HomeMy WebLinkAboutPermit Plumbing 2005-7-27
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CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: cOM2005-00995
ISSUED: 07/27/2005
APPLIED: 07/27/2005
EXPIRES: 01/27/2006
VALUE:
SITE ADDRESS: 6484 Forest Ridge Dr Springfield TYPE OF
ASSESSOR'S PARCEL NO.: MOVNTAINGATE PH 31
Plumbing Only
TYPE OF VSE: 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.
EUGENE OR 97401
Phone Number: 541-954-1978
Contractor Type
Sewer
I CONTRACTOR li'I~UKMAllUl~ I
Contractor
EGGE SAND & GRAVEL LLC
I EVIL DING INFORMATION I
License
Expiration Date Phone
541-485-1515
# of Vnits:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
ATTENTION: Oreqon law reolJirpc: Itrlll t~
IUIIUW rUles adopt J' - -
Not'f' t' C C PllJB'l}uYHlW--I'<!\lJJVlEJMENTS
I Ica Ion ente'r T J
. . ,~ I ~tn orm
Street In OAR 952-001-0010 through OAR 952-001-
Storm Sewer AvailabqppO.. You may obtain copies of the rules by
Special Instruction: calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
, Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
. Description
# 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
Iv]!,\' ]!,LOPlVmI'I.l .l1~FORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
.' 'Dow,nspouts/Drains
'I', '
TillS ,-...., 'fliT -
1"1. I--'ci-,:I.! SHALL c)('J;RF It T~1C 1/11"011
II U - -: ; 0 -'. - r . ~ I ..... ,. I__~ ' .... - I ,I L . t....' I 1, \
n IllKltlu LI\ilj..::d I HIS eE8:'j!(;' i~ ,lOT
C;Ji\i~ 1!,='I,Lr.\:o oq 1(' ',-: , ,', -. :__ _.... _ _v_,.
J ,I,. ....1 . v!....! ",',,) t. '., h ,\1, ,( ! 1\',,,,/ J " ( ~ ,"
/\i\]':' 1 UU OhY Pt,~:IL)O.
I Valuation Description I
Type of Construction
$ Per Sq Ft
or multiplier
. Date Calculated
Square Footage
or Bid Amount
Value
1 of 2
~A",",',liN,""'," .G" E .",I.",!EUlI, ,.fjI""',,, , .
-,J;f" , '"._u__ I
1Ik.".,-,'..,..,:..,~I1"".,," I
,~. I
'.......~,-" .~ "
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: cOM2005-00995
ISSUED: 07/27/2005
APPLIED: 07(27/2005
EXPIRES: 01127/2006
VALUE:
Total Value of Project
Fees 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 Paid
$14.60
$10.22
$45.00
$28.00
$45.00
$28.00
7/27/05
7/27/05
7/27/05
7/27/05
7/27/05
7/27/05
Receipt Number
2200500000000000996
2200500000000000996
2200500000000000996
2200500000000000996
2200500000000000996
2200500000000000996
Total Amount
$170.82
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 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 th~ ~ro~Jry, and the approved set of plans will remain on the site
~~~:;P~~~~~ 7/-Z?/~~
~wner or Contractors Sig~re /.. Date"..
2 of 2
225 Fifth Street
Spr-ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00995
COM2005-00995
COM2005-00995
COM2005-00995
COM2005-00995
COM2005-00995
Payments:
Type of Payment
. Check
~c
,,,,;
7/27/2005
rity of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #:
2200500000000000996
Date: 07/27/2005
12:14:05PM
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
+ 7% State Surcharge
+ 10% Administrative Fee
Amount Due
45.00
28.00
45.00
28.00
10.22
14.60
$170.82
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number -How Received
L.B. OLSON & ASSOCIATES ddk 9625 In Person
Payment Total:
Amount Paid
$170.82
$170.82
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