or Contractors Signature
Date
Pal!:e 2 of2
225 Fifth.. Street
SpJ;ingfield, Oregon 97477
541-726-3759 Phone
O*', of Springfield Official Receipt
L lopment Services Department
Public Works Department
Job/Journal Number
COM2006-01536
COM2006-01536
COM2006-01536
COM2006-01536
COM2006-01536
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200600000000001641
Date: 12/0112006
Description
Fixture
Minimum! Adjustment Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
TIMOTHY M. LEMAY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 051105 In Person
Payment Total:
Page I of I
11:54:26AM
Amount Due
14,00
31.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
I 2/1/2006