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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 Page 1 of 1