HomeMy WebLinkAboutPermit Plumbing 2007-9-26
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01215
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: 6480 Dogwood St
ASSESSOR'S PARCEL NO.: 1702344302100
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 INFORMATION I
Contractor Type
Plumbing
License
106727
Contractor
EGGE SAND & GRAVEL LLC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATION'
re",~~~~equires you to
ATTENTION: 0 ~"b rt8ft-Q!&~gn Utility
fo\low rules ad~~ tj \es are set forth
Notification cenf~w.pe\utlllf.eUth OAR 952-001-
in OAR 952-001-~~thJ~s of the rules by
0090. You may ~ qtytl"lhe telephone
calling the celllfte.r~P~I~~ .~:~.?tification
number for th~P\f~0_3 _~.). n/a
e.:.rli" .b 1-RO
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-954-1978
Expiration Date
07/1512008
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.
N01\CE: 5HJ\Ll EXPlRE \f 1~\NS;\~ype:
1H\5 PERM~~ UNDER 1Hl5 PERM\1o~ft~pouts/Drains:
AU1HORlZ OR \S ABANDONED f
COMMENCED
ANY 180 DAY PER\OO.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description'
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: COM2007-01215
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 paidJ
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
9/26/07
9/26/07
9/26/07.
9/26/07
9/26/07
9/26/07
9/26/07
Receipt Number
2200700000000001497
2200700000000001497
2200700000000001497
2200700000000001497
2200700000000001497
2200700000000001497
2200700000000001497
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.
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 inade 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 afe requested at the proper time, that each address is readable from the
street, that the permit card is locat~' front of'tli roperty, and the approved set of plans will remain on the site at all
times during conslmHon. ?:..J!l ~, t b . C1]
I
Date
Owner or Contractors Signature
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
COM2007-01215
COM2007-01215
COM2007-01215
COM2007-0 1215
COM2007-01215
COM2007-01215
COM2007-01215
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001497
Date: 09/26/2007
Description
Sanitary Sewer - 1 st 50 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addtl 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 1 of 1
10:27:27AM
Amount Due
50.00
16.00
50.00
16.00
6.60
10.56
13.20
$162.36
Amount Paid
$162.36
$162.36
9/26/2007