HomeMy WebLinkAboutPermit Building 2000-1-26
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SPRINGFIELD
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225 North Fifth Street
Springfield, OR 97477
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Page 1 of 3
Job# 99-01650~01
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RESIDENTIAL PERMIT
City Of Springfield ,
Community Services Division
Building Safety ,
Job Number: 99-01650-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: '3403 WATERMARK Dr Spr
Assessors Map#: 17021946.
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 30740
Subdivision:
River Valley Builders
PO Box 2041
Phone Number: 541-740-4370
City/State/Zip: Corvallis, OR 97339
Scope Of Work: Single Family Residence
New
Value: $0
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
River Valley Builders
PO Box 2041, CorVallis, OR 97339
G&E ELECTRIC
PO BqX 1686, ALBANY, OR 97321
Midway Heating Co Inc
12625 Se Sherman St, Portland, OR
97233-1449
Midway Plumbing Inc
2428 Three Lakes Rd Se, Albany, OR
97321-9781
Registration # Expiration Date
72942 04/15/2001
Phone
541~740-4370
541-967 -8627
24044 OS/22/1999
503-252-4003
4687 07/25/2000
541-928-7927
Office Use
Land Use:
Zoning Code:
Bedrooms:
'. Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage: .
To request an inspection call the 24 hour recording at 726-3769. 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. . .
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Required Inspections
I Building I
- To be made after excavation but prior to setting forms.
-Install ground rod at footing, and call for inspection in conjuction with footing andlor foundation i
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
~Prior to floor insulation or decking.
- Prior to decking. '
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: Accessory:
y
.:.
Temporary Power
Underground Plumbing
Underfloor Plumbing
Underfloor Drain
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
Backflow Device
Underfloor Mechanical
Fee
Building Administrative Fee
Total Building
I
Job# 99-01650-01
Required Inspections
I _ Electrical l
-Approval required prior to SUB energizing pole.
I Plumbing
-Prior to filling the trench.
- Prior to insulation or decking.
- Prior to bover or placement of concrete. .
I
-Prior to filling trench.
-Prior to filling trench.
I
-Prior to filling trench. .
-After gr~vel and filter cloth is installed, but prior to backfill.
I
-After device is installed but before backfilling trench.
I '1 Mechanical
- Prior to insulation or decking.
. # Of Stories:
. Current Units:
Census ~ode: Does not apply
Height (feet):
Proposed Units:
Total:
I
I
\.
Paid On Receipt#
Building
01/20/2000 0000318
Page 2 of 3
Value/Quantity
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Electrical
01/26/2000 369
01126/2QOO 369
01/26/2000 369
QuickStart Fee -, Residential
Total Permits w/o Srchg
Grand Total
Plan Check Type
Quick Start-Initial Revi
. Quick Start-Structural
Quick Start~Engineering .
Quick Start-Zoning
Permits w/o Srchg , 1
01/20/2000 0000318
,
I
Checked By
I
DOI"il Moore
I
DO~ Moore
Ken Vogeney
I
Ka~ Bork
Date Completed ,
01/20/2000
. .
01120/2000
01/20/2000
01/20/2000
r
Fee Amount
$.00
$.00
$40.00
$2.80
$1.20
$44.00
$150.00
$150.00
$194.00
I Job#99-01650-01 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 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 contr,actors 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
approved set of plans will remain on the site at all times during construction.
Signature
Date
. - \
.A .
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I
I Job# 99-01650-01
Page 1 of 3
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Spririgfield
. Community Services Division
Buildir,lg Safety
Job Number: 99-01650-01
Office: 726-3759
Inspection line: 726-3769
location Of Proposed Site: 3403 WATERMARK Dr Spr
Assessors Map#: 17021946
Lot: Block: Addition:
Owner:
Address:
Tax lot #: 30740
Subdivision:
River Valley Builders
PO Box 2041
Phone Number: 541-740-4370
City/State/Zip: Corvallis, OR 97339
Scope Of Work: Single Family Residence
New
Value: $0
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
River Valley Builders
PO Box 2041, Corvallis, OR 97339
G&E ELECTRIC
PO BOX 1686, ALBANY, OR 97321
Midway Heating Co Inc
12625Se Sherman St, Portland, OR
97233-1449
Midway Plumbing Inc
2428 Three lakes Rd Se, Albany, OR
97321-9781
Registration #
72942
Phone
541-740-4370
Expiration Date
. 04/15/2001
541-967 -8627
24044
05/22/1999
503-252-4003
4687
07/25/2000
541-928-7927
Office Use
land Use:
Zoning Code:
. Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00a.m. will be made the following
working day.
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Required Inspections.
I Building I.
- To be made after excavation but prior to setting forms. .
-'Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated. .
-After form~ are erected but prior to concrete placement.
.- Prior to floor insulation or decking.
- Prior to' decking.
Construction Types:
Occupancy. Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
--Area (Sq. Feet)
Main: Accessory:
"
;:..
