HomeMy WebLinkAboutPermit Plumbing 2007-10-12
Status
Issued
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
PROJECT DESCRIPTION: 50lf water service and 7 fixtures
Owner: JONES CLYDE R & M JANICE
Address: 751 W FAIRVIEW DR
SPRINGFIELD OR 97477
Contractor Type
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I
CITY OF SPRINGFIELD.
I
Building/Coplbination Pe~mit
PERMIT NO: COM2007-01403
ISSUED: 09/1312007
APPLIED: 09/13/2007
EXPIRES: 04/12/2008
VALUE: .
TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
n/a
Residential
Phone Number: 541-744-7183
Expiration Date
01116/2009
Phone
541-228-6305
I CONTRACTOR INFORMATION I
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Contractor n \aW {eC\u\{~tffOO\l'eJ
HOFFMAN NO)~.T:\!~'~S\r~~-c?~r\ b'/ \ne ore~\~to{\h
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ca\\\~~r t1iftJAEil.~1~0-332.-2.344)' .
VB nurn c~"y1Je:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: ~ ~'h-
# Street Trees Rqd: ~~ \~ \~ K \1j~leapped:
Paved Drive ~<J.~.: ~~ ~V~ V~~~' ~\)W'pact:
% of Lot61~~~ S"~ ~ ,,,\cz, O~~~
~U\S.~~~:~~ U~~~~ ~~~~~
I PUBLIC JMPR~F~ f~v.\OO. I
C~'1 \ ~\) ~i~ewalk Type:
Downspo u ts/Drains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pal!e 1 of 3
Value
Date Calculated
I
/
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01403
ISSUED: 09/13/2007
APPLIED: 09/13/2007
EXPIRES: 04/12/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Water Line - 1st 50 Feet
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Miscellaneous Plumbing
Amount Paid Date Paid Receipt Number
$16.20 9/13/07 1200700000000001189
$8.10 9/13/07 1200700000000001189
$12.96 9/13/07 1200700000000001189
$112.00 9/13/07 1200700000000001189
$50.00 9/13/07 1200700000000001189
$5.00 10/12/07 1200700000000001302
$2.50 10/12/07 1200700000000001302
$4.00 10/12/07 1200700000000001302
$50.00 10/12/07 1200700000000001302
Total Amount Paid
$260.76
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.
~eouiredJnsnections I
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Final Plumbing: When aU plumbing work is complete.
Special: See Plan Review and/or Inspector Notes.
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD -
Building/Co1mbination Permit
PERMIT NO: COM2007-01403
ISSUED: 09/13/2007
APPLIED: 09/13/2007
EXPIRES: 04/12/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I
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 th ermit card is located at the front of the property, and the approved set of plans will remain on the site at all
ti\~g co struction. I
~ vt- > \\)/lzJc5J
Owner or Con actors Signature Date
Pal!e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01403
COM2007-01403
COM2007-01403
COM2007-01403
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
Description
Miscellaneous Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HOFFMAN NORTHWEST
CORP
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001302
Date: 10/12/2007
9:44:52AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
djb
In Person
$61.50
332966
Payment Total:
$61.50
Page 1 of 1
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