HomeMy WebLinkAboutPermit Plumbing 2006-7-27
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: COM2005-00994
ISSUED: 07/27/2005
APPLIED: 07/27/2005
EXPIRES: 01/27/2006
VALUE:
SITE ADDRESS: 6493 Dogwood St Springfield TYPE OF
ASSESSOR'S PARCEL NO.: MOUNTAINGATE PH3 ~
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:
Address:
ALBERTS DEVELOPMENT
875 FAIRWAY DR.
EUGENE OR 97401
Phone Number: 541-954-1978
I CONTRACTOR INFORMATION.
Contractor Type
Sewer
Contractor
EGGE SAND & GRAVEL LLC
I BUILumlJ INFORMATION'
License
Expiration Date Phone
541-485-1515
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I UEV ELOPMENT INFORMA1 lUl'li ..
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 Setbacks: ATTENTION: Or~gon law requires you to
~~II~,,, .. .lac o:>rlnntt:>rl h\l thp. Oreaon Utilitv
. .,. I.
Notification Center. T~osqP.UBI?,ICtI~~,!V .r.-MENTS I
in OAR 952-001-0010 throu~1I '-"" ' ._~ --
0090. You may obtain copies of tl.8 (i,':PS ill'
Storm Sewer Avail~~i1g the center. (Note: the t,?lp'l"i.""~c
Special Instructio'fiumber for the Oregon Utility j\1 :;t,: , ,',
Center is 1-800-332<tY', '
Street
~idewalk Type:
"J!. '.'.. .w
Notes:
T H ~o~ns pou,tsll?~ams
/'.l)~' ;-IO~;', :~.:';,; ~,:'0-- >?;~:,~y n< 1'<'
CC':VIJI!l:=/':' :: . r " ',' : j"c t ::::.]/I,,! -. I:; I' ,I
; "I.' "- . ':-':- '-.J '....... ,'-, ,IU' -
/01\ 1 1:1[' Li," r '_. 'I"j:'-"i~; r:.: -
.......J '-1: /- C I: ~ i I
I Valuation Description I
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
. PERl\flT NO: COM2005-00994
ISSUED: 07/27/2005
APPLIED: 07/27/2005
EXPIRES: 01127/2006
VALUE:
Total Value of Project
L Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Amount Paid Date Paid Receipt Number
$9.00 7/27/05 2200500000000000995
$6.30 7/27/05 2200500000000000995
$45.00 7/27/05 2200500000000000995
$45.00 7/27/05 2200500000000000995
Total Amount
$105.30
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, tlIat I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certity 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 certity 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 prope......~yand the approved set of plans will remain on the site
.d;;d;l/~~k ~~, 7/</ /~
'O~ner or Contractors Signatll1'f' j Dat; ,/ ,
2 of 2
225 Fifth Street
Spr.ingijeLd, Oregon 97477
541-726-3759 Phone
":h"";tij
WiL. .
r'ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00994
COM2005-00994
COM2005-00994
COM2005-00994
Payments:
Type of Payment
Check
7/2712005
RECEIPT #:
2200500000000000995
Date: 07/27/2005
Description
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
L.B. OLSON & ASSOCIATES ddk 9625 In Person
Payment Total:
Page I of I
12:13:39PM
Amount Due
45.00
45.00
6.30
9.00
$105.30
Amount Paid
$105.30
$105.30