HomeMy WebLinkAboutPermit Plumbing 2007-3-30
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00224
ISSUED: 03/30/2007
APPLIED: 02/19/2007
EXPIRES: 09/30/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6658 Forest Ridge Dr Springfield
ASSESSOR'S PARCEL NO.: MOVNTAINGATE 2AD
TYPE OF WORK: Plumbing Only
PROJECT DESCRIPTION: 1491f sanitary sewer and 1501f storm
TYPE OF USE: New
Residential
Owner: TODD ALBERTS
Address: PO BOX 10545
EVGENE OR 97440
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
EGGE SAND & GRAVEL LLC
License
106727
BUILDING INFORMATION I
# 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:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PVBLIC IMPROVEMENTS I
Street Improvements:
Phone Number: 541-501-88940
Expiration Date
07/15/2008
Phone .
541-485-1515
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Storm'-'Seiver'Wvailable:' ~"d-" ,~.. J · ~'-i"''''''.;) .
S '.~lll''''''' ....~,".... "'do:;~e,..j b\l"f~e t)re"'cn
pecIa 'nstruction;;. \",(,J ;' (., '- '~ I
Notification Center. Tho3e rules are S~i iVI:
No!~~OAR 952-00'! -001 0 ihrough OAR 952-0C
f)O~O. You mav obtain conies of ih~ nJIA~ !
call/ng t!i~ center. (Note: the ~el~ JfJOne . .
'lurnbaf' for~r,~ Ol~gon Utility ~'!oti!:M natIOn Descn
C ~ . ., ::lC~ 33'" 23' 11)
en.ens i -0 ()e. .:..'., "t'O,
... , - ." , $ Per Sq Ft
Type of Construction It' I'
or mu Ip ler
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
~U-;-i IOnl:[D ~rmER T~'~ OI=QPJlIT I~ NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Square Footage
or Bid Amount
Description
Paee 1 of 2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00224
ISSUED: 03/30/2007
APPLIED: 02/19/2007
EXPIRES: 09/30/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll 00'
Amount Paid
Date Paid
Receipt Number
$11.80
$5.90
$9.44
$45.00
$14.00
$45.00
$14.00
3/30/07
3/30/07
3/30/07
3/30/07
3/30/07
3/30/07
3/30/07
2200700000000000445
2200700000000000445
2200700000000000445
2200700000000000445
2200700000000000445
2200700000000000445
2200700000000000445
Total Amount Paid
$145.14
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
l". 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 OCCVP ANCY 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.
0\A~'J~~ fL/~ ~
-~ - -;;0 - 0 7
Owner or Contractors Signature
Date
Pal!e 2 of 2
2~.S FifOl Street
Springfield, Oregon 97477
541-726-3759 Phone
('itv of Springfield Official Receipt
elopment Services Department
Public Works Department
Job/Journal Number
COM2007-00224
COM2007-00224
COM2007-00224
COM2007-00224
COM2007-00224
COM2007-00224
COM2007-00224
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000000445
Date: 03/30/2007
Description
Sanitary Sewer - 1 st 50 Feet
Sanitary Sewer Each Addtl 100'
Storm Sewer - 1 st 50 Feet
Storm Sewer Each Addtl 100'
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MIKE EVANS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh
129116 Phone
Payment Total:
Page I of 1
2:51:52PM
Amount Due
45.00
14.00
45.00
14.00
5.90
9.44
11.80
$145.14
Amount Paid
$145.14
$145.14
3/30/2007