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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 Page 1 of 1