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
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