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Home My WebLink AboutPermit Plumbing 2008-1-15 CITY OF SPRINGFIELD' Building/Combination Permit Status hsued PERMIT NO. COM2008-00058 ISSUED. 01/1512008 APPLIED 01115/2008 EXPIRES 07/1512008 VALUE: 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 483 RIVERVIEW BLVD ASSESSOR'S PARCEL NO 1703341403200 Springfield TYPE OF WORK Plnmbmg Only TYPE OF USE Repair ReSIdentIal PROJECT DESCRIPTION Replace approx 175lfsallltary sewer Owner GERLACH JOINT TRUST Address 483 RIVERVIEW BLVD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbmg Contractor HOFFMAN NORTHWEST INC License 71162 ExpiratIOn Date 01/16/2009 Phone 541-228-6305 BUILDING INFORMATION I I # of UUltS Primary Occupancy Group Seconddry Occupdncy Group Primary Construchon Type Secondary ConstructIOn Type # of Bedrooms VB # of Stories HeIght of Structure Type of Heat Water Type. Range Type Energy Path Sprinkled BuIldmg Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Cdl port Sq Ft Other Occupant LOdd R-3 n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Storm Sewer AVdllable SpecIalln'tructlOn ATTENTION: Oregon law reqDlfBa~IW. follow rules adopted by the <11rilK!~iI qd NotificatIon Center. Those rulQl8~(.\l . d I OAR 952_001-0010throughQiYile~ I Hage n btaln copies ofthe ru es 'J 0090 You may 0\_ _ \"~'o thA }eleDhone nC:~b~r f~~ t;~' oiegq>qJ"Tf~j,~MENTS I Center IS 1-BJ. .. - - " Street Impl ovements Sidewalk Type NOTICE: Downspouts/Drams THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR AMY 11ln nllv oeD Inn Totdl Handicapped Compact Front yard Setback Side I Setback S,de 2 Setbdck Rearyard Setback Solar Setbacks Notes I Valuation Descnotion I Descnptlon Type of ConstructIOn $ Pel Sq Ft or mulhpher Square Footage or Bid Amount Vdlue Date Cdlculated Page I of 2 -~~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00058 ISSUED: 01/15/2008 APPLIED 01/15/2008 EXPIRES' 07/15/2008 VALUE 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769InspeetlOn Lme Total V dlue of Project Fees PaId' Fee DescriptIOn + 10% Admmlstrahve Fee + 12% State Surcharge + 5% Technology Fee Samtary Sewer - 1st 50 Feet Samtary Sewer Each AddtlIOO' Amount PaId Datc PaId ReceIpt Number $820 $984 $410 $50 00 $32 00 1/15/08 1/15/08 1/15/08 1/15/08 1/15/08 1200800000000000040 1200800000000000040 1200800000000000040 1200800000000000040 1200800000000000040 Total Amount PaId $104 J4 I Plan ReViews I To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspections requested before 7 00 a m. will be made the same workmg day, mspectlOns requested after 7.00 a m will be made the followmg work day. I ReoUlred InsnedJOns , Samtary Sewer Lme Prior to filhng trench and mcludmg requIred testmg By sIgnature, I state dnd dgree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that dll mformahon hereon IS hue and correct, and I further certJfy that any and all work performed shall be done 111 accordance WIth the Ordmances of the CIty of Springfield and the Laws of the State of Oregon pertdmmg to the WOI k de;crlbed hel elll, and Ihat NO OCCUPANCY WIll be mdde of any structure WIthout permISSIon of the Commumly Servlccs DIVISIon, BUlldlllg Safety I further cerhfy that only contractors and employees who are 10 comphdnce WIth ORS 701 005 WIll be used on thIS project I further agree to ensure that all requIred mspectlOns are requested at the proper hme, that each dddless IS reddable from the street, that the pel mlt card IS located at the front of the property, and the approved set of plans will remdm on the SIte at all / 722' . -C-/ 1/15-/'% Owner or Contractors SIgnature ~ Date Paee 2 of2 225 Fifth Street Sprmgfield, Oregon 97477 541-;26-3759 Phone s~ City of Sprmgfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00058 COM2008-00058 COM2008-00058 COM2008-00058 COM2008-00058 Payments Type of Payment Check CRCCClOt] RECEIPT #. 1200800000000000040 Date 01/15/2008 Descnptlon Sanitary Sewer - 1st 50 Feet Samtary Sewer Each Addtl 100' + 5% Technology Fee + 12% State Surcharge + 10% AdmlUlstrallve Fee PaId By HOfFMAN NORTHWEST Item Total Check Number Authorl7ation Received By Batch Number Number How Received dJb 332987 In Person Payment Total Page I of I 10 50 2IAM Amount Due 5000 3200 4 10 984 820 $10414 Amount Paid $104 14 $10414 1115/2008