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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