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Home My WebLink AboutPermit Building 2004-11-23 . . CITY OF ~rKll"ul'l~L1J Building/Combination Permit PERMIT NO: COM2004-0I439 ISSUED: 11123/2004 APPLIED: ' 11/23/2004 EXPIRES: OS/23/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 405 RIVERVIEW BLVD ASSESSOR'S PARCEL NO.: 1703341401900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace approx 75lfsanitary sewer Owner: ANNE RATTI Address: 405 RIVERVIEW BLVD SPRINGFIELD OR 97477 Phone Number: 541-747-8315 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor License Expiration Date Phone HOFFMAN NORTHWEST INC 1\1 nTln;162 01/16/2005 949-380-4161 I BUILDING INFORM~TIONi'1IT SHALL EXPIRE IF THE WORK . AU I HURIZED UNDER THI~ PERMIT IS NOT # of StOrIes: COMMENCED OR IS Ml~s~'ffl:I~;~n fOR Height ofStruc~f,N 180 DAY PERIQ[(>q FtlstFIo'Or. Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: R-3 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Vlhr , DEVELOPMENT h"uN>1ATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . Overlay Dist: # Street Trees Rqd: . Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: - . ,,- Street Improvements: Storm Sewer Available: Special Instruction: ATTENTION: Ur~uliUclMi4iQ,VWNl>S I iollow rules'ad~ I I Notification Center. Those rules are set torm In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). I Valuation Descriotion I SidewalkType: DownspoutslDrains: Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paeelof2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01439 ISSUED: 11/23/2004 APPLIED: 11/23/2004 EXPIRES: OS/2312005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Amount Paid Date Paid Receipt Number $5.90 $4.13 $45.00 $14.00 1lI23/04 1l/23/04 1lI23/04 1l/23/04 1200400000000001645 1200400000000001645 1200400000000001645 1200400000000001645 Total Amount Paid $69.03 I Plan Reviews , 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 Renuire1 Tns,rer.tion\J Sanitary Sewer 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 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 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 during constructio . \ \ ('f\~N1ntR ~r Contract' rs Signat~re . Date / I /?7{ loci '( '( ( Paee 2 of2 . 225 Fifth Street Springfreld, Oregon 97477 541-'726-3759 Phone , Job/Journal Number COM2004-0 1439 COM2004-0 1439 COM2004-0I439 COM2004-0 1439 Payments: Type of Payment Check 11/23/2004 RECEIPT #: ~i ~.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200400000000001645 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Paid By HOFFMAN NORTHWEST Received By djb Page I of I Date: 11/23/2004 Item Total: Check Number Authorization Batch Number Number How Received 332688 In Person Payment Total: 9:17:01AM Amount Due 45.00 14.00 4.13 5.90 $69.03 Amount Paid $69.03 $69.03