HomeMy WebLinkAboutPermit Plumbing 2007-7-27
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2005-00980
ISSUED: 07/27/2005
APPLIED: 07/26/2005
EXPIRES: 01/27/2006
VALUE:.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax .
541-726-3769 Inspection Line
SITE ADDRESS: 6190 Forest Ridge Dr
ASSESSOR'S PARCEL NO.: MOUNTAINGATE PH 31
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Storm & Sanitary extension lines located in phase 3 for individ~allots. Plan on file.
Will need as builts.
Owner: ALBERTS DEVELOPMENT
Address: 875 FAIRWAY DR.
EUGENE OR 97401
Phone Number: 541-954-1978
I CONTRACTOR INFORMATION I
Contractor Type
. Sewer
Contractor
EGGE SAND & GRAVEL LLC
I BUILDING INFORMATION I
License
Expiration Date 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
REQUIRED PARKING
Total: .
Handicapped:
Compact:
Frontyard Setback: Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks~TTENTION: Oregon law requires you. ~o
follow rules adoptea oy me U ~ 'll I ...uJ.~" OVEMENTS
Notification Center. Those ru
Street Impror~~~~952-001-001 0 through OAR 952-001-
Storm Sewer awQila6leiJ may obtain copies of the r~les by
Special InstructiMilling the center. (Note: the tel~~ o~e
, number for the Oregon Utility Notification
Notes: Center is 1-800-332-2344).
Sidewalk Type:
Downspouts/Drains:
NOTiCE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
r'\rlt. E.11J:.l.lr.r-_ __ .-. _ _ _
vV''''V1L''VLU Vll Iv t\DMI\lUVI'dtU rUM
I Valuation Description INY 180 DAY PERIOD,
Description,
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Da.te Calculated
Pal?:e lof 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2005-00980
ISSUED: 07/27/2005
APPLIED: 07/26/2005
EXPIRES: 01127/2006
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
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Amount Paid Date J.>aid Receipt Number
$11.80 7/27/05 1200500000000001080
$8.26 7/27/05 1200500000000001080
$45.00 7/27/05 1200500000000001080 .
$14.00 7/27/05 1200500000000001080
$45.00 7/27/05 1200500000000001080
$14.00 7/27/05 1200500000000001080
Total Amount Paid
$138.06
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.
L 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 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. . J .
~;)/;7~~~~~
Owner or Contractors Sig~ure U
7/A7/~
/ '
Date
Pal?:e 2 of2
225 Fifth Street
~pri~~ield, Oregon 97477
541-726-3759 Phone
~~.LJ,''!IN~.C~: iIIi.. \".'.
It;r' . ,.
f '\ 1
'.;"": i
.~_.,,'~~. <<I ,?
Job/Journal Number
COM2005-00980
COM2005-00980
COM2005-00980
COM2005-00980
COM2005-00980
COM2005-00980
Payments:
Type of Payment
Check
('. .
7/27/2005
RECEIPT #:
1200500000000001080
Description .
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtI 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddtI 100'
+ 7% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
7elopment Services Department
Public Works Department
Date: 07/27/2005
Item Total:
Lheck Number Authorization
B~ch Number Number How Received
9625 In Person
Payment Total:
Paid By Received By
LB OLSON AND ASSOCIATES lIh
1 of 1
12:11:20PM
Amount Due
45.00
14.00
45.00
14.00
8.26
11.80
$138.06
Amount Paid
$138.06
$138.06