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Home My WebLink AboutPermit Plumbing 2005-7-27 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: COM2005-00990 ISSUED: 07/27/2005 APPLIED: 07/26/2005 EXPIRES: 01127/2006 VALUE: SITE ADDRESS: 6446 Forest Ridge Dr Springfield TYPE OF ASSESSOR'S PARCEL NO.: MOUNTAIN GATE PH 3 ~ Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Storm & Sanitary extension lines located in phase 3 for individual lots. Plan on file. Will need as buUts. Owner: Address: ALBERTS DEVELOPMENT 875 FAIRWAY DR. EUGENE OR 97401 Phone Number: 541-954-1978 I CONTRACTOR INt<uKlvIATION I Contractor Type Sewer Contractor EGGE SAND & GRAVEL LLC I BUILJJl1'i~ INFORMAI1Ul~1 License Expiration Date Phone 541-485~1515 # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a luJ1.. V J1..LOPl\'1J1..1~ 1 Hilt< UKMA TION I REQUIRED PARKING Front yard Setback: Overlay Dist: Side 1 Setback: # Street Trees Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbac~TTENTION: Oregon law requires you to Ul.vvv I ulc;;:, dUufJlea oy me lrii;;;~..'\;- L:U:~_ N n . C ~ UlSLIe'llVJ.lI:'ROVEMENTSI . oo'lcat'on enter. Those rul - [ _ __: L ." Street In AR 952-001-0010 through OAR 952-001- ,_ 0090 YOI~ may obt . , Storm Sewer Availal> e: aln copIes of the rules by ~j'l .;':,' ., nowns~utslDrains Special InstrugiiUmg :ne center. (Note:,the telephone I-,~?,-';::i-:IV~I_I S;";,!.;LL f~:'JIM~ iF TH~ INO'1:' numoer for the Oregon Utility Notification /"\~~; i'iG~d~U G;'!CtH TH:S PE:~;Jr is iI/Dr Notes: Center is 1-800-332-2344). CU,IJ,:\/:tll!CcD O:~ IS . ..d,-\,.~;JUi\:;:I~ FO':; /"i~YlaOOJ~Yebil(Jil _J II Total: Handicapped: Compact: Sidewalk Type: Description Type of Construction I Valuation Description I $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated 1 of 2 -Wi.;. "iii' .....'.'. I'.. ' . ',-,- .- ."~,~,..,' I '..... .....;,;l.. "," . ,. '..,~"'. . '"" "P"..." "".."'~ 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: COM2005-00990 ISSUED: 07/27/2005 APPLIED: 07/26/2005 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 AddtI 100' Amount Paid Date Paid $11.80 $8.26 $45.00 $14.00 $45.00 $14.00 7/27/05 7/27/05 7/27/05 7/27/05 7/27/05 7/27/05 Receipt Number 1200500000000001088 1200500000000001088 1200500000000001088 1200500000000001088 1200500000000001088 1200500000000001088 Total Amount $138.06 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 wiD 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 prope~, and the approved set of plans wiD remain on the site at all times d~ons}r~ti~. " 5>~ ~p~-,4~~/~/h A/J~/L/ 7/..:z?/~ Owner or Contractors Signa~ / Date' r 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~ity of Springfield Official Receipt ''''velopment Services Department Public Works Department Job/Journal Number COM2005-00990 COM2005-00990 COM2005-00990 COM2005-00990 CDM2005-00990 COM2005-00990 P:yments: Type of Payment Check ..1 7/2712005 RECEIPT #: 1200500000000001088 Date: 07/27/2005 Description Sanitary Sewer - ]st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Paid By Received By LB OLSON AND ASSOCIATES llh 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 9625 In Person Payment Total: 12:15:42PM Amount Due 45.00 14.00 45.00 14.00 8.26 ] ].80 $138.06 Amount Paid $138.06 $138.06