HomeMy WebLinkAboutPermit Plumbing 2007-1-30
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2540 J ST
ASSESSOR'S PARCEL NO.: 1703254400400
Springfield
PROJECT DESCRIPTION:
Owner: HUGHES JERROLD EDWARD
Address: 2540 J ST
SPRINGFIELD OR 97477
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00145
ISSUED: 01130/2007
APPLIED: 01130/2007
EXPIRES: 07/30/2007
VALUE:
TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
, Contractor
HOFFMAN NORTHWEST INC
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:
License
71162
Expiration Date
01116/2009
Phone
541-228-6305
n/a
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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:
."'........Ii.i.UVOVVU c.....
AtrEN-\\'U'~~'pt:d' byt.he ~Wf!l'tJi~X~:ROVEMENTS I
fnUOW ru es Th e rul l:) 0.1'" ""~ 1
Street Impro~m~on Center. os hOAR 952-0LJ'
N01ll1 001 0010 throug t
Storm Sewttfl'O,AD?l0i2- - . 'co ies of the rules .
Special InstU\$M!I{OU may obta\l(NO~: the telephone
ca\\\ng the center. Utility Notifica\lon
Notes: numbeffofthe.Ofego~~32_?344).
r.Anter IS 1-800 y .
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2e 1 of2
REQUIRED PARKING
Total:
Handicapped:
Compact:
NOTICE:
nw~ Dl:lJUI: i~^,~~ EY.PIR: IF THE 'NORK
AUTHORIZED UNDER THIS PERMIT IS NOT
CGMM6lnCffl>ClR IS ABANDONED FOR
A~o~A>(MytBfJMo.D .
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-00145
ISSUED: 01/30/2007
APPLIED: 01/30/2007
EXPIRES: 07/30/2007
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
+ 5% Technology Fee
+ 8% State Surcharge
Miscellaneous Plumbing
Amount Paid
Date Paid
$4.50
$2.25
$3.60
$45.00
1/30/07
1/30/07
1/30/07
1/30/07
Receipt Number
2200700000000000129
2200700000000000129
2200700000000000129
2200700000000000129
Total Amount Paid
$55.35
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 Reouired Insoections I
Final Plumbing: When all plumbing work is complete.
Rough Plumbing: Prior to cover 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 Qf 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 inspections are requested at the proper time, that each address is readable from the
I street, t~at the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
\~u~:truction. I /~/())
ow~~\r Contractors Signature Date
Pal!:e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00 145
COM2007 -00145
COM2007-00145
COM2007-00145
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Miscellaneous Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HOFFMAN NORTHWEST
c:...., of Springfield Official Receipt
elopment Services Department
Public Works Department
2200700000000000129
Date: 01/30/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
lkw
332910
In Person
Payment Total:
Page I of I
11 :54:53AM
Amount Due
45.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
I/30/2007
ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541) 726-3753
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City Job Number
LOCATION OF PROPOSED WORK: -Z5L\O
ASSESORS MAP:
(-
OWNER:
ADDRESS:
CITY:
DESCRIPTION OF WORK: R-L~\"""'-~
REMODEL: \!...
NEW:
'.
CONTRACTOR'S NAME
ADDRESS
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
MECHANICAL PERMIT
ITEM
Furnace
Exhaust Hood
Vent Fan No.
Wood Stove/Insert/Fireplace Unit
Mechanical Permit Subtotal
**Minimum of $45.00
State Surcharge 8%
Administrative Fee 10%
Issuance Fee
Technology Fee %5
TOTAL MECHANICAL
Mechanic a,
3'
s+
~~ d2 ~H))
~ .>
TAX LOT:
;,
PHONE:
STATE:
ZIP:
.>
It.js. -t1. \Q.V.. '\.~~.
'.. .J
Iv'v\. J
IL_
.J
J
ADDITON:
DEMOLISH:
OTHER:
VALUE:
.
CONST.
CONTRACTOR #
EXPIRES
PHONE
PLUMBING PERMIT
FEE
ITEM
FEE
Fixtures
Residential Bath(s) No.
Sanitary Sewer IT.
Water IT.
Storm Sewer IT.
Plumbing Permit Subtotal
**Minimum of $45.00
State Surcharge 8%
Administrative Fee 10%
Technology Fee %5
TOTAL PLUMBING
.
Pltim bing
.
Ylisce11aneous
Shared Drive(T:)lI3uilding FonllslPemlit Worksheet08-06,doc