HomeMy WebLinkAboutPermit Plumbing 2005-7-27
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'", CITY OF SPRINGFIELD'
BuildinglCo~bination Permit
PERMIT NO: cOM2005-00984
ISSUED: 07/27/2005
. APPLIED: 07/26/2005
EXPIRES: 01127/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
SITE ADDRESS: 6408 Forest Ridge Dr Springfield TYPE OF
ASSESSOR'S PARCEL NO.: MOUNTAINGA TE 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 buiIts.
Owner: ALBERTS DEVELOPMENT
Address: 875 FAIRWAY DR.
EUGENE OR 97401
Phone Number: 541-954-1978
. I LUfllTRALIUK ml'uKll1ATION I
Contractor Type
Sewer
Contractor
EGGE SAND & GRAVEL LLC .
License
Expiration Date Phone
541-485-1515
# of Units:
Primary Occupancy Group:
Secondary Occupancy ,
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
I nUlLDINl. mI'UKll1ATIONI
# 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
, IIJ~ V ~LU r Ivl~l"'ll U"'ll' U.K1\'1A TION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
. # Street Trees
Paved Drive Rqd: .
. % of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon laVvjftqU!J~.J,)l."""IIDVEMJ!.fHSI
follow rules adopted by the VI t:YUII U LllIlY
Notification Center. Those rules are set forth
Stor~ Sewer Arft~~~:g52-001-001 0 through OAR 952-001- N Orh?~:nspouts/Drains
SpeCial InstructtftlliO. You may obtain copies of the rules by c
caliing the center. (Note: the tel~~ho~e THI~ PLRMIT SHALL EXPIRE IF THE WORK
number for the Oregon Utility NotificatIon AUTHORIZED UNDER THIS PERMIT IS NOT
e:';-t.S~:-C ~ '!0() ".lQI)~I)QL1L1.~ COMMENCFn OR I~ .llRAi\lnmlcn mn .
I I'\NY 180 DAY PERIOD -- -..
Valuation Description' .
T f C t t. $ Per Sq Ft Square Footage'
. ype 0 ons ruc Ion
or multiplier or Bid Amount
Street
Sidewalk Type:
Notes:
Description
Value
Date Calculated
1 of 2
~'"
Status: . Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax.
541-726-3769 Inspection Line
CITY OF SPRINGFIELD i'
Building/Combination Permit
PERMIT NO: COM2005-00984
ISSUED: 07/27/2005
APPLIED: 07/26/2005
EXPIRES: 01/27/2006
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 Addtll00'
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
1200500000000001084
1200500000000001084
1200500000000001084
1200500000000001084
1200500000000001084
1200500000000001084
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 mling trench.
,I.
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 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 c.
the stree.t, that the permit card is located at the front of the prope~ Jnd the approved set of plans will remain on the site
at all times d~SQnstruc~';1 , , j' /c:!~ . '
~~J~~dl__-;t1Y)/I1~ 7/~/~- ,
- J I
Owner or Contractors Signature'"
/
Date
/
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-j759 Phone
, City of Springfield Official Receipt
relopment Services Department
Public Works Department
,
Job/Journal Number
COM2005-00984
COM2005-00984
COM2005-00984
COM2005-00984
GOM2005-00984
COM2005-00984
Payments:
Type of Payment
Check
',.
I . ~
7/27/2005
RECEIPT #:
1200500000000001084
Date: 07/27/2005
Description
Sanitary Sewer - 1st 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 Rec.eived By
LB OLSON AND ASSOCIATES Ilh
1 of 1
Item Total:
Lheck Number AuUtorlzatlon
Batch Number Number How Received
9625 In Person
Payment Total:
/'
12:13:42PM
Amount Due
45.00
14.00
45.00
14.00
8.26
11.80
$138.06
Amount Paid
$138.06
$138.06