HomeMy WebLinkAboutPermit Plumbing 2006-9-6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM200S-00994
ISSUED: 09/06/2006
APPLIED: 07/27/2005
EXPIRES: 03/0612007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6493 Dogwood St
ASSESSOR'S PARCEL NO.: 1702344303200
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 F AIRW A Y DR.
EUGENE OR 97401
Phone Number: 541-954-1978
Contractor Type
Sewer
_ ~ll"lU \0
ICONTRACTOR~~~~M~~~O~I
1"10'(\ I.... o~e'0"" \.'0\\(\
",\. O'(e"" 10-0.,' \\\e.~ 5e '\ ..
Contractor "t~~"nO\'" OO,IQ, \eO \JJ ,'(u\e5 2El'9~.)n~seO .. ExpiratIOn Date
EGGE SAND~,qM4~E'L3Ek~(. \\\~S.~\\o\\ O~~~ n\\e5 '0'/
",~~~\\\c~triih~ul?nifiNFQRM~ Ti Q~(.)~O~~(\
\~ O~~ ,:/...;- 3.'/ O\JCV- ~o\e. c:.. o\\,\C3.\\
\(\ gO ,{OU~f ~6'r.le~' ~ ,,0\\\\\'1 ~AA\
O' ~ e ~ ~. aO\l '3" .
o c3.\\\'(\9, gr{\~Q)f-8t~~6tJ1t8'2.-'2. ,
urfl'oe\f '~Mt~ He~t:
(\ iter Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541-485-1515
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: \f\\\~:
# Street Trees Rqd: \\\t. ~~~icapped:
.Paved Drive Rqd: 't-i-?\?-.'t- \~?-.~\\ \<2(compact:
% of Lot Cove~~e: S\\~\-\- \\\S?t::t.\) ~\)"
\~\)~~\:.?-.~\~ \ \~\)t-~ \\1S-,~\)a~
I PUBLIC IMPR.Q~~N~$\t a~~~6\).
. ~\\l\[. ~ ?'-
'\./0 \ lQ\J '0 P; Sidewalk Type:
~~'{ Downspouts/Drains:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriPtion'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
..........
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-00994
ISSUED: 09/06/2006
APPLIED: 07/27/2005
EXPIRES: 03/06/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paidj
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Amount Paid
Date Paid
$9.00
$6.30
$45.00
$45.00
$9.00
$4.50
$7.20
$45.00
$45.00
7/27/05
7/27/05
7/27/05
7/27/05
9/6/06
9/6/06
9/6/06
9/6/06
9/6/06
Receipt Number
2200500000000000995
2200500000000000995
2200500000000000995
2200500000000000995
2200600000000001245
2200600000000001245
2200600000000001245
2200600000000001245
2200600000000001245
Total Amount Paid
$216.00
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.
I Reouired Insnections .
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 ofthe 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 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.
$#h~,.
4].. Ob - 06
Owner or Contractors Signature
Date
Pa!!e 2 of 2
225 Fifth Street
Springfield'; Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00994
COM2005-00994
COM2005-00994
COM2005-00994
COM2005-00994
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
Description
Sanitary Sewer - 1 st 50 Feet
Storm Sewer - 1st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
EGGE SAND AND GRAVEL
,.\" of Springfield Official Receipt
'~Iopment Services Department
Public Works Department
2200600000000001245
Date: 09/06/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
11196
In Person
Payment Total:
Page 1 of I
2:59:02PM
Amount Due
45.00
45.00
4.50
7.20
9.00
$110.70
Amount Paid
$110.70
$110.70
9/6/2006