HomeMy WebLinkAboutPermit Plumbing 2007-3-30
.4 CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00217
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: 6532 Forest Ridge Dr Springfield
ASSESSOR'S PARCEL NO.: MOUNTAINGATE 2AD
TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 1241fsanitary sewer
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 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 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:
ATTeN I hJi\i.v.t'S,u.1 .<.I;,'\: I..,'-,'.PI"'...., y
Notf6ilow fUIGS adopiej by tI~e Oregon l
Sidewalk Type:
Downspouts/Drains:
..n_L!.(~__."":_"", r._,....r~_"" <i""Il..._,,~_ ....11'.-._ .....rl....._...,.
;~'"'OAR~952-00.~~.O(;1?'th~;~ghO~R-9~5~r~ation Descri ~~ I~E~:MIT SHALL EXPIRE IF THE WORK
0090. You may obtain copIes of tne Wi..m;;
D cal!lrig th~ c.enterf" c("~ot~: th.e ~e:ept$:Jler. Sq Ft Square mnWRIZED UNDER THIS PERMIT IS NOT
escnph.on. ~Yne.o onstruJ;:{lOn, "f' ,- .. . f'-LUUMENCED ORMlalu,eBANDO~IBlJ'te-fiakulated
"um06rwn\l~ uf9gon U!lll ~n\W!1 mrnmdtIpher or BId f\.lIJAlU I~ 1-\ l'ft.UTOn
Cerner ~s .; ."CH)..3:3z.:!3.::'A). ANY 180 DAY PERIOD.
Pal!e 1 of 2
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00217
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
LFees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Amount Paid Date Paid Receipt Number
$5.90 3/30/07 2200700000000000438
$2.95 3/30/07 2200700000000000438
$4.72 3/30/07 2200700000000000438
$45.00 3/30/07 2200700000000000438
$14.00 3/30/07 2200700000000000438
Total Amount Paid
$72.57
I Plan Reviews,
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.
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 of the property, and the approved set of plans will remain on the site at all
times during construction.
lAA~( J~l V~ f ~ -'
"3~~-07
Owner or Contractors Signature
Date
Pal!:e 2 of2
225 Fifth Street
~pringfield, Oregon 97477
541-726-3759 Phone
("'~T of Springfield Official Receipt
.... . elopment Services Department
Public Works Department
Job/Journal Number
COM2007-00217
COM2007-00217
COM2007 -00217
COM2007-00217
COM2007-00217
Payments:
Type of Payment
CreditCard
cReceintJ
RECEIPT #:
2200700000000000438
Date: 03/30/2007
Description
Sanitary Sewer - 1st 50 Feet
Sanitary 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 861464 Phone
Payment Total:
Page 1 of 1
2:38:52PM
Amount Due
45.00
14.00
2.95
4.72
5.90
$72.57
Amount Paid
$72.57
$72.57
3/30/2007