HomeMy WebLinkAboutPermit Plumbing 2007-10-10
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2007-01529
ISSUED: 10/10/2007
APPLIED: 10/10/2007
EXPIRES: 04/10/2008
VALUE:
Status
Issued
SITE ADDRESS: 858 D ST
ASSESSOR'S PARCEL NO.: 1703351306900
Springfield
TYPE OF WORK: Plumbing Only
Residential
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replace approx 60lfsanitary sewer
Owner: JOHN NOAH
Address: 858 D ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
License
71162
Contractor
HOFFMAN NORTHWEST INC
BUILDING INFORMATION'
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: I... I cNTION: Oregon law r~ ,~to ,
follow rules adopted by th~r8QdfdUtml\tIDg: nla
nUlIiI"GllvlI t~.I....;. Tt.::::: :"'JIS6 arslr. f......h .
In OAR 952-o01-OO1~~&ll-lNroRMA TION I
0090. You may obtain I UI"Q ur
calling the center. (Note: .1;be .1~~.o~e
number for the Oregon Utf~ilTI\I imOnR d'
Center 181-800-334'10 . rees q.
Paved rive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Phone Number: 541-747-2876
Expiration Date
01116/2009
Phone
541-228-6305
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instructio~:
Sidewalk Type:
Downspoutsillrains:
NOT'CE~ EXl'\RE \f 'THE WOR\{
1\ \\i pI=RM\T SHAtl_\ \\'~ r~CM\T \S NOT
I SIZEO Utw~n I u ~EO fOR
Valuation Descri J NeED OR \$ ABANOO
$ Per Sq Ft s~)fe '\iOtQhY PER\OD.v I
or multiplier or Bid Amount a ue
Notes:
Description
Type of Construction
Pae:e 1 of2
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01529
ISSUED: 10/10/2007
APPLIED: 10/10/2007
EXPIRES: 04/10/2008
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'
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$6.60
$3.30
$5.28
$50.00
$16.00
10/10/07
10/10/07
10/10/07
10110107
10/10/07
1200700000000001288
1200700000000001288
1200700000000001288
1200700000000001288
1200700000000001288
Total Amount Paid
$81.18
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 Insoections I
Sanitary Sewer Line: Prior to filling trench and including required testing.
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, t at the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
~~.~.ngconst~ct;on. \\)/10/0)
ow~~ Contractors Signature Date
Pal!:e 2 Qf2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
"
Job/Journal Number
COM2007-0l529
COM2007-01529
COM2007-0 1529
COM2007-01529
COM2007-0l529
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000001288
Date: 10/10/2007
Description
Sanitary Sewer - 1 st 50 Feet
Sanitary Sewer Each Addt) 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HOFFMAN NORTHWEST
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 332964 In Person
Payment Total:
Page 1 of 1
9:06:55AM
Amount Due
50.00
16.00
3.30
5.28
6.60
$81.18
Amount Paid
$81.18
$81.18
10/1 0/2007