HomeMy WebLinkAboutPermit Plumbing 2006-10-19 (2)
-.
a:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I351
ISSUED: 10/19/2006
APPLIED: 10/19/2006
EXPIRES: 04/19/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3409 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703343200300
Eugene
TYPE OF WORK: Plumhing Only
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Replace approx I20lfwater line
Owner: R & S OUTDOOR SUPPLY
Address: 3409 FRANKLIN BLVD
EUGENE OR 97403
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
HOFFMAN NORTHWEST INC
License
71162
Expiration Date
01/16/2007
Phone
541-228-6305
BUILDING INFORMATION I
# of Uuits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st FI~:3r:
Type of Heat: s~fi"-"'a\F oor:
e'o'"'Y ,', \\~_
Water Type: lJ'I ~eS ^.t.~.a9Jm~N\~
Range Type: '_eQ,O{\ \~ \~esq.FjlG..:,rag~~~~port
Energy Path: _. \ \Ui~'~: ~e6 '0'1 a (~q)~tahJ'r.~~~ '0'>
Sprinkled ~u.i1di~g:.,.:,.'.::>~~.n/!i;\OS uO~cu~n~~oa()~
'" .d.\}\......,_...~ "I" _ .,lr\(O" _.\t\ .__n0
~ DEVELOPMENTi'1iiF.ORMA;r.10N'~~;(\ cO~\~~~e \a\e~~\ca\\O~
. "-O'~"" "'- ~'jj.'J v- ~ \~O\?i.iX\\'jlif QUI RED PARKING
i(\ '{OU al\\e . ,,0,1\"" rz."'''' .
Overlay Dist:.90. t\ \~a c e O~Ctr.O n~rz.' ',otal:
VV ,'il\" \~ 00 .;}
# Street Trees Rijd: at \O~ I is "\.0 Handicapped:
Paved Drive Rg~::t''O Ca(\\e Compact:
% of Lot Coverage:
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I \t ,"t. 'NO\"o~
. erewalk Ty '\. t.'1-.'?\?ot. t.?o~\' \S ~
~\)"\ \~~o~~ t~1p1lA\S ~O~t.\) rO~
,,,\S O?o\lt.\) \,)~ ?o \S t>-.~t>-.~
t>-.\,)'~~t.~Ct.\) ~t.~\O\)'
CO"I ~I'.U\)t>-.'l
t'"
I Valuation Descriotion I
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 on
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I351
ISSUED: 10/19/2006
APPLIED: 10/19/2006
EXPIRES: 04/19/2007
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
F~~s ~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid
Date Paid
$5.90
$2.95
$4.72
$45.00
$14.00
10/18/06
10/18/06
10/18/06
10/18/06
10/18/06
Receipt Number
2200600000000001466
2200600000000001466
2200600000000001466
2200600000000001466
2200600000000001466
Total Amount Paid
$72.57
I Plan Reviews I
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.
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 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 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, 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
~~ 'ngconstruction, \()/ ICVct /J
Owner 0\ Contractors Signature Date
Paee 2 of 2
225 Fifth Street
Sprin~ld,'Oregon 97477
541-726-3759 Phone
~
.~
Cialif Springfield Official Receipt
"opment Services Department
Public Works Department
Job/Journal Number
COM2006-01351
COM2006-01351
COM2006-01351
COM2006-0 1351
COM2006-01351
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Water Line - 1st 50 Feet
Water Line - Each Addtll 00'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HOFFMAN NORTHWEST
2200600000000001466
Date: 10/18/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
332888
In Person
Payment Total:
Page I of I
1:12:3IPM
Amount Due
45.00
14.00
2.95
4.72
5.90
$72.57
Amount Paid
$72.57
$12.57
10/19/2006