HomeMy WebLinkAboutPermit Plumbing 2008-1-15 (2)
=6:&;'~I,~'i'i, ",..
u..-. .
~;
.
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANNED
-=ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00058
ISSUED: 01115/2008
APPLIED: 01115/2008
EXPIRES: 07/15/2008
VALUE:
Status
Issued
SITE ADDRESS: 483 RIVERVIEW BLVD
ASSESSOR'S PARCEL NO.: 1703341403200
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace approx 1751fsanitary sewer
Owner: GERLACH JOINT TRUST
Address: 483 RIVERVIEW BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
HOFFMAN NORTHWEST INC
License
71162
Expiration Date
01/16/2009
Phone
541-228.6305
BUILDING INFORMATION'
VB
# 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:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
F,rontyard Setback: ATTENTION: Oregon law ~\1€a:l.~.i~
S.de I Setback: les adopted by the <IIrSfl'ellt Rqd:
Side 2 Setback: fOI:~~;~on Center. Those rulQl8~e\l ijf~ . d:
Rearyard Setback: ~oOAR 952-001-0010 through QIl,lf I 0 age:
Solar Setbacks: ~090 You may obtain copies of the rUh es,
. l' - \"~.,,. thA Jelen on&
::;;b~r 'f~~ th~: OiegTPf~r'K! ~ilRtl~MENTS I
Center IS 1-0,)' ..'- - '\}
Street Improvements: Sidewalk Type:
NOTICe"
. Downspouts/Drains:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
AMY llln nav DCDlnn
I Valuation DescriDtion I
Total:
Handicapped:
Compact:
Storm Sewer Available:
Speciallnstroction:
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtllOO'
Total Amount Paid
.
Total Value of Project
Fees P3id I
Amount Paid
Date Paid
-=ITY OF SPRINGl'lJ<..LD
Building/Combination Permit
PERMIT NO: COM2008-00058
ISSUED: 01115/2008
APPLIED: 01115/2008
EXPIRES: 07/15/2008
VALUE:
Receipt Number
1200800000000000040
1200800000000000040
1200800000000000040
1200800000000000040
1200800000000000040
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.
$8.20
$9.84
$4,10
$50.00
$32,00
1/15/08
1/15/08
1/15/08
1/15/08
1/15/08
Sanitary Sewer Line: Prior to filling trench and including required testing.
$104,14
I Plan Reviews I
I ReolJired Insn~
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 Commuuity Services Divisiou, 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
tn:constru:~. ~ / III!>-/' $
~
Owner or Contractors Signature
Paee 2 of 2
Date
. ~';~
IIic
225 Fifth Street
Springfield, Oregon 97477
,~ .
541-;26-3759 Phone
Job/Journal Number
COM2008.00058
COM2008.00058
COM2008.00058
COM2008-00058
COM2008-00058
Payments:
Type of Payment
Check
cReceintl
Ciiiif Springfield Official Receipt
D.pment Services Department
Public Works Department
RECEIPT #:
1200800000000000040
Date: 01/15/2008
10:50:2IAM
Description
Sanitary Sewer. 1st 50 Feet
Sanitary Sewer Each AddU 100'
+ 5% Technology Fee
+ J 2% State Surcharge
+ 10% Administrative Fee
Amount Due
50.00
32.00
4.10
9.84
8.20
$IU4.14
Paid By
HOFFMAN NORTHWEST
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
332987
In Person
Payment Total:
$104.14
$IU4,14
Page I of 1
1/ 15/2008