HomeMy WebLinkAboutPermit Plumbing 2007-7-27
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2005-00997
ISSUED: 07/27/2005
APPLIED: 07/27/2005
EXPIRES: 01127/2006
VALUE:
SITE ADDRESS: 6492 Forest Ridge Dr Springfield TYPE OF
ASSESSOR'S PARCEL NO.: MOVNTAINGATE PH 3 ~
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:
Address:
ALBERTS DEVELOPMENT
875 FAIRWAY DR.
EVGENE OR 97401
Phone Number: 541-954-1978
I LU1~TRAL.lUK mJ.1uRMAT.lUl'l I
Contractor Type
Sewer
Contractor
EGGE SAND & GRAVEL LLC.
License
Expiration Date Phone
541-485-1515
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
I nU.lLDThlJ .l1~J.1 UJ:<.1\1A.l.lUl~1
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
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 u~v ~LUi"lVJ~l'l.l .l1'1J.1UJ:<.1V1ATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
lPunLiC IMr KU VEMENTS I
ATTENTION: Oregon law'requlI<;:;v yvu LV
follow rules adopted by the Oregon Utility
Storm Sew~wailabte:Center, Those rules are set forth
Special Ins~l1t9fl~52-001-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center, (Note: the telephone
n1lmhAr fnr thA nrAnnn I ftilitll f\lntifir.::Jtinn
Center is 1-800-332-z'1441. I
' Valuation Description
T f C t t $ Per Sq Ft Square Footage
ype 0 ons rue ion
or multiplier or Bid Amount
Street
Sidewalk Type:
Downspouts/Drains
,I, I :0~':,1_;~:- ~:_:,1:1_'::::, -; ~ :.: -:-H::: \ I,-)("~
1-.....J!,'\~'!-.I.J_~0 G,d~ '.J - :.I,()\ ._--=:C'\ ,-- ,I" ,
. -.. I I I,' I !~l \ .11 I J J ,: I
(. I. ~,(, ,n, ,,....., _, . ,.., . _ . ..... ,
',-' JI:, _: ,-'c0 Jj-; ,\ . -' '\)I-! \Ie""' _.,......,,~
_ - \'~' l' ~ LJ .......', '_ I J ,- ~ I .
I \-I.(~. '--I.
Description
Value
Date Calculated
1 of 2
Status:
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2005-00997
ISSUED: 07/27/2005
APPLIED: 07/27/2005
EXPIRES: 01/27/2006
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 J
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Amount Paid Date Paid Receipt Number
$9.00 7/27/05 2200500000000000997
$6.30 7/27/05 2200500000000000997
$45.00 7/27/05 2200500000000000997
$45.00 7/27/05 2200500000000000997
Total Amount
$105.30
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.
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 wiD 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 proper~)Jnd the approved set of plans wiD remain on the site
c~~Y~;#k~~%~ .;?/-?>/~
Owner or Contractors Signatu? / Date'/
2 of 2
225 Fifth Street
Springfield,Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00997
COM2005-00997
COM2005-00997
COM2005-00997
Payments:
Type of Payment
Check
7/27/2005
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
L.B. OLSON & ASSOCIATES ddk 9625 In Person
Payment Total:
RECEIPT #:
Description
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
:velopment Services Department
Public Works Department
2200500000000000997
Date: 07/27/2005
12:14:28PM
Amount Due
45.00
45.00
6.30
9.00
$105.30
Amount Paid
$105.30
$105.30
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