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HomeMy WebLinkAboutPermit Building 2000-4-12 .. " , e" I Job# 00.00480-01 I . Page 1 of 3 TRANS~:01-0001219 DATE:APR 12 2000 AMT REeD:1 $ 220.00 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00480-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2660 Hayden Bridge Rd Spr Assessors Map#: 17032400 Lot: Block: Addition: Tax Lot #: 00101 Subdivision: Owner: Jack Cobb Phone Number: 541-726-0495 Scope Of Work: Garage City/State/Zip: spri'Wt~<t~97477 "'O~\G~: Llto-\..\..E.~r>\I'-E. \~r\(.j!~'il ~C$~5,089 '" p.N\\i S~' i\'l\S r> fOl'- ....ule; r>e_ . ,,,,\\E.I'- ~,,"'I':.O 'to-lIi\'lOl'-IL.c:.~; 01'- \'0 to-'O~I - "NlE.~C 0,00, Contractor COw' () ~ratlon # Expiration Date Weyers Construction to-~'i W, 135477 5/27/2001 6736 Main Street, Springfield, OR 97478 Crow Valley Electric Inc 95910 1/6/2001, \,).\\'\::.... J , Po Box 22201, Eugene, OR 97402 \3'lo1 ,<l\.\ non \.J\I" .' ,,"'}' \ "nle" _~, lu ,,~' - "''0'1' r_ a'~- "l' Office Use ,. , ,.;JI '...0?\0V 'illeS Q 952.-v ' jlo.\ '....',,,leSav "\'nos~~ffi\Oto-<> lieSX-' Land Use: Si~lTiily,gWE1(jj~O\\#'Of~Ujldlng'~:or13 Zoning Code: LE1fu\i\ic~t9' 52...\}O~-\)~\ainOC~'3~~ncyfGf~up:' Accessory Structu Oto-<> a'l 0" \~l(\\P" ",,,\I1'VV Bedrooms: \1' 0 'iolll1l en\8\' "~at~pl,lrc,~:, Range: 009 ~\illg\ne~tleOlers;:q" F.ootBge: r. ,,,,y . ,"", To request an inspection call the 24 hour recording at726-3769."~~~:;r~'Ct[;;-~~<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 working day, 2660 Hayden Bridge Rd Address: Contractor Type General Contr Phone 541-741-3455 Electrical Contr 541-729-5108 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW (VN) Wood Frame Verify Ground Rod Foundation Framing Final Building Required Inspections I Buildinll I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After forms are erected but prior to concrete placement. - Prior to cover. -When all required inspections have been approved and the building is complete, Electrical Rough Electrical Final Electrical - Prior to cover, - When all electrical work is complete, I Plumbinll - Prior to filling trench, Storm Sewer Line .. . . I Job# 00-00480-01 . Page 2 of 3 Land Use: Single Family Dwelling Pave Driveway? 0 ,Zoning: LOR I FloodPlain? [?J Wetlands? 0 Journal numbers 1: 2: 3: Comments:Garage cannot excede height of primary structure, In 100 yr ftOI Overlay District: # of Street Trees: Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Planner: Kay Bork Urban Growth Boundary?[?J Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types:(VN) Wood Frame Occupancy Groups:Accessory Structure # Of Buildings: 1 # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory~368 Fee Residential Plan Check Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Storm Sewer Footage Plumbing Administrative Fee Total Plumbing Grand Total Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Flood Plain FEMA: Panel 1153 of 2973 # Of Stories: 1 Current Units: Census Code: Does not apply Height (feet): 14 Proposed Units: Total:1368 Paid On Receipt# Plan Check 03/29/2000 1073 Value/Quantity I Fee Amount 25,089 $113,75 $113.75 Buildin!! 04/12/2000 1219 04/12/2000 1219 04/12/2000 1219 25,089 $175,00 $12,25 $5,25 $192.50 Plumbin!! 04/12/2000 1219 04/12/2000 1219 04/12/2000 1219 04/12/2000 1219 40 $,00 $1,75 $25,00 $,75 $27.50 $333.75 Checked By Lisa Hopper Steve Templin Kay Bork Don Moore Date Completed 04/04/2000 04/06/2000 04/12/2000 04/12/2000 '. _ . I Job# 00-00480.01 I . Page 3 of 3 By signature, I state and agree that I have carefully examined the completed application and do 'hereby certify that all information herein 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, I further state that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction, ~ ~. \ ~ Un- rt\1 '-.-.-' q -/~ -(f'~ Signature Date Thr. IOllowil1p fl~nrrr' ~.' ~':".'''';':..-: has the foil zoning WII..O lk.t,;;: 11.-'. :""-i"'''~' ~,;jecifjc land u approval .i:D ZOning f2- 4 ~ /</-:v 225 FIFTH STREET Date -,----,--, "-EtEeTRICAL SPRINGFIELD, OREGON 97477 Authorized Signature ~ ' INSPECTION REQUEST: 726-3769 City Job Number OFFICE: 726-3759 -Jro ::I tJJ - tfJt.JgO -07 1. LOCATION OF INSTALLATIO!i. J _ IJ I d ~i, fJ M (h~,-h() t'"'f fr~J"- I<' q , LEGAL DESCRIPTION II 03 'Z'-ItrV 00/01 JOB DESCRIPTION YVIn\ JI ('{j _~O}o./ 1/ r 0 Permits are ion-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address PI) . 8fJiJJ':J dlJ! Citywg Phone~) Supervi"or License Number !Lk D 15 Expiration Date~7 Constr Contr. Numbe~~J () Expiration Date 16//)-/ ~i1 ei'i'~ Owners Name .::Jl\C(L c.." V:I ~ ~"-t'- PrJ ~ Phone '7?..fJJ ~ot..f C/O- Address .:;)(,,(p 0 Ci ty ~.L-J o O\INER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: i..