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Home My WebLink AboutPermit Plumbing 2007-3-30 ." Status Issued , CITY OF SPRINGFIELD - . Building/Combination Permit PERMIT NO: COM2007-00223 ISSUED: 03/3012007 APPLIED: 02/19/2007 EXPIRES: 09/30/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6652 Forest Ridge Dr Springfield ASSESSOR'S PARCEL NO.: MOUNTAIN GATE 2AD TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: 1341f sanitary sewer and 1251f storm Owner: TODD ALBERTS Address: PO BOX 10545 EUGENE OR 97440 Phone Number: 541-501-88940 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor EGGE SAND & GRAVEL LLC License 106727 Expiration Date 07/15/2008 Phone 541-485-1515 BUILDING INFORMATION,' # 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 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 Storm Sewer Available: Special Instruction: . L.lvlJ , ':'~'ti~~t'v6': AnEN !, 'VI~::O'" ~t;~~' b\' 'ihe Oregcn i { Ilo'M "UI""S ~u p....'" .,. o vv ~ '!J Th "8 rules are S6;;t i "". HO:l 03NOONV'BV' SI ~O 038N3V'JV'J08 NotHicaU~~ ~~~t~~1~ ~~~'Ilah GAR 952-0r lON S11111\1~3d SIHl tl:lUNII UjL',~~H~II\' ;-:'1 UAn '::j;)t:--vu' '::r:n copies o~ the w~es l ~tJOM 3H1:11 3~ldX311V'HS 1111\I ~ion Description ,1090. ;ov l::,a~_o~~~~'fi\!ot~: tt~~ ~e:~pho~e : J" i IlH\l calling t\ i~ .."en. . . \ ,". unit'l r~otit}:;at\o.~ '$ tper-sq 'Ft Square Footage~a; ~nt ~.~~~~ 01 ~gvn .1... _ ~ . . . . ;\,I\.IU, . Valu/>"Ct"l "3"\ QahvCalculated or multIplIer or BId Amount Center is ; ~-d J\!~0' t:.'=~ . Sidewalk Type: Downspouts/Drains: Street Improvements: Notes: 'OOlH3d AVa 09 ~ ANV' Description Type of Construction 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 + 5% Technology Fee + 8% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Total Amount Paid Total Value of Project Fees Paid' Amount Paid Date Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00223 ISSUED: 03/30/2007 APPLIED: 02/19/2007 EXPIRES: 09/30/2007 VALUE: Receipt Number 2200700000000000444 2200700000000000444 2200700000000000444 2200700000000000444 2200700000000000444 2200700000000000444 2200700000000000444 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. $11.80 $5.90 $9.44 $45.00 $14.00 $45.00 $14.00 3/30/07 3/30/07 3/30/07 3/30/07 3/30/07 3/30/07 3/30/07 Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. ~145.14 I Plan Reviews I I Reouired Insoections I 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. .. (' (\ V lA,jl~ ~,~ -, Owner or Contractors Signature f:~~ Pa2e 2 of 2 ~S-'sv ---Or Date 225 Fifth Street Springfield, Oregon 97477 5-41-726-3759 Phone CHv of Springfield Official Receipt dopment Services Department Public Works Department Job/Journal Number COM2007-00223 COM2007-00223 COM2007-00223 COM2007-00223 COM2007-00223 COM2007-00223 COM2007 -00223 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: 2200700000000000444 Date: 03/30/2007 Description Sanitary Sewer - 1 st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1 st 50 Feet Storm Sewer Each Addt] 100' + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MIKE EVANS Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 719517 Phone Payment Total: Page 1 of 1 2:50:37PM Amount Due 45.00 14.00 45.00 14.00 5.90 9.44 11.80 $145.14 Amount Paid $145.14 $145.14 3/30/2007