HomeMy WebLinkAboutPermit Building 2000-05-09SPRINGF!ELD
Job# 00-00615-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of3
TRANBS:01-0001618
DATE:HAY 09 IOOO
AHT RE[D:2 $ 161.69
2 $ 30.00
EHANEE:
CASHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1248 Modoc St Spr
Assessors Map#: 17032644
Lot: Block: Addition:
Job Number: 00-0061 5-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 17300
Subdivision:
ctrY oF SPRfiNGFIEL4 OREGON
Owner: Ray & Dorothy Hemminger
Address: 1248 Modoc Street
Scope Of Work: Kitchen
Phone Number:
City/State/Zip:
Addition
541 -746-5906
Springfield, OR
Value: $12,187
Contractor Type Contractor Registration
GeneralContr Growing Season, lnc 142018
1728W 34th Place, Eugene, OR 97405
ElectricalContr Ray & Dorothy Hemminger
1248 Modoc Street, Springfield, OR
MechanicalContr Growing Season, lnc 142018
1728W 34th Place, Eugene, OR 97405
Plumbing Contr Growing Season, lnc
1728W 34th Place, Eugene, OR 97405
# Expi ration Date
142018 4t4t02
"nnlHa.{
^VO
0gL 'rlriY
4t4t02
Phone
541 -501 -8376
541 -746-5906
541-501-8376
541-501-8376
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
(VN) Wood Frame
B&n$kscrwettsiuo c33Nl3 t l rll (-' 3
r" $Hgimru gU glel E@AuvrdffiUoL$cil e u i ld i n ss : 1
zonlijgfffi i }B$raru ilVHS il t^tHl d 0'&6tu pancy G roup: Dweilins
BedlUdniS: - :Ell"ftg4tSource: Baseboard EtectricRange: Sq. Footage: 1Ts
To request an inspection callthe 24hour recording a1726-3769. All inspections 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.
- Required lnspections
Building
Footing
Foundation
Post and Beam
Floor lnsulation
Geiling lnsulation
Shear Wall Nailing
Framing
Walllnsulation
Drywall
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to floor insulation or decking.
- Prior to decking.
-Prior to cover.
-Before covering sheathing with finish materials.
-Prior to cover.
- Prior to Cover
-Prior to taping.
ollow rules adoo'l(
{\.lctiticatior
FinalBuilding
Rough Electrical
FinalElectrical
Street lmprovement:
Curb Cut?[
San Sewer Depth (Ft):
Storm Sewer Available?
SpecialReq.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
Fully lmproved
lmprovement Agr.?
Job# 00-00615-01 Page 2 of 3
Required Inspections
.Whenallreq,i,e#provedandthebuildingiscomplete
Electrical
- Prior to cover.
-When all electrical work is complete
Sidewalk Type:
AdditionalROW?
Size Of Line (in):
Curbside - 5'
Downspouts/Drains: To Curb and Gutter
Enchroachment Permit:
San Sewer Tee (in):
00/00/00 00:00 AM Bond End DateTime: 00/00/00 00:00 AM
May connect new roof drains to exiting roof drain system if in good conditir
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? [ Wetlands? [
Journal numbers
1:
Comments:
Planner: AlWard
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
2 3
Additional Requ irements
tr Glenwood Area? ! Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:nla
Land Use: Single Family Dwelling
Pave Driveway? E
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main: 175 Accessory
# Of Stories: 1 Height (feet): 12
Current Units: Proposed Units:
Census Code: Does not apply
Total:175
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
04t2612000 12,187 $64.03
$64.03
Building Permit
State Surcharge For Building Permit
Building
05/09/2000
05/09/2000
$98.50
$6.90
1618
1618
12,187
Overlay District:
# of Street Trees:
Job# 00-00615-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Building Administrative Fee
Total Building
Building
05/09/2000 1618
Electrical
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Tota! Electrica!
