HomeMy WebLinkAboutPermit Plumbing 2007-12-5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-0]773
ISSUED: 12/05/2007
APPLIED: ]2/05/2007
EXPIRES: 06/05/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1085 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1703261104100
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replace waste lines for kitchen and laundry
Residential
Owner: JONNIE LEITZEL JONNIE
Address: 1085 HA YDEN BRIDGE RD
SPRINGFIELD OR 97477
Phone Number: 541
I CONTRACTOR INFORMAHON I
Contractor Type
Plumbing
Contractor
HOFFMAN NORTHWEST INC
License
71162
Expiration Date
01/16/2009
Phone
541-228-6305
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I BUILDING INFORMA TION ~ u \0
m t~U""'O OU\ili\'l
# of ~~~',!Ot\ \<< \"e OteIlOt\se\ \Ot\n Lot Size:
~~~ 81i~v.;,'{ules ate 952..o0~. Sq Ft 1st Floor:
t\~10'/l 'dl\l~I' lil\at:"O~OUIl" OP-~e tUles '0'1 Sq Ft 2nd Floor:
VB \0 M\iCa\lMl b ~~\"c09iesO\~ele9"Ol\e Sq Ft Basement:
~O ol'S 'Iiii2i ea~l\I~o\e', ~~e ~o\if\ca\\Ol\ Sq Ft Garage/Carport
\tI 90. ~ I. \" U\\I\\'I 44). Sq Ft Other:
00 ca\~!!:1 ~\~~2.2~ n/a Occupant Load:
rot'VELO~'fNT INFORMA~ION 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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Sidewalk T~W'i\\t 'NO?~
",01\C~'" ~ 5\\~?\~~hth1:\5 ~O
,\\\5 ?E?WI'\) \l~\)H\ ,~~ \)O~t\) \,O?
~\l'\'IOf\I2\\) 01' IS ~Bf\~
CO,,^WlE~C ~ PEf\IO\).
~:~.! 0\ 9,(\ \)f>;
I Valuation Descriotion I
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
--WIt.,:" ~,:"
.'
......"...... ,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01773
ISSUED: 12/05/2007
APPLIED: 12/05/2007
EXPIRES: 06/05/2008
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
III II
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
MinimumlAdjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$5.00
$2.50
$4.00
$32.00
$18.00
1215107
12/5107
1215107
12/5/07
1215/07
1200700000000001464
1200700000000001464
1200700000000001464
1200700000000001464
1200700000000001464
Total Amount Paid
$61.50
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 Reollired I nsnections 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
~:1:0~ LANfi_/ Ids- / ~
Owner or Contractors Signature Date I
Page 2 of2
225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -01773
COM2007 -01773
COM2007-01773
COM2007-0 1773
COM2007-0 1773
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001464
Date: 12/05/2007
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Adminislrative Fee
Paid By,
HOFFMAN NORTHWEST
CORP
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
332976
In Person
Payment Total:
Page I of I
11:24:49AM
Amount Due
32,00
18.00
2,50
4,00
5,00
$61.50
Amount Paid
$61.50
$61.50
J 21512007