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Home My WebLink AboutPermit Building 2000-2-17 I I" ,- ./ I Job# 99-01095-01 I .,:;1/; CITY ()F SPRINGFIELD, OREGON Page 1 oT~ANS#: 01-0000635 DATE:FEB 17 2000 AMT RECD:2 $ 60.50 CHANGE: CASHIER: 059 225 North Fifth Street Springfield, OR 97477 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01095-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 204 00030TH St Spr . AssessorsMap#: 17023100 Lot: Block: Addition: Owner: Address: Tax Lot #: 00700 Subdivision: Goodwill Industries 855 ,Seneca Phone Number: 541-345-1801 City/StatelZip: Eugene, OR 97402 New Value: $0 Scope Of Work: Miscellaneous ' 691,422. Contractor Type General Contr Designer Landscape Mechanical Contr Plumbing Contr Quad Area: 3CNC # Of Units: Constr. Type: Water Heater: Contractor Registration # Expiration Date Phone Soft Tech Design & Construction Inc 52008 11/25/2000 541-726-3922 1655 N 32nd St, Springfield, OR 97478-5530 IRU x,x,X CedarLandscapelnc 503-625-3700 14145 SW Galbr~ath Ct, Sherwood, OR 97140 Harvey & Price Co 77 1 0/31 /2000 541-746-1621 Po Box 1910, Eugene, OR 97440-1910 Twirl Rivers Plumbing Inc .17695 3/11/2001 541 -688-1444 Po Box 40397, Eugene, OR 97404-0064 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. ' , ' Required Inspections , I Transfered Records I. -Approval required prior to SUB energizing pole. - Prior to filling the trench. -After trenches, are excavated. -After line is installed and capped if not attached to an appliance. - Prior to cover. Temporary Power Underground Plumbing Footing Rough Gas Underground Electrical ~ Foundation Rough Electrical Rough Mechanical Rough Plumbing Slab Electrical Service Gas Service Water Line Sanitary Sewer Line Shear Wall Nailing Storm Sewer Line Framing Drywall Special Backflow Device. , Underground Electrical Final Electrical BackflowDevice Fee Plan Check Fee Building Permit Building Permit Electrical Permit Electrical Permit Electrical Permit Plumbing Permit Mechanical Permit SDC- Transportation Paving Mechanical Issuance Total Transfered Records Job# 99-01095-011 Page 2 of 3 Required Inspections I Transfered Records I -After forms are erected but prior to concrete placement. - Prior to cover. - Prior to cover. - Prior to cover. . To be made after allinslab building service equipment, conduit piping, and other equipment iterr - Must be approved to obtain permanent power. -After line is installed and line has been connected to a minimum of one appliance. Pressure tes - Prior to filling trench. - Prior to filling trench. - Before covering sheathing with finish materials. - Prior to filling 'trench. - Prior to cover. - Prior to taping.. -See Plan Review and/or Inspectors Notes, -Afterdevice is installed but before backfilling trench. Electrical -Prior to cover. - When all electrical work is complete. I Plumbing I -After device is installed but before baqkfilling trench. #Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: Total: , I Paid On Receipt# Transfered Records 11/22/1999 36254 10/11/1999 35836 11/22/1 999 36254 10/12/1999 35836 10/26/1999 35997 11/22/1999 36254 10/15/1999 35910 11 /22/1 999 36254 11/22/1999 36254 11/22/1 999 36254 11/22/1999 36254 883 418 1,358 40 36 238 480 94 10,000 373 10 Value/Quantity Each Pump or Irrigation Restricted Energy - Multi Family State Surcharge For Electrical Permit State Surcharge For Electrical Permit Electric Administrative Fee . Electrical 02/17/2000 635 02/04/2000 471 02/04/2000 471 02/17/2000 635 .02/04/2000 471 1 1 Fee Amount $883.03 $418.00 $1,358.00 $40.00 $36,00 $238.00 $480.00 $94.00 $10,000.00 $373.00 $10.00 $13,930.03 $40.00 $36.00 $2.52 $2.80 $1.08 Fee Job# 99-01095-01 I Paid On Receipt# , I ' Electrical 02/17/2000 635 Electric Administrative Fee Total Electrical, I , Plumbing 02117/2000 635 02117/2000 635 02/17/2000 635 02117/2000 635 Page 3 of 3 Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Backflow Prevention,Device Plumbing Administrative Fee Total Plumbing Grand Total 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 $1.20 $83.60 $5.00 $1.05 $10.00 $,45 $16.50 $14,030.13 BACKFLOY PREVENTION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD , BUILDING SAFETY DIVISION , .'