HomeMy WebLinkAboutPermit Building 2006-7-14
Status
Issued
.. ]TY OF SPRINGFIELD ~
Building/Combination Permit
PERMIT NO: cOM2006-00800
ISSUED: 07/14/2006
APPLIED: 06/27/2006
EXPIRES: 01114/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6242 FOREST RIDGE DR
ASSESSOR'S PARCEL NO.: MOUNT AINGA TE PH 3
Springfield TYPE OF WORK: Site Work 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. Lot 7
Owner: ALBERTS DEVELOPMENT
Address: 875 FAIRWAY DR.
EUGENE OR 97401
Phone Number: 541-954-1978
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
EGGE SAND & GRAVEL LLC
License
106727
Expiration Date
07/15/2006
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 Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
SqFt 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Frontyard Set6ack: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Rea~f!h~~''mi~bregon law requires y~~. to % of Lot Coverage: __ ._
Sol:fr Setbacks: d tad b\l ttle O;-egor. U 1I1lty . , :::-,:_ ": : \ ,= I H \:. I'J Ij I~"
follow rul8S a op v ) . __' '",H, ,!r U'.'- ' .\, \. '_" I'.L _.. ~T
Notification Center, I nO::;d IL~:";~ ~c>;r:-~:;IP.lJBLIC IMPROVEMENTS-. ' ,~\i., ~; U\\\,).~F:\ I.il~ rC.r'.~\I. - .)1
in OAR 852.001-0010 throug ,-;'-\I1,;;!~.c' ,_..... 'U'_I~""_-; ;:. I::, ::,':,J\\lUO\\I\:O rUn
Streetimp.I:Ovements.:Jtain COOlieS Of the I uL:" ..JY J II i\j~ ;\F \\Side\valk.Ty,pe:
O\J;J\J. , Ull ",,-,,y. ~. (NO.:"" fllP tei"::':1:lona . ., ! '-, ~ \ J' :.
St SilO -. _. j;..,"'" l.l".b"IPr tv. _ "-''' I 1 ,
orm~ ewtrr ~"'a:hap o~~""on Utility NC''\I,cation Downspouts/Drains:
Specilil!i!lnstriUcfion:v. , ~ 2" L14)
Center IS 1-800-332- .0. '
Notes:
I DEVELOPMENT INFORMATION I
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00800
ISSUED: 07/14/2006
APPLIED: 06/27/2006
EXPIRES: 01114/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
,
L Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Amount Paid Date Paid Receipt Number
$9.00 7/14/06 1200600000000001065
$7.20 7/14/06 1200600000000001065
$45.00 7/14/06 1200600000000001065
$45.00 7/14/06 1200600000000001065
Total Amount Paid
$106.20
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 ReQuired InsDections I
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 ofthe 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 card is located at the front of the property, and the approved set of plans will remain on the site at all
tim..d7in,tmct;on. ., /14 In I..
owu~/or c ~;: S;guatnre Date' ,
F...r fJ-l~v-rs fkJ-Ll()/~""'~
Paee 2 of 2
c;L-. of Springfield Official Receipt
l Aopment Services Department
Public Works Department
225 Fifth Street
, .
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00796
COM2006-00796
COM2006-00796
COM2006-00796
COM2006-00796
COM2006-00796
COM2006-00799
COM2006-00799
COM2006-00799
COM2006-00799
COM2006-00799
COM2006-00799
COM2006-00800
COM2006-00800
COM2006-00800
COM2006-00800
COM2006-0080 1
COM2006-0080 I
COM2006-0080 1
COM2006-0080 I
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200600000000001065
Date: 07/14/2006
9:03:01AM
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
+ 8% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
+ 8% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - 1 st 50 Feet
Storm Sewer - 1st 50 Feet
+ 8% State Surcharge
+ 10% Administrative Fee
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1 st 50 Feet
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
45,00
14.00
45.00
14.00
9.44
11.80
45.00
14,00
45,00
14,00
9.44
11.80
45.00
45.00
7,20
9.00
45,00
45.00
7,20
9,00
$490.88
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
L.G, OLSON & ASSOCIATES Ikw 10812 In Person
Payment Total:
Amount Paid
$490,88
$490.88
Page I of I
7/14/2006