HomeMy WebLinkAboutPermit Plumbing 2007-3-30
.
. CITY OF ~rKH\jGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00229
ISSUED: 03/30/2007
APPLIED: 02/19/2007
EXPIRES: 09/30/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax .
541-726-3769 Inspection Line
SITE ADDRESS: 6680 Ivy St Springfield
ASSESSOR'S PARCEL NO.: MOUNTAINGATE 2AD
TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Resideotial
PROJECT DESCRIPTION: 1221fsanitary sewer and 1271fstorm
Owner: TODD ALBERTS
Address: PO BOX 10545
EUGENE OR 97440
Phone Number: 541-501-88940
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
EGGE SAND & GRAVEL LLC
License
106727
Expiration Date
07/15/2008
Phone
541-485-1515
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structore:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupaut Load:
nla
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:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: DownspoutslDrains:
Special Instruction:
\IV I v....".JIIdt) V
L\ n E.N Ilul~.V,"~J" ,... . .
Notes: I "U.opteJ by u:e Oregon. I
IOIl.OW ~~~;:~"t"r Those rules am SQt1."~1 NOTICE:
""""v-952_00i-0010 thr.ougn u....n -,"'-' '~l I I HIt; PERMIT SHALL EXPIRE IF THE
,n OA~ av oiJtain c.opies of the ..Waluation Descriotion AUTHORIZED UNDER T WORK
u090. (ou m, e' 1\".0'''' tile 'elcpi,,,"" r. HIS PERMIT IS NOT
D r'I"t\!l.)~ tl1;j <,;,ent 'f' ~. t:::'''I'' ;lo'if;$:\leriSq Ft Square FootagQMMENCEnv 0] R IS ABANDl1mJ~n. ""IDI d
escrplOR -,......,'IY.p.!)ou~onsruclon. ~ ....-. .. . ^~'Y1BDD aue 'ate',=-aICluale
.\urno"nu' "''', .. ~' '_3321344). or multtpller or Bid Amounll Av Pt:HIOD.
Center;5 j.or,c .
Pace I of2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtllOO'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll 00'
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00229
ISSUED: 03/30/2007
APPLIED: 02/19/2007
EXPIRES: 09/30/2007
VALUE:
Total Value of Project
L.Fp.es P3il!J
Amount Paid Date Paid Receipt Number
$11.80 3/30107 2200700000000000450
$5.90 3/30/07 2200700000000000450
$9.44 3/30/07 2200700000000000450
$45.00 3/30/07 2200700000000000450
$14.00 3/30/07 2200700000000000450
$45.00 3/30/07 2200700000000000450
$14.00 3/30/07 2200700000000000450
$145.14
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.
l RellUirp.d T~
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
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 Divisioo, 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
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
~lAX~oG)?, f ~
Owner or Contractors Signature
~~SO-C>7
Date
Paee 2 of2
225 fifth Street
.. Springfield, Oregon 97477
541-726-3759 Phone
.~~
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
Job/Journal Number
COM2007-00229
COM2007-00229
COM2007-00229
COM2007-00229
COM2007-00229
COM2007-00229
COM2007-00229
Payments:
Type of Payment
CreditCard
cReceinl1
RECEIPT #:
2200700000000000450
Date: 03/30/2007
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addll 100'
+ 5% Technology Fee
+ 8% Slale Surcharge
+ 10% Administralive Fee
Paid By
MIKE EVANS
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
IIh
385821 Phone
Payment Total:
Page 1 of I
3:04:24PM
Amount Due
45.00
14.00
45.00
14.00
5.90
9.44
11.80
$145.14
Amount Paid
$145.14
$145.14
3/30/2007