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HomeMy WebLinkAboutPermit 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: COM2005-00989 ISSUED: 07/27/2005 APPLIED: 07/26/2005 EXPIRES: 01/27/2006 VALUE: SITE ADDRESS: 6434 Forest ~dge Dr Springfield TYPE OF ASSESSOR'S PARCEL NO.: MOUNT AINGATE 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: ALBERTS DEVELOPMENT Address: 875 FAIRWAY DR. EUGENE OR 97401 Phone Number: 541-954-1978 I CONTRACTOR INFORMATION. Contractor Type Sewer Contractor EGGE SAND & GRAVEL LLC I BUILuU'll:i li~l'UKl\'1ATIONI License Expiration Date Phone 541-485-1515 # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled 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 DEVELurlVlJi..l'l,j 11l'l,jl'UKlVlATION. 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~!TENTION: Oregon law reqUires you ~o fnlln,^, n Ilp~ ::lrJooted bv the Oreqon Utility ~otification Center. Those. rUI1~l7v.~j~iMi'ROVEME'N.r~II~IE: In OAR 952-001-001 0 thro~gh .~. .. . - - -, I HIS P '_, . Street 0090. You may obtain copies of the rules by AU I ERI\t~~(l~~~~l!~~PIRE IF Storm Sewer ~U~bl~:]e center. (Note: the tel~phone C THORIZ[:D'o~Ws'P'9.ijt~EalP~ THE WORK Special Instr~u~mer for the Oregon Utility Notification A OMMENCED OR IS ABANDO:MIT IS NOT Center is 1-800-332-2344). NY 180 DAY PERIOD. ED FOR Total: Handicapped: , Compact: Notes: I Valuation DescriPtion' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or. Bid Amount Value Date Calculated 1 of 2 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00989 ISSUED: 07/27/2005 APPLIED: ' 07/26/2005 EXPIRES: 01127/2006 VALUE: Total Value of Project LFees Paid I 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 2200500000000000999 $6.30, 7/27/05 2200500000000000999 $45.00 7/27/05 2200500000000000999 $45.00 7/27/05 2200500000000000999 Total Amount $105.30 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 pertaming 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~, Jnd the approved set of plans wiD remain on the site ::ZP'~~~A'~ A.-::J;;t:; 7/Z7/,zU---- f~' / ~ Owner or Contractors SignatUR Date 2 of 2 225 Fifth Street SpringfJeld, Oregon 97477 541-726-3759 Phone ~~ City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200500000000000999 Date: 07/27/2005 12:15:32PM Job/Journal Number COM2005-00989 COM2005-00989 COM2005-00989 COM2005-00989 Description Sanitary Sewer - ]st 50 Feet Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Check Paid By L.B. OLSON & ASSOCIATES Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 9625 In Person Payment Total: Amount Due 45.00 45.00 6.30 9.00 $105.30 Amount Paid $105.30 $105.30 "" 7/27/2005 Page 1 of 1