HomeMy WebLinkAboutPermit Plumbing 2005-12-29
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01783
ISSUED: 12/29/2005
APPLIED: 12/2912005
EXPIRES: 06/29/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6065 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343406300
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: New Residential
. PROJECT DESCRIPTION: Install water, storm and sewer prior to paving access to lot 55 from Fernhill Lp
adjacent to lot 56 aka 6053 Frenhill Lp
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Owner: AN SLOW & DEGENEAULT INC
Address: 1953 GARDEN AVENUE
EUGENE OR 97403
Phone Number: 503-484-0070
I CONTRACTOR INFORMATION .1
Contractor Type
, Plumbing
Contractor License Expiration Date Phone
BRAUN EXCAVATING INC 101388 10/17/2007 541-935-5940
B MUillN quires you to
follow rules adopted by t e Oregon Uti!ity,
Nol~tefiieenter. Those rules are setlfO'ttSize:
in ei~~5~~Y1%Wni through OAR 952Sij)Ft 1st Floor:
00 .~c?t~~crfobtain copies of the rUllS,q~F;t 2nd Floor:
~I,,~er~~~enter. (Note: the telephc$q:Ft Basement:
'R':l'n~~ :~~he Oregon Utility l\lotific2,~9:ft Garage/Carport
nEH1~gf lttp: i5 1-800-332-23.~:t). Sq Ft Other:
Sprin~3rntihi:llng: n/a Occupant Load:
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# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
. Primary Construction Type
, Secondary Construction Type:
"# of Bedrooms:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
. Special Instruction:
Notes:
Sidewalk Type:
NOTiCE: oDftMi "ID"
THIS PERMIT SHALL EXPIRE IF In~Won~ rams.
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONS) fOR
ANY 1iD DAY' PtRlQl).
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I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~. Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Total Amount Paid
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01783
ISSUED: 12/29/2005
APPLIED: 12/29/2005
EXPIRES: 06/29/2006
VALUE:
Total Value of Project
~Fees Paid I
Amount Paid Date Paid Receipt Number
$17.70 12/29/05 2200500000000001759
$12.39 12/29/05 2200500000000001759
$45.00 12/29/05 2200500000000001759
$14.00 12/29/05 2200500000000001759
$45.00 12/29/05 2200500000000001759
$14.00 12/29/05 2200500000000001759
$45.00 12/29/05 2200500000000001759
$14.00 12/29/05 2200500000000001759
$207.09
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 InsDections I
Water Line: Prior to filling trench and including required testing.
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.
.~2~
pw~er or Contractors Signature
I J.. -::19 -os
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726;-3759 Phone
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'ity of Springfield Official Receipt
.aJevelopment Services Department
Public Works Department
Job/Journal Number
COM2005-01783
COM2005-01783
COM2005-0 1783
COM2005-0 1783
COM2005-0 1783
COM2005-01783
COM2005-0 1783
COM2005-0 1783
RECEIPT #:
2200500000000001759
Date: 12/29/2005
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll 00'
Water Line - 1st 50 Feet
Water Line - Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
CteditCard GORDON ANSLOW
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 001624 In Person
Payment Total:
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12/29/2005
Page 1 of 1
12:00:57PM
Amount Due
45.00
14.00
45.00
14.00
45.00
14.00
12.39
17.70
$207.09
Amount Paid
$207.09
$207.09
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Lot 55 Moun toingote
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82.66
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FERNHILL LOOP
Site Plan
Scale = 1/32" = l'
Anslow & DeGeneault, rne
Signature J{omes
1953 Garden Avenue
Eugene, Oregon 97403 '
541-484-0070 Fax 687-0646
A&D@adhomes,com CCB #49169
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NORTH
12/29/2005
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LOT 55' - MOUNTAINGATE"SUBDIVISION
LOT STANDARDS AND GUIDELINES
- 351 LOT COVERAGE PER SPRiNGFiELD DEVELOPMENT CODE /6.040
- SPRiNGFIELD LAND AND DRAiNAGE AL TERA TlON PERMiT (LDAP)
REQUIRED FOR EROSiON CONTROL
- CLASS A DR B RDDFiNG IS REQUIRED
SUBJECT'TO FiRE PRDTECTlON PLAN
- DRIYEWA Y ACCESS BY Jo.lNT PANHANDLE ACCESS EASEMENT
LEVEL, DNE FOUNDA no.N ENGiNEERING STANDARD '
(see Geotech Report!
- SiDEWALK REQUIRED
EASEMENT "e" -----
VARIABLE WIDTH PR/VA TE
JOINT USE ACCESS &
PRIVATE UTILITY EASEMENT
BENEFITING LOTS. 54, 55 & 56
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.",~~.."..::,\::.:, ....,.l~...~.:::c;',~. 'J',~.,. ~. SIDEWALK
_ _~_",:>.'::~:fj.,,,~~.n--~ j, \,'-REQUiRED
~', .~'iQ,'25.~~~.\.',_ \' \ \ -'~.'., '
5 .' \ \ \ H.
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10 P.UE. \,
AND SLOPE~\ ~\,
EASEMENT ~
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THIS DOCUMENT IS PROVIDED FDR iNFoRMA TlDNAL PURPOSES TO ASSIST IN INDIVIDUAL LDT
DEVELOPMENT. REFER TO THE SUBDIVISIo.N PLAT, RECo.RDED COVENANTS, CONDiTlDNS AND
RESTRICTlo.NS; AND CITY o.F SPRINGFIELD DEVELo.PMENT SERVICE DEPARTMENT FILES FDR
FULL DETAILS, RECo.RDING NDS. 20.0.5-033764 I: 20.0.5-0.33770.
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