HomeMy WebLinkAboutPermit Plumbing 2006-6-19
.
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
. CITY OF SPRINl:rI'J./!,LD
Building/Combination Permit
PERMIT NO: COM2006-00755
ISSUED: 06/19/2006
APPLIED: 06/19/2006
EXPIRES: 12/19/2006
VALUE:
Status
Issued
SITE ADDRESS: 1533 MARKET ST
ASSESSOR'S PARCEL NO.: 1703253308400
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Commercial
. PROJECT DESCRIPTION: Replace approx 501fwater line
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Owner:
Address:
'iV- ,
CHURCH LATTER DAY SAINTS eo,u\{eS (l0\\\\\~ ~one Number:
50 E NORTH TEMPLE REAL ESTATE DIVISION 0(1 \a~ { OleQ,o ",e\ \O{\: ,_
SALT LAKE CITY UT 84150 '.', ')(3.~P'O 'o'l \~~Il\e"'_a:~ <)<:>~'()~,",\1
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I CONTRACTORINFORMA~ION 'l~e?~O(l~{\
.t..2,.\}J' ioW\<:I v:":'e', \<:I" ~o~~\r;o.\~
Contractor ,,: "\~:Il \<:I"'l 0 \elo \.."!?Ai:5~ IIII'fxpiration Date
HOFFMAN NORTHW~S!]NC_ ,'(Ie ce~ n\e~7~!67.>'2--~~ 01/16/2007
. t'....-
BUWDlNG'INFORMA TION I
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541-
Contractor Type
Plumbing
Phone
541-228-6305
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# 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:
.n/a
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I ,,,n?,~
C~. ~PIP-E If ~~(J\' PARKING
Overlay Dis~01\ PERNlIi S\-\t>.\.\. \\-\IS PEP-VII1.1?:
# Street TreelIt~~OP-llED \l~DER t>.Bt>.~DONii~Wapped:
Paved Drive ttQJi. E~CED OR IS Compact:
% of Lot CovlllalMNI Ot>.'{ PEP-IO\).
. t>.~'{ ,\\0
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speciallnstruclion:
Sidewalk Type:
DownspontslDrains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e I of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00755
ISSUED: 06/19/2006
APPLIED: 06/19/2006
EXPIRES: 12/19/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.F~~s P'lid I
Fee Description
+ 100/0 Administrative Fee
+ 8% State Surcharge
Water Line - 1st 50 Feet
Amount Paid
Date Paid
$4.50
$3.60
$45.00
6/19/06
6/19/06
6/19/06
Receipt Number
2200600000000000856
2200600000000000856
2200600000000000856
Total Amount Paid
$53.10
I Plan Reviews 1-
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
~eouired fnsoections ,
Water Line: Prior to filling trench and including required testing,
By signature, 1 state and agree, that 1 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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
times dnring construction.
? / V 6;/'i/ot.
Owner or Contracto~nature
Date
Pa!!e 2 of2
225 Fifth Street
Spriogfield;oOregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2006-00755
COM2006-00755
COM2006-00755
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Water Line - 1st 50 Feet
Paid By
HOFFMAN NORTHWEST
CORP
.~"'"""ILD'
WiLl....,.....
-." -'
-' -_.,- -
c;a of Springfield Official Receipt
_elopment Services Department
Public Works Department
2200600000000000856
Date: 06/19/2006
1:50:53PM
Item Total:
Check Number Authorization
Received By Batch Number Number "'ow Received
Amount Due
3,60
4,50
45,00
$53.10
Amount Paid
djb
$53,10
332849
In Person
Payment Total:
$53.10
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