HomeMy WebLinkAboutPermit Building 2001-11-30
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Job# 01-01174-01
Page 1 of 3
TRANS#:Ol-0007392
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
DATE:NGV 30 2001
AMT RECD:2 $ 2555"66
CHANGE:
CP!SHIEF~: 061
Job Number: 01-01174-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 1068 Centennial Blvd Spr
Assessors Map#: 17032644
lot: Block: Addition:
Tax lot #: 10500
Subdivision:
Owner:
Address:
Calvary Church
1116 Centennial Blvd
Phone Number: 541-747-7125
City/State/Zip:
Springfield, OR 97477
Value: $38,300
Scope Of Work: Paving
Calvary Open Bible
Parking lot improvements at 1068 Centennial Blvd
New
Engineer
,0 541-746-0637
e, ~o~ ~~ *-~
8/1~~eJt ':0'\~~~'" 541-451-5141
~\~e~O~0 ~0 oJ;>f1; 0tb'Q';
^ \fli. ~y\'0 JOIf>J:<<' ~~ Jra
Office Use ~0~ub'Q~ ~0~ t(\ '~~'O ~~ . ~o'\'
~9. c~\.f?! ~~o o~~~o ~0 .~'v~
land Use: ..<\.0 1>.(:.> 1'>.... l'o.>t<i. ~ ift&~~
\,' e,v ~.... ~v ~~ . ~.,,:(:i::JJ}.-
Zoning Code: ~<C' ~~0 v0~,SJ() ~~'V~~~!t~roup:
Bedrooms: ~ ~o~ #o~ o;<J~ ~ ~ ~eti~~~~e:
Range: \0 ~,o ~ 9>~ ~ ~~ v0~ ~g..~tage:
.........0 ~ \1"\ 'bra 'e'" 1.;,
',~ .~. . ~.....' o~~' i."~
To request an inspection call the 24 hour recording at 726-3769.'Il ~c@rl~c~W~~uested before 7:00
a.m. will be made the same working day, inspectiqns requested after -P.~.m~i11 be made the following
working day, ' ~
_c..~
~v' \\
Contractor Registratio~ # ~~~~ate
A K Stickler Construction Co 99489 ~~~~~~O~
36579 Alderbranch, Springfield, OR ~<t:,..p -<..~Co<( O~<t:,<:;)
97478 C~. ~~y..~ ~~ ~\J
Antone Electric ~O~~<(<t:,~~~~\Co~ 5 .tq -07-
27514 Snyder Road, Junction City, ~ b~~~O<:;)'
97 448 ~'U-<..~ ~<(,.~ ~ <(<0
Branch Engineering vO~ ,~~<:;)~
310 5th Street, Springfield, OR 97477 ~~
Morse Bros Inc 2101
Po Box 7, Lebanon, OR 97355-0007
Phone
541-741-0132
Contractor Type
General Contr
Electrical Contr
541-688-4444
Plumbing Contr
Quad Area:
# Of Units:
Constr:. Type:
Water Heater:
Required Inspections
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
- When all electrical work is complete,
I Plumbing
- Prior to filling trench,
Storm Sewer Line
I Job#01-01174-01 I
Required Inspections
I Permits w/o Srchg I
-After gravel is in place but prior to placing concete.
-After paving is complete.
Rough Grading
Final Paving
Zoning:
FloodPlain? D Wetlands? D
Journal numbers
1: 2001-06-0124 2:
Overlay District:
# of Street Trees:
Comments:Discretionary Use - Site Plan - Colin Stephens
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source locn:
Material:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
Fee
Commercial Plan Check
Total Plan Check
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Impervious Surface Area - Storm
SDC Administrative Fee
Total System Development
Flood Plain FEMA:
Page 2 of 3
land Use:
Pave Driveway? D
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Plan Check
10/24/2001 7072
Value/Quantity
Electrical
11/30/2001 7392
11/30/2001 7392
11/30/2001 7392
11/30/2001 7392
Plumbing
11/30/2001 7392
11/30/2001 7392
11/30/2001 7392
11/30/2001 7392
System Development
11/30/2001 7392
11/30/2001 7392
I
38,300
80
6,774
Fee Amount
$199.10
$199.10
$2.00
$43.00
$3.15
$3.60
$51.75
$.00
$4,13
$59.00
$4,72
$67.85
$1,849,30
$92.46
$1,941.76
.-4- .
