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Home My WebLink AboutPermit Plumbing 2006-7-14 Status Issued , CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2006-00799 ISSUED: 07/14/2006 APPLIED: 06/2712006 EXPIRES: 01/14/2007 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.: MOUNTAIN GATE PH 3 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Storm & sanitary extension lines located in phase 3 for individual lots. Plan on file. Will need as builts. Lot 5 Owner: ALBERTS DEVELOPMENT Address: 875 FAIRWAY DR. EUGENE OR 97401 Phone Number: 541-954-1978 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor EGGE SAND & GRAVEL LLC License 106727 Expiration Date 07/15/2006 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 REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: \ C \",., r"'ol ,ips \/r-I.' 'c% of Lot Coverage: :\"";""'-;-r-....,lTlf""i\. r-:)r"lon (",'V l; - ' .. Solar Set,backs: ".~."'. '~~ ' 'w'.' .-~ -: - r; .'..' '{',.....ll'1'''' n i\;~~ ~_Cll_J'.-, -'.J - - . N::-;Jr;C8.jon Cei:.t8L lhJS~ r,-':'~i I rUBLJ~:IMPROVEMENTS I inOPJ1S5'2-0.01-001?thrc'~~"~:,:".slY - , . . Street Improvements, yo' 'l.aln co']\(;;::. ul Li._ rl,lIv. y 11,\2 :J[.',_'I,.. I ,'. Sld~wa. !k;r~p'eE:" \'/.1811 OOSO. 'IOU [lId. U : " '" '" 1, .,,' - '. JI. ~ U\i !r'L :,'11-1 jl. U f\ Storm Sew.er,Il'\v,ltililble':enter. (Nme. 1.11e Llv?' lUt;l~n .,,; :GH:LEfJ UI\:OtR DoM'nspoutsm-rilins:OT V\,A'''''"" .. T' \!O'.ll c~ \0.= . ._.1..1. I 'v .. Special InMrlqf~\9.n;or the Oregon UtlllY I l I a ; lJ .' :\/11~ ;\' .-; ~~ Lj 0 hiS /-\ ~j /-\ 1'1 U 0 1\1 E 0 F() f1 Center is 1-800-332-2344). ~ 'c,:110il. Notes: ~ I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal?:e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00799 ISSUED: 07/14/2006 APPLIED: 06/27/2006 EXPIRES: 01/14/2007 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 + 8% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each AddtI 100' Storm Sewer - 1st 50 Feet Storm Sewer Each AddtI 100' Amount Paid Date Paid Receipt Number $11.80 7/14/06 1200600000000001065 $9.44 7/14/06 1200600000000001065 $45.00 7/14/06 1200600000000001065 $14.00 7/14/06 1200600000000001065 $45.00 7/14/06 1200600000000001065 $14.00 7/14/06 1200600000000001065 Total Amount Paid $139.24 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. ~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 ';mes 7ngc.n. '7 / /410 ~ Ow~r or ctntractors Signature Date I I Ojl.JL l" I~ r fZ).r ~I ~.,-~ Pal?:e 2 of2 2]5 Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone ('". . of Springfield Official Receipt L . elopment Services Department Public Works Department Job/Journal Number COM2006-00796 COM2006-00796 COM2006-00796 COM2006-00796 COM2006-00796 COM2006-00796 COM2006-00799 COM2006-00799 COM2006-00799 COM2006-00799 COM200(j-00799 COM2006-00799 COM2006-00800 COM2006-00800 COM2006-00800 COM2006-00800 COM2006-0080 1 COM2006-0080 1 COM2006-0080 1 COM2006-0080 1 Payments: Type of Payment Check cReceint 1 RECEIPT #: 1200600000000001065 Date: 07/14/2006 Description Sanitary Sewer - 1 st 50 Feet Sanitary Sewer Each AddtJ 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' + 8% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1 st 50 Feet Storm Sewer Each Addtf 100' + 8% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1 st 50 Feet Storm Sewer - 1 st 50 Feet + 8% State Surcharge + 10% Administrative Fee Sanitary Sewer - 1 st 50 Feet Storm Sewer - 1 st 50 Feet + 8% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received L.G, OLSON & ASSOC1ATES lkw 10812 1n Person Payment Total: Page 1 of 1 9:03:01AM Amount Due 45,00 14,00 45,00 14,00 9.44 11.80 45.00 14,00 45,00 14,00 9.44 11.80 45,00 45,00 7,20 9,00 45,00 45,00 7.20 9,00 $490.88 Amount Paid $490,88 $490.88 7/14/2006