HomeMy WebLinkAboutPermit Plumbing 2005-7-27
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM200S-00993
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
SITE ADDRESS: 6470 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:
Address:
ALBERTS DEVELOPMENT
875 FAIRWAY DR.
EVGENE OR 97401
Phone Number: 541-954-1978
I CONTRACTOR INFORMATION I
Contractor Type
Sewer
Contractor
EGGE SAND & GRAVEL LLC
I BUILDING INFORMATION I
License
Expiration Date Phone
541-485-1515
# of Vnits:
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 I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
1"\11~;~7;J;~. c.lv~vllluw~ l,,",~....:r':'~ ..-:.~ t:
follow rules adopted by th.e Oh~)c!l:QJ.1JJtllWPROVEMENTS I
Street ImpNw~ilioo~s:ln Center. Those rules are set forth
in, QAFlq~2-001-001 0 through OAR 952-001-
Stor~ Sewff~D~~d>Je1nay obtain copies of the rules by
SpeCIal InstructIon: th t (N t . th telephone
calling e cen er. 0 e. e
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total: '
Handicapped:
Compact:
Sidewalk Type:
, ' DownspoutslDrains:
"'. _ c
Notes:
TI-fi" I"'~-
I'.,) '-CHi'/'iT SH.~\LL F:\/::>'C~ ': I -r .
/.\Ufl'tlC'::/-n 1"1'''' -./1, <Ii:"" IF l,l:C I/\/(",l'(
IVI dLCU ~I\J/A:R ll'l" IJCP __-' ,V,',.
CU,"i'" (-,\I("~'1 0''1 I" ," I ~ , '_I .Ivd! IS i\!O 1-
~". I -- I . v L U /-1 j ~ ,0, -~ ,_ \ ,"") (I,d r" r r- -. -
j.... ! 00 ;JI-\/ PEHJOO
I Valuation Description I .
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
_~~F~
WIL
Status
Issued
CITY OF SPRINGFIELD"'
Building/Combination Permit
PERMIT NO: cOM200S-00993
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'
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 2200500000000000994
$6.30 7/27/05 2200500000000000994
$45.00 7/27/05 2200500000000000994
$45.00 7/27/05 2200500000000000994
Total Amount Paid
$105.30
I Plan Reviews,
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.
~ Reouired Insoections .
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 OCCVPANCY 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 the property, and the approved set of plans will remain on the site at all
times during construction. . ~ ~
~~~ ~ A~A.-,
Owner or Contractors Sig~e / ~
,/
Date
7/;z/~
r
Pal!e 2 of 2
225 Fifth Street
~pring[ield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00993
COM2005-00993
COM2005-00993
COM2005-00993
P:.yments:
Type of Payment
Check
'.1
,~
.
7/27/2005
RECEIPT #:
Description
Sanitary Sewer - 1st 50 Feet
Storm Sewer - 1 st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
L.B. OLSON & ASSOCIATES
~j1
City of Springfield Official Receipt
velopment Services Department
Public Works Department
2200500000000000994
Date: 07/27/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
9625
In Person
Payment Total:
Page 1 of 1
12:13:13PM
Amount Due
45.00
45.00
6.30
9.00
$105.30
Amount Paid
$105.30
$105.30