Fee
Job# 01-01174-01
Paid On Receipt#
Planning
11/30/2001 7392
Page 3 of 3
Value/Quantity
Fee Amount
Final Site Plan Insp for Occy
Total Planning
1
$100,00
$100.00
Paving
Total Permits w/o Srchg
Grand Total
Plan Check Type
Permits w/o Srchg
11/30/2001 7392
38,300
$306.30
$306.30
$2,666.76
Checked By
Date Completed
Comment
Initial Review-C/I/P
Engineering-C/I/P
Lisa Hopper
Steve Templin
10/25/2001
11/13/2001
no cutting centennial blvd permitted. see
revised plan for connection to existing catch
basin @ 11 th street
Returned plans to Steve T, for revisions
required by Engineering.11/14/01 dim;
Returned to me same date.
Engineering-C/I/P
Don Moore
Planning-C/I/P
Liz Miller
I
11/05/2001
Colin Stephens Planner - Add Wheel Stops
protecting tree as shown on plans. - Final Site
inspection required.
Structural-C/I/P
Tom Marx
10/29/2001
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon, I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is located at the front of the property, and the approved set of plans will remain on the site at all times
. Z:~ F;;3J/- /1/!p/o1
Signatl1"fe Date
ThE. Nlng project as submitted h~,S the following
;,22S FIEJ:H, STREET ionihg"and ~oesnotre~\Jire"~peclflc land.yse ELE~.~<19AL PE~l1T AP~LI<2-7-TION
',"$PRINl..irJbLb ORE~~77~":} 'l....;;~~! .'?/','>~~';;"" -," "'/""";,,;c: ",''''
~;'..JN,SPEC:riON..REQIJ?SL72~~~ '.,..", 7", ':' , '::i~~.JOO NU;;I)~:~D\{J\ \14,01:' ..,.,...
-.,,,OlfICE:.?26...3759~'D'te...,;;,.~JQ..lrl'I(JI, , ~<",""'<~~:::.:.<'''' . ,:' ".,,;,,':,"
-' : '.' a,. "',' D\(PO~~i'v1PLETEFEE~CHfD~EBELOW '.-
',;;. .:. 1. Lq~ATWN .WINSt.~;~~fM~ure ';FUj~;.' .' '~,": ."' -" ~
.. \0tQ~\\_ot;\~ ~(rl = A,'NcwResidenti;~I~Singlerjr ' '..'
Multi-Family per dwelling unit.
Service Included:
L\~(Th~ON\D\CO
Items Cost
S 11111
J9.B, Il!SC~'::~O~.. " ~
_~f) .~~ffiQ.
lOOO sq,ft, or less
Each additional 500
sq, fi or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Sell'ice or Feeder
$106,00
Permits are non-transferable and expire
if work is notstarted within 180 days
of issuance or if \vork is suspended for
180 days,
$ 19,00
,::. ~
$ 50,00
2, CON~9}OR I!'fSTALLA nON ONLY B. Scn:jccs 0"Feeders
. , :/1) Installation, Altcrations.()'r, ,:
Electrical' c.~~~,acto~~n 'to 0 e e Ie..., , '. ,Relocation:
Adr1!'ess !!)l''lJe rtf:' .C;", ,/-1,.",..... ~J' 20, (), .".'..'.',pS or .l.ess'.. """ '." " ,
. '"" . _[~ :._.f&._."O.,.i',~'_.f"i"-_". '__WI 'li"~.=l;~ ~ ..l _ ". _
, ""'l" ~ -' , # ... . ,.: ,:,' ,~: 20] amps to 400'~Pip~' :~:::;<;:,
City J'ui1-6}Oil :'l?'::Pholle-h 8iJ''1:'!1,{14 ,'J 401 amps t~..c:;OO'~~ilfps':);;:;~~<::
SUP'mSO~4*n~~nlber4toi.R'~ '~i. .:!~,...~~;;lri;d:;~.:f'.~ ;.. '~.. .i; ,:, ")~,.
