HomeMy WebLinkAboutPermit Plumbing 2008-3-21
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-00387
ISSUED: 03/21/2008
APPLIED: 03/21/2008
EXPIRES: 09121/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 594 51ST ST
ASSESSOR'S PARCEL NO.: 1702332303300
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replacing approx. 55 feet of water line.
Owner: BANY AS CARY MICHAEL JR & KIRSTEN A
Address: 594 51ST ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION.
Contractor Type
Plumbing
Contractor
HOFFMAN NORTHWEST INC
License
71162
Expiration Date
01/1612009
Phone
541-228-6305
BUILDING INFORMATION'
# 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 Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION 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:
I PUBLIC IMPROVEMENTS I
Sidewalk Tsea:t
ATTENTION' Oregon law requlr~s Y' . ,0
follow rules adopted by 1Dttv6\'sp9m's~ilhtMs:
Notification Center. 1 hose rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
r:l=lllina the center. (Note: the .tel~~ho.~e_
L . f-- t. "'a / 'reg.. UII UlImy I'VLXI~..a.1o
IIUIII "'" VI r. "-
THIS PERMIT SHAll EXPIRE IF THE. ation Des til0.1P -800-332-2344).
AUTHORIZED UNDER THIS PERMIT IS-tur\;r
D Q.QJ4WNCEDrQ6ld8"AMlltfll " )I~ Sq Ft Square Footage
esANy 180 DAY PERIOD. rYl:1f}lffD F09.r multiplier or Bid Amount
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
rlOTiDr.
Value
Date Calculated
Paee 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid J
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid
Date Paid
$6.60
$7.92
$3.30
$50.00
$16.00
3/21/08
3/21/08
3/21/08
3/21/08
3/21/08
Total Amount Paid
$83.82
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00387
ISSUED: 03121/2008
APPLIED: 03/21/2008
EXPIRES: 09/21/2008
VALUE:
Receipt Number
2200800000000000340
2200800000000000340
2200800000000000340
2200800000000000340
2200800000000000340
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 folJowing
work day.
I Reouired Insoections I
Water 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 m 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 mspections 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
times during construction.
~UnJ~ 3/211 0 f{
I
Owner or Contractors Signature
Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00387
COM2008-00387
COM2008-00387
COM2008-00387
COM2008-00387
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
DescriptIOn
Water Lme - 1st 50 Feet
Water Lme - Each Addt1100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
HOFFMAN NORTHWEST
CORP
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000340
Date: 03/21/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
nJm
333011
In Person
Payment Total:
Page 1 of 1
1:18:43PM
Amount Due
5000
1600
330
792
660
$83.82
Amount Paid
$83 82
$83.82
3/21/2008