HomeMy WebLinkAboutPermit Plumbing 2007-3-30
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00218
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: 6576 Forest Ridge Dr Springfield
ASSESSOR'S PARCEL NO.: MOUNTAINGATE 2AD
TYPE OF WORK: Plumbing Only
TYJ>E OF USE: New
Residential
PROJECT DESCRIPTION: 1421fsanitary sewer and 1561fstorm
Owner: TODD ALBERTS
Address: PO BOX 10545
EUGENE OR 97440
Phone Number: 541-501-88940
Contractor Type
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
EGGE SAND & GRAVEL LLC 106727
BUILDING INFORMATION'
Expiration Date
07/15/2008
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
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:
Storm Sewer Available: Downspoutsillrains:
Special Instruction:
NOTIC ATTf":!v; it..h\.,-<",~.",; ., 'v' - ,
Ea ..' - -..4. U~~!..t tC~ \i
Notes: . fO!I?w"~ules adopted by i~e r)ret\j,";
THIS PERM I T."J-/llI J ~vpm~ Ir T; 'f \'1..\.. ~otJfICa\~Dr, f:~::m~AV' Th",~~,", ~:.:::.::: "," ,_ /
AUTHOR IZED UNDER TH - . .1'. ,i", ':>1 AR 952,.001-0010 throu h 0 (.. '~"'l ".10
COMM IS PERMI r~l.fltlion Descriptionn 10 v "1 : 9 - /\R 9;')2..0C
ENCED OR IS ABANDONED FWiiiiiiiiiiiO -- -, . ,:.o~ ~la~, '1b'tam COfJ:H3 01 )~a T~as i
ANY 180 D~ IR callt"p ,h~ ....~ntr->h Ii' Int ~ .
. . Y pl=Ql11n . $ Per Sq Ft Square,g99tt'~~ ;"., ...,.., vi. " ," e: ,"oS ~'S:~p!"(:\n~
DescnptIon vpe'ot'l(5(RfstructIon or multiplier or Bid A'rJdfitf{20i" ~!';r~, OY:&)lSn Ut~li~y H~,W~~~Jfj~!~ted
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Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00218
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 AddtI 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$13.20
$6.60
$10.56
$45.00
$14.00
$45.00
$28.00
3/30/07
3/30/07
3/30/07
3/30/07
3/30/07
3/30/07
3/30/07
2200700000000000439
2200700000000000439
2200700000000000439
2200700000000000439
2200700000000000439
2200700000000000439
2200700000000000439
Total Amount Paid
$162.36
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 Reuuired 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.
~V\ 'ls--r~D \2 f \-/~
, "
~-~c.)-o(
Owner or Contractors Signature
Date
Pa2e 2 of 2
2~5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00218
COM2007-00218
COM2007-00218
COM2007-00218
COM2007-00218
COM2007-00218
COM2007-00218
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MIKE EVANS
Citv of Springfield Official Receipt
elopment Services Department
Public Works Department
2200700000000000439
Date: 03/30/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh 564492 Phone
Payment Total:
Page I of I
2:40:57PM
Amount Due
45.00
]4.00
45.00
28.00
6,60
10.56
]3.20
. $162.36
Amount Paid
$] 62.36
$162.36
3/30/2007