05/09/2000
0s/09/2000
05/09/2000
1618
1618
16'18
2 $37.00
$2.59
$1.11
$40.70
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
System Development
05/09/2000
05/09/2000
't618
1618
175 $40.60
$2.03
$42.63
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Lisa Hopper
Dennis Ernst
AlWard
Wendy Stanley
Date Completed
0412812000
05/09/2000
05t02t2000
05104t2000
$255.72
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 701.055 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 property, and the
will remain on the site at alltimes during construction
Signature Date
t 0
$2.96
$108.36
City Of Springfield
Development Services
Community Services Division
Building Safety Job# 00-00615-01
Page 1 of 1
.t
Location Of Proposed Site: 1248 Modoc St Spr
Assessors Map#: 17032644
Lot: Block: Addition
Tax Lot#: 17300
Subdivision:
Owner: Ray & Dorothy Hemminger
Address: 1248 Modoc Street
Scope Of Work: Kitchen
Phone Number:
City/State/Zip:
Addition
541-746-5906
Springfield, OR
Value: $0
Contractor Type
GeneralContr
ElectricalContr
MechanicalContr
Plumbing Contr
Gontractor
Growing Season, lnc
1728W 34th Place, Eugene, OR 97405
Ray & Dorothy Hemminger
1248 Modoc Street, Springfield, OR
Growing Season, lnc
1728W 34th Place, Eugene, OR 97405
Growing Season, lnc
1728W 34th Place, Eugene, OR 97405
Registration #
142018
Expiration Date
04t04t2002
Phone
541 -501 -8376
541-746-5906
541-501-8376
541 -501 -8376
142018
142018
04t04t2002
04t04t2002
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
04t26t2000 12,187 $64.03
$64.03
System Development
Residential- Single Family - Storm
SDC Administrative Fee
Tota! System Development
175 $40.60
$2.03
$42.63
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Lisa Hopper
$106.66
Date Completed
04t28t2000
End Of Report
CITY OF SPR OREGON
225 FIFTE STREBT
SPRINGFIEU)r OREGOIIP
TNSPECTION REQTIEST
OFPICE: 726-3759^utnoiiio sr:gnrirr"
'[ifH,,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
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/vo1ts
Reconnect Only
ELECTRICAL PBRT{IT APPLICATION
Ci ty Job Nunbe' 00-006 l9- 0l
FBE SCMDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service IncLuded:Items Cost
SPFlINGFIELO
One Circui t
Each Additional
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
Zoning
477
1 OP TIONa
t4bt HffiryH- ['1
JOB DESCRIPTIONk;+r}',-{,r- o-AA, r,n-,i-L
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
. CO}ITRACTOR INSTALI.,ATION ONIY
E1 ec ical Contractor
Address
A
c
E
Sum
B
s 8s.00
$ 1s.00
$ 40.00
s s0.00
s 60.00
s100.00
$130. 00
s300.00s 40.00
Ci ty
Supe
Expi
Cons
Expi
Phone
rvisor License ber
ration Date
tr Contr. Number
ration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less
201 amps to 400 amps
-Over 40L to 600 amps
0ver 600 amps or 1000 voITs
Signature of Supervising Electrician
0vners Name
Address boc
ci ,vsgfuJrra€tD_Phone
OIJNER INSTALTATION
40.00
55. 00
80.00
$
s
$
s ee I'Bil aEove
D. Branch Circuits
Nev, Alteration or Extension Per Panel
w-+qob I s 3s.oo %9
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Circuit or vith Service, ^ffOor Feeder Permit I $ 2.00 !:
Miscellaneous (Service/feeder not included)
-Each installation
Pi.rmp or irrigation $Sign/0utIine Lighting- $
Limited Energy/Res
-
$
Limi ted Energy/Comm S
0wners Signature:!,*/o.**"7'- .
40.00
40. 00
20.00
35.00
DATE:
RBCETVED BY:
5
approval
nc-
as submited hasrequirespecific
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