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Home My WebLink AboutPermit Plumbing 2005-7-27 _"PR'NG, "",'-0" ',~" .".. 1ittaL. 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: COM2005-00988 ISSUED: 07/2712005 APPLIED: 07/26/2005 EXPIRES: 01/27/2006 VALUE: SITE ADDRESS: 6480 Dogwood St Springfield TYPE OF ASSESSOR'S PARCEL NO.: MOUNTAIN GATE PH 3 ~ 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 buUts. Owner: Address: ALBERTS DEVELOPMENT 875 FAIRWAY DR. EUGENE OR 97401 Phone Number: 541-954-1978 I CONTRAC 1 UK INFORMATION I Contractor Type Sewer Contractor EGGE SAND & GRAVEL LLC I tlUlLJJli"l~ INFORMATION. License Expiration Date Phone 541-485-1515 # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMJ!.,l"ll ll'll'ORMATlON I REQUIRED PARKING Total: Handicapped: Compact: Front yard Setback: Overlay Dist: Side 1 Setback: # Street Trees Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar SetbacJwTENTION: Oregon law requires you. ~o J l J t' .11- ""',~"""n Iltdlt\1 lOIlOVV IUIt:" a VI-' v 1 - L - ~ ' Notification Center. Those .rule~l\WIsKr1nVll1KUVEME1"llSI Street in OAR 952-001-0010 through AIi ~ot:-uu 1- noon .You may obtain copies of the rules by Storm Sewer 2tV'a~raD1ff t (Note' the telephone Special InstruEfl~ffig t e chenOer. Ut'ility Notification , number for t e reg on Center is 1-800-332-2344). Notes: . .. r""\, --,.. ,".\ '.J , , ~,-. IJ ,'I '0 Sidewalk Type: Downspouts/Drains -r- t' I' r. u r- I ~ ,.,-,... U II L L ,- \1 'J I - - /- 110 ,':1,,'[,0111'-\ - \' ,::'. '- TI...IC INCl11 f\ I ! -I !.." f11~ I ._...... 1 '~_. ~~',' , '. ':- _ ~ ", ,I L I \ 1 \ ,~~: I! v I, ',~'-_~" L~\I!.J!:,ll t ': i S ;-':.::-, I'll r j S ,,>] f ........_-, ;.I:_~ \,'__1..../ VI \ It.,.;.' '---'U/-",;\li.JUi\;':iJ r-UI-i I Valuation Descripfi~~ ,~C J/-\Y ;':::RIC"J. , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 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: COM2005-00988 ISSUED: 07/27/2005 APPLIED: 07/26/2005 EXPIRES: 01/27/2006 VALUE: Total Value of Project Fees Paid J Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Amount Paid Date Paid $11.80 $8.26 $45.00 $14.00 $45.00 $14.00 7/27/05 7/27/05 7/27/05 7/27/05 7/27/05 7/27/05 Receipt Number 2200500000000000998 2200500000000000998 2200500000000000998 2200500000000000998 2200500000000000998 2200500000000000998 Total Amount $138.06 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. 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 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 are requested at the proper time, that each address is readable from the street, that the permit car,d is located at the front ofth;!rope~, and the approved set of plans will remain on the site at all times ~~C~iOn. ~~ ' ~p /! /?~-_M.#~/JW 7/-0?~ . f' ~ " Owner or Contractors Signatu e Date 2 of 2 225 Fifth Street Spriu.gfiel~ Oregon 97477 541-726-3759 Phone J-Sb/Journal Number COM2005-00988 COM2005-00988 COM2005-00988 COM2005-00988 COM2005-00988 COM2005-00988 RECEIPT #: Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each AddtllOO' + 7% State Surcharge + 10% Administrative Fee r'ity of Springfield Official Receipt ;velopment Services Department Public Works Department 2200500000000000998 Date: 07/27/2005 12:15:04PM Amount Due 45.00 14.00 45.00 14.00 8.26 11.80 $138.06 Payments: Type of Payment Check Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received L.B. OLSON & ASSOCIATES ddk 9625 In Person Payment Total: 'r 7/27/2005 Amount Paid $138.06 $138.06 Page 1 of I