HomeMy WebLinkAboutPermit Plumbing 2007-1-11
'Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
..
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00052
ISSUED: 01/11/2007
APPLIED: 01/11/2007
EXPIRES: 07/11/2007
VALUE:
SITE ADDRESS: 3261 PHEASANT BLVD
ASSESSOR'S PARCEL NO.: 1703221300400
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replace sanitary run to septic and connect 3 existing fixtures
Owner:
Address:
Residential
Phone Number: 541-
COLLVER DONALD OWEN & ABBY LYNN
3261 PHEASANT BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
HOFFMAN NORTHWEST INC
License
71162
Expiration Date
01/16/2007
Phone
541-228-6305
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
BUILDING INFORMATION I
'.
R-3
# of Stories: , . Lot Size:
He!ght ?f Str?cttife SIf, Sq Ft 1st Floor:
Typeilf.Heat:" C . '4LL E Sq Ft 2nd Floor:
W'stJ",Type:.!:tj "//)fR -t'PIRf Sq Ft Basement:
Range Type:q y p Of.! IS 0</ litiS P I;: i~~,Ft Garage/Carport
Energy Path: '[RIO 80</1V1:>. 'fR,1,f. ~qIt!'8.ther:
Sprinkled Building: 'D. n/!ilfVI'D '/ Occup'at~Load:
~-, 1:'_ - '''1>.
V'1
I DEVELOPMENT INFORMATION I
fo;' 'l'r/?"1I1'1' .
A, '","verlay Dlst:
#VO/", ry r,.~ --/'j.(;.'
'I}' 1r,#,Street;lr.rees<Rqd:
I, 0 ....Cla,.. '"'dr' . YO
Q'O. ~/P~y_ edlDrive'Rgd: I} li/l_
Co I ,-;J,t:::, ....1I.J!'H'- '~rI s... .-:/..
'" . }% of:l&t Cov~rage:"y 'I 'Gqll
C<ill.' Oil~ 01-'0.'0. 'fJOS -1"0 IreS
I}It_ -'1}0 PL <iy~, 1'0. IL e tit, 1".90n. You ,.
I r ~ ;LIC;;lip n.~~~l"J4~iS'I' o~ are ;e~ti4~
-1::/1} -v ,..o/, '''Of /Yo". '0-,
tel'. i '1"890 e; II) II)Jidewal1< Type:
81_8 "U~" e tel. rill. vu!
'0.'0.-33 flfly I\!. e..cp,o,fnsp.outslDrains:
. '<'"<3.t Otif/, uI}e ~ .
<1). CatiOl}
VB
REQUIRED PARKING
Total:
Handicapped:
Compact:
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F..es P"id I
Fee Description
+ I 0% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixtu re
Sanitary Sewer - 1st 50 Feet
Amount Paid
Date Paid
$8.70
$4.35
$6.96
$42.00
$45.00
1/11/07
1/11/07
1/11/07
1/11/07
1/11/07
Total Amount Paid
$107.01
I Plan Reviews I
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00052
ISSUED: 01l1ll2007
APPLIED: 0111112007
EXPIRES: 07/1lI2007
VALUE:
Receipt Number
2200700000000000043
2200700000000000043
2200700000000000043
2200700000000000043
2200700000000000043
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.
I R,,?"ir..t1ln.~
Rough Plumbing: Prior 10 cover and including required testing.
Line to Septic Tank: Prior to filling trench and 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 descrihed herein, and
that NO OCCUPANCY will be made ofany 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
timCjS ding construction.
\,
Owner or Contractors Signature
Paee 2 of2
\ 111/61
Date
225 Fifth Street
,'. . .
SprlOgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00052
COM2007-00052
COM2007.00052
COM2007-00052
COM2007-00052
Payments:
Type of Payment
Check
cReceintl
.
RECEIPT #:
Description
Fixture
Sanitary Sewer - 1st 50 Feet
+ 5% Technology Fee .
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HOFFMAN NORTHWEST
CORP
~~. .......I!LO.. .....
Wi:. ..
--....,. . ,
,
"'_. . -
....--4.-'-.'-' _'" .
~of Springfield Official Receipt
.eIopment Services Department
Public Works Department
2200700000000000043
Date: 01/11/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 332902 In Person
Payment Total:
Page I of I
II :45:58AM
Amount Due
42,00
45,00
4,35
6,96
8,70
$107.01
Amount Paid
$107.01
$107.01
1/11/2007