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HomeMy WebLinkAboutPermit Building 2000-1-26 ;. .!" .~R "1 SPRINGFIELD ~. 225 North Fifth Street Springfield, OR 97477 ~,' I Page 1 of 3 Job# 99-01650~01 .# 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 . .. 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 ~ .' . - --h! ~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 ( ) . I