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Home My WebLink AboutPermit Plumbing 2007-9-26 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01219 ISSUED: 09/26/2007 APPLIED: 08/17/2007 EXPIRES: 03/26/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6492 Forest Ridge Dr ASSESSOR'S PARCEL NO.: 1702344303400 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 I CONTRACTOR INFORMA nON. Contractor Type Sewer Contractor EGGE SAND & GRAVEL LLC I BUILDING INFORMA nON I License # of Units: # of Stories: Primary Occupancy Group: Height of Structu66:\O Secondary Occupancy Group: Ty.eW'f~~ 'I \)\\\\\'1 Primary Construction Type . Ofeg~A'e~'90"se\\onn Secondary Construction Type: ~1\EN1'\O"'~d09\~~Js~ T~ a; gSZ.oo'\" # of Bedrooms: 10\\0'IJ t~\es cen\ef. E~~Q~he tU\eS 0'1 "'O\\f\ca\\on2._00~ -OO\Q. ~18b~9JQ\ltlNM>"one n/a _ 1\ 0 q5 _k'S'n , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 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: I PUBLIC IMPROVEMENTS. \~~t~~~ . ~,"t~~'1 ""~e' "O\\C~. ~ S\\~\.\. ~\S ~ t~ . \\\S ?t.~~~ \}~Ut.~ \ f'..~~outS/Drains: \ ~\\O~\lt.U Q~ \S f'..'O ~\J ~~t.~Ct.U \'t.~\QU. CO ,,~() Uf:\.'{ ~ ~'{ \ Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01219 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 L Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sanitary Sewer - 1st 50 Feet Storm Sewer - 1st 50 Feet Amount Paid Date Paid Receipt Number $10.00 9/26/07 2200700000000001501 $5.00 9/26/07 2200700000000001501 $8.00 9/26/07 2200700000000001501 $50.00 9/26/07 2200700000000001501 $50.00 9/26/07 2200700000000001501 Total Amount Paid $123.00 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 tr~nch. 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 shaH 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 "..et, that the p"mit card t:;;:/ .itthll-front ofthe p,"perty, and the app,"ved set nf plan, wm ..main nn the ,ite at all times dnring cnn"rncllon. iJJM k< ~ In (fT7 \ . I i Owner or Contractors Signature \ Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01219 COM2007-0 1219 COM2007-01219 COM2007-0 1219 COM2007-01219 Payments: Type of Payment Check cReceintl RECEIPT #: Description Sanitary Sewer - 1st 50 Feet Storm Sewer - 1st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ALBERTS DEVELOPMENT LLC City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001501 Date: 09/26/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 3822 In Person Payment Total: Page I of 1 10:29:56AM Amount Due 50.00 50.00 5.00 8.00 10.00 $123.00 Amount Paid $123.00 $123.00 9/26/2007