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Home My WebLink AboutPermit Plumbing 2005-7-27 ~~~~!~~9!J;1~~1 ,.- ._~""l I . 1: '~.!,I I ,. Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2005-00979 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 SITE ADDRESS: 6154 Forest Ridge Dr ASSESSOR'S PARCEL NO.: MOUNTAINGATEPH 3 ~ Springfield TYPE OF WORK: Plumbing 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. . 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 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: ~ ATTENTION: Oregon law requires you to fJl.vvv I ull:;,:. aUU/JL~U uffi;; ..".....":" ~1? . ~otifjcatjbn Center. Tho~1.!V).i1~MENTS , Street Improveme'D\~AR 952-001.-0010 through QAR 952-001~ ' St. S A .009q. You may'obtain copies of the rules by. orm ewer valfableT th ' Special Instruction: cal Ing . e center. (Note: the telephone .', number Tor the Oregon Utility Notification Notes: Center is'1-800-332-2344). Sidewalk Type: !lInT' Downspouts/Drains: HIU BCE: THIS PERMIT SHAL AUTHORIZED UNO L EXPIRE IF THE WORK COMMI=W'cn nn I~R.~.H/SPERMIT IS NOT . " NY 180 -- ~.. IU I'1UIi/\IUUllJtU FOR I Valuation Description I DAY PERIOD. 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: cOM2005-00979 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 Fees Paid I ': Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtil00' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' Amount Paid Date Paid Receipt Number $11.80 $8.26 $45.00 $14.00 $45.00 $14.00 7/27/05 7/27/05 7/27/05 7/27/05 7/27/05 7/27/05 1200500000000001079 1200500000000001079 1200500000000001079 1200500000000001079 1200500000000001079 1200500000000001079 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. LReouired Insoections I Storm Sewer Line: Prior to filling trench. 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 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. 5 c..~ .~~ --fJJ--- r;7 /J j) A)1 ~ ~ ~(/~~fJ(;:tYl / f' . Owner or Contractors Signature 7/:z 7/2)-.r t' / Date Pal?:e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-'126-3159 Phone "J~"; iij. .... . .. .. Wic. City of Springfield Official Receipt lelopment Services Department Public Works Department Job/Journal Number COM2005-00979 COM2005-00979 COM2005-00979 COM2005-00979 COM2005-00979 COM2005-00979 Payments: Type of Payment Check .' >, .,.... .. 7/27/2005 RECEIPT #: 1200500000000001079 Date: 07/27/2005 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 Paid By LB OLSON & ASSOCIATES Item Total: LhecK Number AuthorIzation Received By Batch Number Number How Received lIh 9625 In Person Payment Total: 1 of 1 12:10:44PM Amount Due 45.00 14,00 45.00 14.00 8.26 11.80 $138.06 Amount Paid $138.06 $138.06