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