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Home My WebLink AboutPermit Plumbing 2005-7-27 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00981 ISSUED: 07/27/2005 APPLIED: 07/26/2005 EXPIRES: 01127/2006 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.: MOUNTAINGATE PH 3 ~ 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 me. Will need as builts. Owner: ALBERTS DEVELOPMENT Address: .875 FAIRWAY DR. EUGENE OR 97401 Phone Number: 541-954-1978 I CONTRACTOR INFORMATION I Contractor Type Sewer Contractor EGGE SAND & GRAVEL LLC I BUILDING INFORMATION I License Expiration Date Phone 541-485-1515 # 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: 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 Total: Handicapped: Compact: Frontyard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: . % of Lot Coverage: Solar Setbacks: ATTENTION: Oregon law requIres yo~ ~o fnllnw r111p.~ Rdooted bv the Oreaon Utllltv Notification Center. ThoseI'PlmL'1.'t' nVIY'f{O'VEMENTS I in OAR 952-001-001 0 throu~, I 5, .fl C][ 50 I . Street Improve"fflmfj. You may obtain copies of the rules by Storm Sewer Avai13bl;:ng the center. (Note: the telephone Special Instructio\lltlmber for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: . "0- "\ ,Downspouts/Drains: . . l . , ,~ ,.,.';'/ w ..\'.., '-0 Notes: THIS PH1i\;1IT SHALL E;(PiRE Ii- THE '.NOHl< AuTHORIZED U~JOER Ti-:IS Pc:il\!JiT IS I~OT r.n,\I,'\~i=I\li:Cn n::l Ie: II :-1. :,i, W,dcn [no I V I t. D . t. 1~ll180 DAY PERIOD. a ua IOn eSCrIp IOn Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00981 ISSUED: 07/27/2005 APPLIED: 07/26/2005 EXPIRES: 01127/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project 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 $9.00 $6.30 $45.00 $45.00 7/27/05 7/27/05 7/27/05 7/27/05 Receipt Number 1200500000000001081' 1200500000000001081 1200500000000001081 1200500000000001081 Total Amount Paid $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. I Reouired Insoections 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 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 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. ~ ;~I'A~~~ ;J/--Z?/~ Owner or Contractors Signat~ Date Paee 2 of2 225 Fifth Street SploingfieLd, Oregon 97477 541-726-3759 Phone u';.:.. ~.E:.~... .. . -...- . . City of Springfield Official Receipt lelopment Services Department Public Works Department Job/Journal Number COM2005-00981 COM2005-0098I COM2005-00981 COM2005-0098I Payments: Type of Payment Check 7/27/2005 RECEIPT #: 1200500000000001081 Date: 07/27/2005 Description Sanitary Sewer - 1st 50 Feet Storm Sewer - 1 st 50 Feet + 7% State Surcharge + 10% Administrative Fee Paid By Received By LB OLSON AND ASSOCIATES IIh I of I Item Total: Check Number Authorization Batch Number Number How Received 9625 In Person Payment Total: 12:12:05PM Amount Due 45.00 45.00 6.30 9.00 $105.30 Amount Paid $105.30 $105.30