'.!.:~~~;',~,~:') ,:,.<:t>"
~. ,"" ~~.. ;,;;I~,' , '::,,, ..., ~~.< _~'. .
.~'{2~:::~~ ~ig)~-{~!~r~~p.r Supenising t~lcct.,~jcian ..- ':'- . -~2Over"'4T)]~'to~:~Q(~~a~~1n~:-.~:~:::<~.~-<:~:~.-.~ ;. .$).,-oO.Oi)
, ;;("),;~',' ";~~S c?!!if;':;2;,~:.,.// 0'\ 'cr' 6b63:rrrp~rbrc;rOOiJ '\tolts 's'ei:"
.:~:~~.{~;~t;1k3~~') "B" ab~t ""''"'~,,''
,ik:~~i2~{.~~~.o~n 0 . m D
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.J~,'~', .:.~~/~' :..~~~t~,<~<,.:~'~. r'"?:~ ~~";c" t" :'~~~".: .',~::; '~'I'~ ~:'.:; 'J';;;'.~;~;~';~':\J . , L..J
.:":'7' \.,_J":"",:,::;.'-.i--:"~,'~_.;":'..',.'".,_~~, _..~;.:,:,::',-,~-:'.:>.~,r' :",:
":"J;1~~~i~!~~(!ld. .
;~F;'Owner~$igri~tiil'e:':~' .;\,:, '.';~:.': "
~ _... 'C.. ..'..... ~_; .e.:::- ;:.::. _;_"_: _
.,~~_:~ :~~~7G:_.~.;'" '.;~ . #~ ~'. ,;":.~ :~.;~,~y:l?~. ~ .:- ~ . ~:';'~"~~J" "....:., .+ "
....
-'''l::6''30' 0" .
.. ;~~;-.~, ..' ~ .. -.
, ,'c::iL7 5;0'0,.'
$J'2.5;OQ~'
. "$163.00
.:.."crb"7- 0'"
'" , ,4>,J,;), \l
,;:'S~:50,O$ .
JI"--
"\" ,.
Bl'anch CiT;<:.uits ..' ...,
NewAlt~t~ltiOIl orExlensjon Per,p~i~eF;..
On'eGJ~ilit:.;]' : ,:..,~c:":~',!.:."c,,i,.~.',..$~3.'..:~O ',113/)(,
J _ :-e__\.~:" _
. -,"- .'
',-,,'. - -; - ~"- .;,.... '.~_." . ....~:.:- ,. H '1;:.-..-"
6aCllA:cidit(onal cih:nit or with Sendee",.
6r~eederPernlit ':\:, , ~'''.:$:too''
=~~-~-~:;/~: ~~.' :',_::.=" . ,-"J-
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. . --. .. - .
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E, Miscc!l,ineQ~s($eniiCCfcf{.~ilcr not inciutie~-? . ;
. ~E~~!:.;~9~F~I~p:o:liF."':~"
.i;' ijn~n . 0.1' Itn;f;~t1on :', ,. .
%i,gnJqntline;:Lfg l~tjng :.
Limited Energy/Res'.',.
$.50.00'
$5D,OO
$25,00"
,-)" ,
1 ;'i11!~"',:..A.:t:'..~.a'~F"-"IC^-'n' ~'n'"
. _:-;.~_'.: '.t~~.~:~~':?:~J'; '-!z_.:~_~~~~
$45,00,
rvnninH!tfl.E!~~t~~~~:rErmit)nspection Fee is $.:15,00 + Surchai:ges
. :. ..~. '-. " ...._~l: ':', ~.' ,
4. SUBTOTAL,OKA.BOVE
'_I,' ",. _' .
7'i'0 State Silfchitgc
S% Administratiyc Fce
TOTAL
l+~,
3. IS
3.1tJ
5ZJ5