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HomeMy WebLinkAboutPermit Plumbing 2007-3-30 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00220 ISSUED: 03/30/2007 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: 6618 Forest Ridge Dr Springfield ASSESSOR'S PARCEL NO.: MOUNTAINGATE 2AD TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: 1691f sanitary sewer and 321f storm Owner: Address: TODD ALBERTS 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 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: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORM A TION 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: Sidewalk Type: ,.. u' -:::; \I SstNc(Jla~nsFr~uActVI.aoinla: ble: F~;l b\l ~ c\'Downsp~b'~s~r~~ni'or~;o~ ; p.e II i;ts'ii rOiiO\l'v' r:)if:C;S z,nOpL8:J D. l. '.# .': I HIS PERMIT SHALL EXPIRE IF THE WORK ! :8' :"0""' r'S"'!:er ThG3e rules ;}.~B f;,,,;~ 101. .\I:O'tIl!C8.\! ~ \ \oJ"' .: of 'h 0'\ ,L) Ci:2.,Ot N0't~THORIZED UNDER THIS PERMIT IS NOT :n OAR 952<.Ofr~-OOi0 mi'0~Y ,~n ,1::;-: I r.nMMI=Nr.l=n nQ I~ lHU~lntll\ll:n C{H~,:.,V)(\ Vnlt 'Yl::'\f Jtltain cop:€G of the hl!6S ANY 180 DAY PERIOD. ... _. -- . -.. ''-'''' -.. I' JI,,~ """'lt~~ ('\~ot'~: me :e;~[J~ :1,11 lei I .roal ,''''' " "" \.~, "" I , Valuation Description ".~, ~.:." :~"" r\[-:"f~;W" Utilit" r/Gt!f~.!~~!q. ~ _ .".. . 'OJ l~ '~1l.~~ \, I}I ~ht;....e,' ~ ~_H,~'f";:H ",(,. t I ~'~Jf~ l"'l().~' 1}.3.~ ..p:.\ {?"\.(.'''~''''#'I.,:~ ,....t t.\~"',",h.."~: '\...t. !.., $ Per Sq Ft Square Footage:" .ll:>' .. Description Tvpe of Construction It' I' B'd A t Value Date Calculated or mu Ip ler or I moun Paee 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00220 ISSUED: 03/30/2007 APPLIED: 02/19/2007 EXPIRES: 09/3012007 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 + 5% Technology Fee + 8% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll00' Storm Sewer - 1st 50 Feet Amount Paid Date Paid Receipt Number $11.80 $5.90 $9.44 $45.00 $28.00 $45.00 3/30/07 3/30/07 3/~0/07 3/30/07 3/30/07 3/30/07 2200700000000000441 2200700000000000441 2200700000000000441 2200700000000000441 2200700000000000441 2200700000000000441 Total Amount Paid $145.14 I Plan Reviews I 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. 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 ofany 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. ~ J\J\u1~ 7 f.J~ ~ "S -'"So ....07 , Owner or Contractors Signature Date Pa2e 2 of2 J25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone (';+v of Springfield Official Receipt elopment Services Department Public Works Department Job/Journal Number COM2007-00220 COM2007-00220 COM2007-00220 COM2007-00220 COM2007-00220 COM2007-00220 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000000441 Date: 03/30/2007 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet + 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 341295 Phone Payment Total: Page I of 1 2:44:32PM Amount Due 45.00 28.00 45.00 5.90 9.44 11.80 $145.14 Amount Paid $145.14 $145.14 3/30/2007