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HomeMy WebLinkAboutPermit Plumbing 2005-7-27 , . .,~ Status: Issued 225 Fifth Street, Springfield, O'R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRING}lELD . Building/Combination Permit PERMIT NO: COM2005-00983 ISSUED: 07/27/2005 , AI.r LIED: 07/2612005 . EXPIRES: 01127/2006 VALUE: SITE ADDRESS: 6398 Forest Ridge Dr Springfield TYPE OF ASSESSOR'S PARCEL NO.: MOUNTAINGATE 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 builts. . Owner: Address: ALBERTS DEVELOPMENT 875 FAIRWA.-Y DR. EUGENE OR 97401 Phone Number: 541-954-1978 I CONTRACTOK ll'iJ:'uKl\1A.TION . Contractor Type Sewer Contractor EGGE SAND & GRAVEL LLC License Expiration Date Phone 541-485-1515 I nuJ..i..DING ll'iJ:' UKll1A.l.lUl~. # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary 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 u~,,'ELOPMEN.l mJ:'UKl"lA.l.lUl'J . 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 fnllnw r1llpc; ::lrlnntprl hv thp Orpnnn I Jtilitv Notification Center. ThosqP@BI.""CJ.wWOOVEMJ:'.,l~.l s. in OAR 952-001-001 0 thrOl..l~11 Vf"\1\ ;:;J..U..-UU 1- . 0090. You may obtain copies of the rules by Storm Sewer Avai~4r.lg the center. (Note: the telephone Special Instructionllmber for the Oregon Utility Notification Center is 1-800-332-2344). Street Sidewalk Type: Notes: DownspoutslDrains ' NOTiCE: . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS P~RMIT IS NOT "nn,.1ARr~lr'cn nn II:' ^O^l\lnnI\ICn cnn I ValuationDescriPtion/l~Y 180 ?AY PERIOD. Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value. Date Calculated 1 of 2 ....:.-1tIr~f~,~;~~'~~ .~, '" ...;,q' t. _.. _.0........ ,..~ "cC"" .,,=.'~, CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO:' COM2005-00983 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 Total Value of Project Fees 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 1200500000000001083 $6.30 . 7/27/05 1200500000000001083 $45.00 7/27/05 1200500000000001083 $45.00 7/27/05 1200500000000001083 Total Amount $105.30 'I Plan Reviews I To &equestan 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 pertaining to the work described herein, , and that NO OCCUPANCY wiD be made of any structure without permi'ssion 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 d~~~:P;~ k;:;~ 7/27/d!V'-- . . c f ~, /' r Owner or Contractors SignaMfre . r Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 54i~726-3'759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department ',~, ," RECEIPT #: 1200500000000001083 Date: 07/27/2005 12:13:18PM Job/Journal Number COM2005-00983 COM2005-00983 COM2005-00983 COM2005-00983 Description Sanitary Sewer - 1st 50 Feet Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Amount Due 45.00 45.00 6.30 9.00 $105.30 Payments: Type of Payment Check Item Total: Check Number Au Utorization Paid By Received By Batch Number Number How Received LB OLSON AND ASSOCIATES IIh 9625 In Person Payment Total: Amount Paid $105.30 $105.30 ~ ~ ;' ., ~...!. " " :r 7/27/2005 I of 1