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HomeMy WebLinkAboutPermit Plumbing 2007-9-26 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01217 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: 6408 Forest Ridge Dr ASSESSOR'S PARCEL NO.: 1702344301500 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 I Contractor Type Sewer Contractor EGGE SAND & GRAVEL LLC I BUILDING INFORMATION I License # of Units: # of Stories: Primary Occupancy Group: He~~~~Pe: Secondary Occupancy Group: lON: oregon '1~~~ftUt\\\\Yh Primary Construction TypeAiTE~\eS adopted b~_i~e:set~g1" Secondary Construction TY~!~Y" at\on Center. "h.~~5. 2 bY # of Bedrooms: Not\\~ 952_001-0010t cJl:\DP. ru\e~e \n o~ 'i u may obtain ~n~ef\~8fruz;. n/a 0090. 0",... ..~ntf'. (" U:'lllkl tiotlflcauun call"'\:! · .w _e.- I' t''''' - . umber 10r t q)'E --. 1NFORMA nON n cente Frontyard Setback: Side 1 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 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. 01\C~. t1-?'~t ,~"Wcs'iW~ Type: ~H\S PERN\\"\' S'"'~\\ 1\,\\5 PEf\N\\1~nspoutS/Drains: ~U1\'\OR\ZEO U~~ \S ~B~MOONEO COW\W\ENCO\~ PER\OO. . ANY 180 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 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01217 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 $13.20 $6.60 $10.56 $50.00 $16.00 $50.00 $16.00 9126/07 9/26/07 9/26/07 9/26/07 9/26/07 9/26/07 9/26/07 2200700000000001499 2200700000000001499 2200700000000001499 2200700000000001499 2200700000000001499 2200700000000001499 2200700000000001499 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 aU 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 reqyired inspections are requested at the proper time, that each address is readable from the street, that the permiG;fis loc. i ifiiti e front of the property, and the approved set of plans will remain on the site at all times during const~ I (dJ}J . 91' ~~, en Owner or Contractors Signatu~ Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3'759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01217 COM2007-01217 COM2007-01217 COM2007-01217 COM2007-01217 COM2007-01217 COM2007-01217 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001499 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 10:28:44AM 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