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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: COM2005-00985 ISSUED: 07/27/2005 APPLIED: 07/26/2005 EXPIRES: 01127/2006 ' VALUE: SITE ADDRESS: 6420 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 built~. Owner: ALBERTS DEVELOPMENT Address: 875 FAIRWAY DR. EUGENE OR 97401 Phone Number: 541-954-1978 I CONTRAL.I UJ( INFORMATION. Contractor Type' Sewer Contractor EGGE SAND & GRAVEL LLC ,I BUILumlJ mFORMATION. 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 DEVELOP MEN I HwORMA TION . REQUIRED PARKING Total: Handicapped: Compact: Front yard Setback: Overlay Dist: Side 1 Setback: # Street Trees Side 2 Setback: Paved Drive Rqd: Rearyard Setback: , % of Lot Coverage: Solar Setbacks: ATTENTION: Oregon law requires you to fnllf"\ul "lllt"I~ 1""lI,.J.....r...--' ,-. II ,-, . .. - -.-..-t-'......e. l...J Il. 'v ~ICVV.!.l' 'JH'U,.' ~otlflcation Center, rhostt~~s;,.wg~P.Y~MJ!.l, ISI Street In OAR 952-001-0010 through OAR 952-001- ~090. You may obtain copies of the rules by Stor~ Sewer A~ad~%1g the center. (Note: the telephone SpeCial InstruchoYiumber for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: DownspoutslDrains Notes: NOTiCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PFRMIT I~ flinT , . I~UIVIMtNCED OR IS ABANDONED FOR I Valuation Description \NY 180 DAY PERIOD. Description ,Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated , 1 of 2 ~1..=-..--,J"" .',..., "~',,', Iff., 111I=. ..-....~~~ ,'~ ~ Wi", I <'_'00',,"' ,'~ . .,-~~.. ".,._.J' '"Y Sta,tus: 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: COM2005-00985 ISSUED: 07/27/2005 APPLIED: 07/26/2005 EXPIRES: 01127/2006 VALUE: Total Value of Project L Fees Paid I Fee Description + 10% Administrative Fe~ + 7% State Surcharge Sanitary Sewer - ht 50 Feet Sanitary Sewer Each AddtI 100' Storm Sewer - ht 50 Feet Storm Sewer Each Addtll00' Amount Paid Date Paid Receipt Number $14.60 7/27/05 1200500000000001085 $10.22 7/27/05 1200500000000001085 $45.00 7/27/05 1200500000000001085 $28.00 7/27/05 1200500000000001085 $45.00 7/27/05 1200500000000001085 $28.00 7/27/05 1200500000000001085 . Total Amount $170.82 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 i~ 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 pro~,~' and the approved set of plans WiD remain on the site at all times~5..on ructi n. o. J ~ ' ~O~ j/J ,~~~ //-</~-3- ~, # / '/ / ' Owner or Contractors Sigmffure Date 2 of 2 225 Fifth Street Sp'ingficld, Oregon 97477 541-726-3759 Phone ~r..J '!I~,~~"C20~;~'?, .jii" ,',.'_c,~. ,I,. ~'.'" ! ~ ,.""....._". f .fll r ~ ". . '... -.--' '-, ",!..,~ City of Springfield Official Receipt velopment Services Department Public Works Department Job/Jo~rnal Number COM2005-00985 COM2005-00985 COM2005-00985 C:OM2005-00985 COM2005~00985 COM2005-00985 Payments: TyPe of Payment Check ,- .,; '" , 7/27/2005 RECEIPT #: 1200500000000001085 Date: 07/27/2005 Description , Sanitary Sewer - ]st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - 1st 50 Feet Storm Sewer Each Addtl100' + 7% State Surcharge + 10% Administrative Fee Paid By Received By LB OLSON AND ASSOCIATES llh Item Total: Check Number AuthOrIzatIon Batch Number Number How Received 9625 In Person Payment Total: 1 of ] 12:14:10PM Amount Due 45:00 28.00 45.00 28.00 10.22 14.60 $170.82 Amount Paid $170.82 $170.82