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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