HomeMy WebLinkAboutPermit Plumbing 2008-3-20
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00381
ISSUED: 03/2012008
APPLIED: 03/20/2008
EXPIRES: 09/20/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1052 F ST
ASSESSOR'S PARCEL NO.: 1703351106300
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace 60 feet of sewer line
Owner: BRADFORD CHARLES W & J A
Address: 1052 F ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
HOFFMAN NORTHWEST INC
License
71162
Expiration Date
01/16/2009
Phone
541-228-6305
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMA nON I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
A1f~~l'\aJl<JT,~p~tr)r1 \'1'\1 r y'''}:r' ~ V-;',
fuRtQW! "lIle'''~::IrlrnQ,.-.,tPd b\1 the 01800il 'Jt':It\
II UOWliSp uts raws'] "-
Notification en er. I nose rules al e set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
tt . er fer t1:~9 nre>gnn Iliilii)/ Nqtlfication
II u...
Center is 1-800-332-2344).
Notes:
NOTICE:M1T SHAll EXPIRE IF il~~ Descri
THIS PER S PERMIT I
D . f .{\UTHOW,ZED UNDER T~l ~I-.srf~ Ft Square Footage
escnp 10 COMMEN'C1:~D~l~~IANDOIWnlu't'''iPlier or Bid Amount
ANY 180 DAY PERIOD.
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00381
ISSUED: 03/2012008
APPLIED: 03/20/2008
EXPIRES: 09/20/2008
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
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$6.60
$7.92
$3.30
$50.00
$16.00
3/20/08
3/20/08
3120/08
3/20/08
3/20/08
2200800000000000337
2200800000000000337
2200800000000000337
2200800000000000337
2200800000000000337
Total Amount Paid
$83.82
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 ReQuired 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 herem, 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
lim7J:J2-5~ ~
Owner t;. Contractors Signature /'
,l/2-0/61
. . / I
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00381
COM2008-00381
COM2008-00381
COM2008-00381
COM2008-0038I
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000337
Date: 03/20/2008
2:30:18PM
Description
SanItary Sewer - 1st 50 Feet
SanItary Sewer Each Addtl 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
Paid By
HOFFMAN NORTHWEST
CORP
Amount Due
5000
1600
330
792
660
$83.82
Item Total:
Check Number Authorization
ReceIved By Batch Number Number How Received
Amount Paid
nJm
333010
In Person
$83 82
Payment Total:
$83.82
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3/20/2008