HomeMy WebLinkAboutPermit Plumbing 2007-9-13
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01403
ISSUED: 09/13/2007
APPLIED: 09/13/2007
EXPIRES: 03/13/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 751 FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703274201200
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: 501fwater service and 7 fixtures
Owner: JONES CLYDE R & M JANICE
Address: 751 W FAIRVIEW DR
SPRINGFIELD OR 97477
Phone Number: 541-744-7183
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
HOFFMAN NORTHWEST INC
License
71162
Expiration Date
01/16/2009
Phone
541-228-6305
BUILDING INFORMATION I
VB
# 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:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
~ ",...Ift
ATTEN110N: OregOftd ~ 'J~&.~iVEMENTS I
'e8 adopte VJ a e 1t'" I~. .
Street Improvemtfd~ rut Centef. those rule OS A.O 952..001- Sidewalk Type:
_NO~~on -0010thrOUgh tv' I h\I
Storm Sewer A v~ 952.()O1 n COpies ot the ru as VJ D,Ql):?spouts/Drains:
Special InstructiocOQO. YoU may' obt8llNote: the te\ephO~8 NOT1\1J:. HAll EXP1RE IF THE WORK
calling thtor8 :~~egon Utu\t1~~U)ftgaUon THIS PERM1T SUNDER THIS PERMIT 1S NOT
Notes: numb8' l8 1-800-332.~ " AUTHORIZED ONED FOR
center on~nl\4a\.GfD OR IS ABAND
I I NY 180 DAY PERIOU.
Valuation Description A
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01403
ISSUED: 09/13/2007
APPLIED: 09/13/2007
EXPIRES: 03/13/2008
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
Water Line - 1st 50 Feet
Amount Paid
Date Paid
Receipt Number
$16.20
$8.10
$12.96
$112.00
$50.00
9/13/07
9/13/07
9/13/07
9/13/07
9/13/07
1200700000000001189
1200700000000001189
1200700000000001189
1200700000000001189
1200700000000001189
Total Amount Paid
$199.26
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Insnections I
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench 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.
'-m~
q/I7>/ oT-
, .
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
, .
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01403
COM2007-01403
COM2007-01403
COM2007-01403
COM2007-0 1403
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Fixture
Water Line - 1 st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HOFFMAN NORTHWEST
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001189
Date: 09/13/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
332956
In Person
. Payment Total:
Page 1 of 1
8:42:45AM
Amount Due
112.00
50.00
8.10
12.96
16.20
$199.26
Amount Paid
$199.26
$199.26
9/13/2007