.. . < 225 FIFTH STREET OFFICE: 726-3759 SPRINGFIELD OR 97477 INSPECTION LINE: 726-3769 "~~-------------------:E~-=-6ooc:f~f\\-~~;;o-::--foD6"io~------------ JOB LOCATION: :2D4 30 ~ 5fee..rU- ~R...,'~'~rct 1 <[)~ " ASSESSORS MAP #: TAX LOT #: OYNER: , . :' ~:~ ADDRESS: PHONE #: CITY: STATE: ZIP: r,D? I G.-.b~ BACKFLOW PERMIT IS $15.00 + $~(STATE SURCHARGE) + $.45 (ADMIN. FEE) = $16~ CONTRACTOR: Cd CU2- lD..n c\ ~.~_ ~tV'.. ADDRESS: 14145 siAJ G IC.- \ PlffA.--~ b~PHONE #: CITY: ~~wonA ' STATE: () <2- CONSTRUCTION CONTRACTORS REGISTRATION #: ,,~~~~ , ~ '2? - 31 DO - 1-- 2'32- ZIP:9=] \ t.tD EXPIRES: '1/'27) D-o I I' BY SIGNING THIS PERMIT/APPLICATION, I AGREE TO CALL FOR AN INSPECTION ONCE THE BACKFLOW PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE FOR INSPECTION (726-3769). I ALSO STATE THAT ALL INFORMATION ON THIS PERMIT/APPLICATION IS CORRECT.' ' . , :'", .....1 '" '~../\t"" SIGNATURE ,~~ ,{;-/ I/Q~ . DATE FOR OFFICE USE \; ----------------------------------------------------~--------------------~------ DATE OF APPLICATION: JOB #: q~ -DIOq 5 --9 l RECEI PT #: TOTAL AMOUNT COLLECTED: ISSUED BY: -------------------------------------------------------------------------------- ... ,.. ~, 225 FIFTH STREET SPRINGFIELD, OR 97477 ;~~i~~'oa~~gcio~o~ect~s su~mitted has the following (541) 726-3753 approv'al no reqUIre specific land use FAX(541) 726-3689 225 FIFTH STREET Zoning c-" C!- ELECTRICAL PERMIT APPLICATION ~~~:~i~:fREg~~~~ ~~i~376Y 'd--/7 - (T7) \~ity Job Number ~ q- Otoq ')- () 1 OFFICE: 726-3759 Authorized Signaturel"l _ - ~u.-J ~ 0 cd w ; \\ 1) ~ \..:.a:~.L 3. COMJ:'LlH.15 FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION f". ~'-l ,30-l-h ,~+ L~prti~\J:Tidd A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: I JOB DESCRIPTION 1l (\d C;(\ ~ Permits are non-transferable and expire if work is not started wi thin 180 days of issuance or if work is suspended for _'______180_days. _ -. ___, 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling _Service or, Feeder- Items Cost Sum $ 85.00 $ 15.00 ..,,- - $,,40.,00 - ,-------- 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders /1 - Installation, Alterations Electricai Contractor l._,f'da~ La.nd~.e.. or Relocation: Address IYI~5 CSuJ GA-lhf".e.o..,+t\Q 200 amps or less City~~u)oodOrzpho~~ 1'f;;';J.t; -niDO ,~gi :~~~ ~~ ~gg:~~~ e-t..h '2.'32. 601 amps to 1000 amps Supervisor License Number ~~~~ Over 1000 amps/volts / Reconnec t Only Expiration Date fp/'?,()/OD I i ConstrContr. Numberl'l 5'S '3'5--1 Expiration Date 91~"11on I S1gnature of Supervising Electrician ~--- ~~~ ~D. Owners Name Address City Phone OVNER INSTALLATION The installation is being made on propeity I own which is not intended for sale, lease or rent. Owners- Signature: DATE: RECEIPT #: RECEIVED BY: $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps ~ver 401 to 600 amps Over 600 amps or 1000 Branch Circufts $ 40.00 $ 55.00 '$ 80.00 volts see "B" above New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Fermit $ 2.00~ Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE -e,% State Surcharge 3% Administrative Fee TOTAL not included) { 9't7 -- $ $ $ $ L/o :J. . 8'Q W' ~o 40.00 40.,00 20.00 36.00