Temporary Power
Underground Plumbing
Underfloor Plumbing
Underfloor Drain
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
Backflow Device
Underfloor Mechanical
Fee
Building Administrative Fee
Tota! Building
I Job# 99-01650-01
Required Inspections
, I Electrical I
. -Approval required prior to SUB energizing pole.
I Plumbing
~ Prior to filling the trench.
- Prior to insulation or decking.
- Prior to cover or placement of concrete.
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
-After gravel and filter cloth is installed, but prior to backfill.
-After device is installed but before backfilling trench.
I Mechanical
'-Prior to insulation or decking.
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Building
01/20/2000 0000318
Page2 of 3
Value/Quantity
Temporary: 200 Amps or Less
State Surcharge, For El,ectrical Permit
Electric Administrative Fee
Total Electrical '
Electrical
01/26/2000 369
01/26/2000 369
01/26/2000 369
I
QuickStart Fee - Residential
Total Permits w/o Srchg..
Grand Total
Plan Check Type
Quick Start-Initial Revi
Quick Start-Structural
Quick Start-Erigineering
Quick Start-Zoning
Permits w/o Srchg
01/20/2000 0000318
Checked By
, Don Moore
Don Moore
Ken Vogeney
Kay Bork
Date Completed
01/20/2000,
01/20/2000
01/20/2000
01/20/2000
1
Fee Amount
$.00
$.00
$40,00
$2.80
$1.20
$44.00
$150.00
$150.00
. $194.00
Q- '.' t~
I Job# 99-01650-01 I Page 3 of 3
By signature, I state and agree, that I have ca'refully 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 (he 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
approved set of plans will remain on the site at all times during construction.
Signature
Date
. .
. oWing project as submilled has the fol/
zoning, and does not require specific land
approval. . u
. Zoning . LO tz-
/- ~(p- 07J
Authorized' Signature ..(' W
Date,
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION' ~
34 CJ 3 Vv q +-e..-v- VV\ Q rk vV',
LEGAL DESCl}IPTION . J, j
/702- / 94'(; ?,t) '1q--Q
JOB DESC~TION . ~~
~/J1I, 1fiiL/~ /fffY(' ,~~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance orif work is suspended for
180 days. .
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Signature of Supervising Electrician
Owne~s Name 'b"r~ !-p.r' j('/f/l
Address RDt (3())( 2041
Ci ty(PDI' UtA!! (I.> Phone'741-~74tJ-4370
OVNER INSTALLATION
The installation is being.made on
property I .own~hi~h is not intended
for sale, lea~e or rent.
;;~a0i2
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~AT~-:\7----~T r21~-t(5(i~-~----------
RECEIPT #: (- (( -(( /(21
RECEIVED BY: v< '/11 .{A~'J-.
..
'9
. DATE:JAN 26 2000
ANT RECD:2 $ 44.00
CHANGE:
CASHIER: 042
ELEt.;nUCAL PERMIT APPLICATION
City job Numberq 9 I LO ~O
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portidn
thereof .
Each Manuf'd Home. or
ModularIMG~.
Service ms~i~~'r ' $ 40.00
RMIT SHALL E .
.B. . Services~%rr~2'~DtJ XPIRE IF THE Wo
Ins talla(ti~E~CEera~Q~@STHISPERMITI RK
or Relocaqon: o OR IS ABANDON SNOT
. .'. Kr\"~ 1800AYPERl' . . EDFOR
200 amps or less 00. $ 50.00
201 amps to 400 amps $ 60.00
~01 amps ~o 600 amps $100.00
601ampst'0 1000 amps $130.00
Over 1060 amps/volt's~ $300.00
Recon~iil db-.h:..., ' ./ , $ 40.00
13U ':J!J!Jo^, ":r.4- C.ci..'-LU' .
Tem~Pfity1fIJelev~/IJ€bJ~l~'e~&
Ins, tJtf-~'lit~~f!J ~la.taM tl~lqipj~loca tion
}Jo 'S6 ~ltnl 91doo U J9IUt; ,- ()4 .J9qUJnu ii,
2001i~~~-;1~J41.0!elqoI.rf9Iu ~fJNfJ1dJO 1.1 (). 00
201' ~(f,-J.iJJ&f1 '1(gGJi' pJJu..~ n~:;e~
Over"C40119jrrfhO~llq fiJ,SlU9,.., ...~S~~ :'
Over ,.600 amvs 1iiq'f; I ~P'e>l-lJJllBa'J.I'o"" above
, ' ., A/(). BmJ A. . .f t
, . ".' . ,..J\"n, .rIO//OJ
Branch CHCUl ts ., _.'- UV'g.!.J..f;.,.
$ 15.00
c.
"1,
D.
,.
Newi Alteration or Extensioh Pe~ Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not incltided)
-Each installation
Pump'or irrigation, $ 40.00
Sign/Outline Lighting. $ 40.00
Lim~ted Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~. on
7% State Surcharge ~. ~(J
3% Administrative Fee }.,J-CL
TOTAL U U ; U ( )
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