HomeMy WebLinkAboutPermit Plumbing 2007-8-28
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01289
ISSUED: 08/28/2007
APPLIED: 08/28/2007
EXPIRES: 02/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1652 32ND ST
ASSESSOR'S PARCEL NO.: 1702300001931
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Reroute approx 60lfwater line
Owner: CA TELLUS DEVELOPMENT CORP
Address: 201 MISSION ST A TTN PROPERTY TAX DEPT
SAN FRANCISCO CA 94105
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
HOFFMAN NORTHWEST INC
License
71162
Expiration Date
01/16/2009
Phone
541-228-6305
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
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:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
,.. I "NlIUN: .. ..,,;!Ie"
follow rules ad tMm Nfs I
Notification Center. ose rUles I'"
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the tel~~ho~e
number for the Oregon Utility NotlflcatiORM IMtTu"e'
c t r is 1-800-332-2344). n"l ~ ~ \lJ .
en e THIS PERMIT SHALL EXPIRE IF THE WORK
jUTHORILtu UNUttl I n,6 ~fnMIj" I~ 11&1
I Valuation Description OMMENCED OR IS ABANDONED FOR
S AJiY: ~ 80 DAY PERIOD.
qua.re a e Value
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01289
ISSUED: 08/28/2007
APPLIED: 08/28/2007
EXPIRES: 02/28/2008
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 I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Water Line - 1st 50 Feet
Water Line - Each Addtl100'
Amount Paid
Date Paid
Receipt Number
$6.60
$3.30
$5.28
$50.00
$16.00
8/28/07
8/28/07
8/28/07
8/28/07
8/28/07
1200700000000001097
1200700000000001097
1200700000000001097
1200700000000001097
1200700000000001097
Total Amount Paid
$81.18
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.
~Reouired Insnections I
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 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
ti7J~/0--- ~ / g/V>07
dwner"'or Contractors Signature ~ Date - I I I
Pal!:e 2 of2
225 Fifth St-reet
.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -01289
COM2007-01289
COM2007-01289
COM2007-01289
COM2007-01289
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
Description
Water Line - 1 st 50 Feet
Water Line - Each Addtl 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HOFFMAN NORTHWEST
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001097
Date: 08/28/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
332953
In Person
Payment Total:
Page 1 of 1
9:37:01AM
Amount Due
50.00
16.00
3.30
5.28
6.60
$81.18
Amount Paid
$81.18
$81.18
8/28/2007