HomeMy WebLinkAboutPermit Plumbing 2007-9-18
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2007-01214
ISSUED: 09/18/2007
APPLIED: 08/17/2007
EXPIRES: 03/18/2008
VALUE:
Status
Issued
SITE ADDRESS: 6464 Dogwood St
ASSESSOR'S PARCEL NO.: 1702344302000
Springfield
TYPE OF WORK: Plumbing Only
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Storm & Sanitary extension lines located in phase 3 for individual lots. Plan on file.
Will need as builts.
Owner: ALBERTS DEVELOPMENT
Address: 875 F AIRWAY DR.
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Sewer
License
Contractor
EGGE SAND & GRAVEL LLC
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
NOTICE: Sprinkled Building: n/a
THIS Pl:HIVIII ~"f\; r. ..'~~-; :, 7llE..liDnJt
ZED UNO IRMA TION
AUTHORI
COMMENCED OR IS ABANDONED F~R
Frontyard Setback: ANY 180 DAY PERIOD. Overlay Dlst:
Side 1 Setback: '.,. # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: ," % of Lot Coverage:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
AI I clmON: S
follow rules adopted by the Oregon t ity
Notification Center. Those rules are set forth
In OAR 952..()()1-o01 0 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
CAnter Is 1-800-332-2344).
I Valuation Description I
Phone Number: 541-954-1978
Expiration Date Phone
541-485-1515
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
,Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pal!:e 1 of2
Value
Date Calculated
ePRUllgWISLQ'
-ii' .
~
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01214
ISSUED: 09/18/2007
APPLIED: 08/17/2007
EXPIRES: 03/18/2008
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'
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Amount Paid
Date Paid
$13.20
$6.60
$10.56
$50.00
$16.00
$50.00
$16.00
9/18/07
9/18/07
9/18/07
9/18/07
9/18/07
9/18/07
9/18/07
Receipt Number
2200700000000001464
2200700000000001464
2200700000000001464
2200700000000001464
2200700000000001464
2200700000000001464
2200700000000001464
Total Amount Paid
$162.36
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.
LReouired Insoections ,
Storm Sewer Line: Prior to filling trench.
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 ca~r" Iv atef7t rro of the property, and the approved set of plans will remain on the site at all
times during construction VfJ(}
~~ ,-/~~o7
Owner or Contractors Signature \ Date
Pa2e 2 of2
225 Fifth Street
Spr'ingfieid, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01214
COM2007-01214
COM2007-01214
COM2007-01214
COM2007-01214
COM2007-01214
COM2007-01214
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
2200700000000001464
Date: 09/18/2007
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
TODD ALBERTS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
2912
In Person
Payment Total:
Page I of I
IO:20:17AM
Amount Due
50.00
16.00
50.00
16.00
6.60
10.56
13.20
$162.36
Amount Paid
$162.36
$162.36
9/1 8/2007