HomeMy WebLinkAboutPermit Plumbing 2007-9-26
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01218
ISSUED: 09/26/2007
APPLIED: 08/17/2007
EXPIRES: 03/26/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6484 Forest Ridge Dr
ASSESSOR'S PARCEL NO.: 1702344303300
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 FAIRWAY DR.
EUGENE OR 97401
Phone Number: 541-954-1978
I CONTRACTOR INFORMATION.
Contractor Type
Sewer
Contractor
EGGE SAND & GRAVEL LLC
I BUILDING INFORMATION I
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nU'(f\Oj'~~f>~~ENT INFORMATION.
License
Expiration Date Phone
541-485-1515
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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 PUBLIC IMPROVEMENTS I ~ ~\\t 't10~;
C~o t..'l.~~'~~~~}~~ype:
~\O"t\ ,,"-0 1'S\,\t\\- ..,-\\\S'f n rOi~
\" ?t.~\J\' \ \.\~Ut.~ \ ~U~~D'SpoutS/Drains:
\r\\~r\O~\lt.U O~ \CO ~~~
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I Valuation Description I
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01218
ISSUED: 09/26/2007
APPLIED: 08/17/2007
EXPIRES: 03/26/2008
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
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$16.40
$8.20
$13.12
$50.00
$32.00
$50.00
$32.00
9/26/07
9/26/07
9/26/07
9/26/07
9/26/07
9/26/07
9/26/07
2200700000000001500
2200700000000001500
2200700000000001500
2200700000000001500
2200700000000001500
2200700000000001500
2200700000000001500
Total Amount Paid
$201. 72
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.
I Reouired Insoections I
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 card is located at the {r.;i.t ofthe property, and the approved set of plans will remain on the site at all
times dn,;ng construction. !j- ./ ,
.{11\ '1- 2~ -07
Owner or Contractors Signature \ Date
Paee 2 of2
225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01218
COM2007-01218
COM2007-01218
COM2007-01218
COM2007-01218
COM2007-01218
COM2007-0 1218
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001500
Date: 09/26/2007
Description
Sanitary Sewer - 1 st 50 Feet
Sanitary Sewer Each AddtI 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtI 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ALBERTS DEVELOPMENT
LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
3822
In Person
Payment Total:
Page I of I
10:29:21AM
Amount Due
50.00
32.00
50.00
32.00
8.20
13.12
16.40
$201.72
Amount Paid
$201.72
$201.72
9/26/2007