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HomeMy WebLinkAboutPermit Plumbing 2005-7-27 ~ If J"; I; Ii ,.~ '", 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