HomeMy WebLinkAboutPermit Plumbing 2005-7-27
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM200S-00991
ISSUED: 07/27/2005
APPLIED: 07/27/2005
EXPIRES: 01127/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6452 Forest Ridge Dr .
ASSESSOR'S PARCEL NO~: MOVNTAINGATE PH 3 ~
Springfield TYPE OF WORK: 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: ALBERTS DEVELOPMENT.
Address: 875 FAIRWAY DR.
. EVGENE OR 97401
Phone Number: 541-954-1978
I CONTRACTOR INFORMATION.
Contractor Type
Sewer
Contractor
EGGE SAND & GRAVEL LLC
BUILDING INFORMATION.
License
Expiration Date Phone
541-485-1515
. # ofVnits:
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'
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback: Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side ~,Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks: ATTENTION: Oregon law requires you to
f:II:'" ~._.I",:, n"'~rt"r1 h~, tho nro~"n Iltili~1
. Notification Center. Those ~lIDJ:l.,;:>l1VImOVEMENTS I
St t I in ()AR 952-001-0010 th'roug AH ::10L-UU 1- '
ree mprovement!l:' " '
0090. You .may obtain copies of the rules by
Stor~ Sewer A~aa~~~tjg the center. (Note: the telephone'
SpeCial Instruch?PJmber for the Oregon Utility Notification
Center is 1-800-332-2344),
Sidewalk Type:
Notes:
Nail C E: Downspouts/Drains:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
rnMMI=NCFn OR IS ABANDONED FOR
I . '. ANYln 80 DAY PERIOD.
Valuation DeSCrIptIOn ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM200S-00991
ISSUED: 07/27/2005
APPLIED: 07/27/2005
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
L Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each AddtI 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Amount Paid Date Paid Receipt Number
$13.20 7/27/05 2200500000000000993
$9.24 7/27/05 2200500000000000993
$45.00 7/27/05 2200500000000000993
$14.00 7/27/05 2200500000000000993
$45.00 7/27/05 2200500000000000993
$28.00 7/27/05 2200500000000000993
Total Amount Paid
$154.44
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. willbe made the following work
day.
LReouired Insoections.
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 Law~ of the', State of Oregon pertaining to the work described herein, and
that NO OCCVPANCY wili 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' ~
o~'::~;/??A~
"7 ./ ;:;(? /03"-
/'
,..,
Date
Pal!e 2 of 2
225 Fifth Street
Sp'ringfi~ld, Oregon 97477
541-726-3759 Phone
, Jdb/Journal Number
COM2005~00991
COM2005-00991
COM2005-00991
COM2005-00991
COM2005-00991
COM2005-00991
Payments:
. Type of Payment
Check
',,'.
('
7/27/2005
City of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #:
2200500000000000993
Date: 07/27/2005
12:12:31PM
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
14.00
45.00
28.00
9.24
13.20
$154.44
Paid By
L.B. OLSON & ASSOCIATES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
ddk
9625
In Person
Payment Total:
$154.44
$154.44
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