{-/4--o-V RECEIPT #: \d$ a-- RECEIVED BY: <>'K).jvJ 2 DATE:APR 14 2000 AMT RECD:2 $ 55.00 CHANGE: CASHIER: 032 , PERMIT APPLICATION o-v ' 01) 4-)(0 ~ 0/ 3. COMPLETE FEE SCHEDULE BELO\I A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost '. Sum" 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular Dwelling Service or Feeder ,$ 40.00 ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 ij),- $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.QO Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ~~, --- 7% State Surcharge .3, So 3% Administrative Fee i, s-o TOTAL 55 - ~ I Job# 00.00480-01 I . Page ,1 of 3 TRANS#:01-0001310 DATE:APR 20 2000 AMT RECD:2 $ 55.00 CHANGE: CASHIER: 059 '~ CITY OF SPRINGFIELD, OREGON: RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00480-01 . 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2660 Hayden Bridge Rd Spr Assessors Map#: 17032400 Lot: Block: Addition: Tax Lot #: 00101 Subdivision: Owner: Jack Cobb Phone Number: 541-726-0495 City/State/Zip: Springfield, OR 97477 New Value: $25,089 Address: 2660 Hayden Bridge Rd Scope Of Work: Garage Verify Ground Rod Foundation Framing Final Building ,...,1 leI.., Contractor Type ,Contractor ^' follow rUI~~ <R;g~t~aho~',ii;;OY Expiration Date 'votificar; .:: ,,,-:v vy II E:1 reoOn I 'IT General Contr Weyers Construction , OAR g~~o G E'135477i1ose rUle,5/27/0.1t'fll) , . ,,,- 010010 VV'''''c or. 6736 Main Street, Springfield()9~ ~3~W,a - ,through OAR 952-001'- II' Y Obtain copIes of.... Crow Valley Electric Inc ca mg the cl9,59~0(Nole'l'h 1/6/0-1/Ies b, "'1M" 'v.. etele h ' Po Box 22201, Eugene, OR 97402e~~~,t~:, ?!e_9.on uiility NOli~c~t~" '" , '~'.'''''','al'll Office Use . Land Use: Single Family Dwelling # Of Buildings: 1 Zoning Code: LDR Occupancy Group: Bedrooms: Heat Source: t\Jt~'P1P~,:.. Sq. Footage: .1__. To request an inspection call the 24 hdJl/rec&.E!'!1gr~I~2Pi37.69, ~I inspections requested before 7:00 a,m, will be made the same working d"v,-insoections regbeirt~1I'Irfteif-7fGO:aem"will be made the following ,...'J IT''''HfLl::U UNO" .. working day, GOMM ERTHISPERMn ~ ENGEO OR IS AR "",,\, ,..\lV r l/JO .R"!lBireif"nsp~fi'6l1s:': ;:V/. DAY .1::J;IIf)n . I BUlldii111 I -Install ground rod at footing, and call for inspecti, -After forms are erected but prior to concrete plac - Prior to cover, -When all required inspections have been appro~ CrCuJ Phone 541-741-3455 Electrical Contr 541-729-5108 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW Accessory Structu (VN) Wood Frame Electrical ~ gel\.. UcJ.Lk~ W~ ~ (M ~'tD f~g~ () ? P (),;\~ Underground Electrical Rough Electrical Electrical Service Final Electrical - Prior to cover, - Prior to cover. - Must be approved to obtain permanent power. -When all electrical work is complete, Storm Sewer Line I - Prior to filling trench, Plumbinll ~ I Job# 00.00480.01 . Page 2 of 3 -; , Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: 3: Comments:Garage cannot excede height of primary structure, In 100 yr flol Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? 0 Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Planner: Kay Bork Urban Growth Boundary?0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types:(VN) Wood Frame Occupancy Groups:Accessory Structure # Of Buildings: 1 # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory~368 Fee Residential Plan Check Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Permanent: 200 Amps or Less Permanent: 200 Amps or Less State Surcharge For Electrical Permit State Surcharge For Electrical Permit Electric Administrative Fee Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Storm Sewer Footage Plumbing Administrative Fee , Total Plumbing Grand Total Plan Check Type Initial Review-Res Engineering-Res Planning-Res Flood Plain FEMA: Panel 1153 of 2973 # Of Stories: 1 Current Units: Census Code: Does not apply Height(feet): 14 Proposed Units: Total:1368 Paid On Receipt# Plan Check 03/29/2000 1073 Value/Quantity I Fee Amount 25,089 $113,75 $113.75 Building 04/12/2000 1219 04/12/2000 1219 04/12/2000 1219 25,089 $175,00 $12,25 $5,25 $192.50 Electrical 04/14/2000 1252 04/20/2000 1310 04/14/2000 1252 04/20/2000 1310 04/14/2000 1252 04/20/2000 1310 1 1 $50,00 $50,00 $3,50 $3,50 $1,50 $1,50 $110.00 Plumbing 04/12/2000 1219 04/12/2000 1219 04/12/2000 1219 04/12/2000 1219 40 $,00 $1,75 $25,00 $,75 $27.50 $443.75 Checked By Lisa Hopper Steve Templin Kay Bork Date Completed 04/04/2000 04/06/2000 04/12/2000 ~ . Page 3 of 3 - I Job# 00.00480-01 I Checked By Date Completed Don Moore 04/12/2000 ..., , Plan Check Type Structural-Res By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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, I further state that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction, Signature Date