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HomeMy WebLinkAboutPermit Plumbing 2007-9-26 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01216 ISSUED: 09/26/2007 APPLIED: 08/17/2007 EXPIRES: 03/26/2008 VALUE: SITE ADDRESS: 6398 Forest Ridge Dr ASSESSOR'S PARCEL NO.: 1702344301400 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 Contractor Type Sewer I CONTRACTOR INFORMATION. Contractor EGGE SAND & GRAVEL LLC BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction License # of Stories: Height of Structure: ATTENTIO Tre.e of Heat: follow rule Wdt'l~~pJaw requires you to Notification I'strey the Oregon Utility in OAR 952-0 _ l' ;I.ooe rules are set forth 0090. You m r ~dlJr~~g3AR 952-0tYf- ....ul . 0 t.al~ ?nnlo.,. ,." ~.,: ; ~I..q . nUIT ~E~'MN~RM~lfiie . C:~l~~~~ 1~OO~2~~DCa Ion Overlay Dist: . # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS. 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: Downspoutsillrains: NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT :()rJIM[NG[C CR I) ,~edf\lnnNFO FOR ,\~i\13JtiQhy&~glHRton I $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee 1 of2 Value Date Calculated Status Issued 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 $10.00 $5.00 $8.00 $50.00 $50.00 9/26/07 9/26/07 9/26/07 9/26/07 9/26/07 Total Amount Paid $123.00 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01216 ISSUED: 09/26/2007 APPLIED: 08/17/2007 EXPIRES: 03/26/2008 VALUE: Receipt Number 2200700000000001498 2200700000000001498 2200700000000001498 2200700000000001498 2200700000000001498 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 , 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 ens~re that. all req.~ed_~.. sppec,Vons are requested at the proper time, that each a~d ress is. readable ~rom the street, that the permit card IS IOC)JJted at t e fro" of-t.he property, and the approved set of plans wtll remam on the sIte at all times during construction. .' . >B1 · 1- tfr err Owner or Contractors Signature \ Date Paee 2 of2 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01216 COM2007-01216 COM2007-01216 COM2007-01216 COM2007-0 1216 Payments: Type of Payment Check cReceint 1 RECEIPT #: Description Sanitary Sewer - 1 st 50 Feet Storm Sewer - 1 st 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 2200700000000001498 Date: 09/26/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 3822 In Person Payment Total: Page 1 of I 10:28:08AM Amount Due 50.00 50.00 5.00 8.00 10.00 $123.00 Amount Paid $123.00 $123.00 9/26/2007