HomeMy WebLinkAboutPermit Building 1994-3-14
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 970270A
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 2790 GATEWAY ST
AsSeSSOrs Map #: 17032200
Tax Lot #: 02300
Owner: SOUTH UMPQUA BANK
Address: 59 EAST 11TH AVE
Phone #: 343-3325
City/State/Zip: EUGENE, OREGON 97401
Description Of Work:
NEW
Value:
0.00
Sanitary Sewer
Water Service
Storm Sewer
BACKFLOW DEVICE
PLUMBING
Fee
50 ft.
136 ft.
238 ft.
Charge
25.00
40.00
55.00
10.00
NO.
TOTAL PERMIT
130.00
-- OFFICE USE --
HANDICAP ACCESS: Y
Item
Square Feet
x
a/Square Feet
=
Value
TOTAL VALUE OF PROJECT
0.00
Plan Check Fee:
427.70 Rec #: 24626 Date: 02/19/97 Rec By: LORNE PLEGER
Surcharge/Admin
MECHlINIC'.AL
Surcharge/Admin
PAVING VALUE
PLUMBING
Surcharge/Admin
0.00
0.00
0.00
40,000.00 238.00
130.00
10.40
SUBTOTAL PERMITS
37B.40
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
378.40
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Job Number: 970270A
Page 2
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. To request an inspection, call 726-3769
(recorder), state your City designated job number, job address, type of
inspection requested and when you will be ready for inspection. Requests
received before 7:00 a.m. will be made the same working day, requests made after
7:00 a.m will be made the following work day.
Special Inspections: In accordance with
a special inspector shall be employed by
construction of any following "*" work.
shall be furnished to Building Safety.
Section 306 of the State Specialty Code
the owner/Contractor during
A copy of the special testing reports
In addition to the inspections specified, the Building Official may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
UNDERGROUND ELECTRICAL - Prior to Cover.
ROUGH GRADING - After gravel is in place but prior to placing concrete
FINAL PAVING - After paving is complete.
ADDITIONAL COMMENTS
THIS REVIEW IS FOR SITE UTILITIES AND GRADING ONLY. BUILDING PERMIT WILL BE
UNDER PHASE 2
plans Reviewed By: LORNE PLEGER
Building Site Reviewed By:
Date: 03/14/97
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 project address is readable from the street, that the
permit card is locate~_a:~~ont of the property, and the approved set
of plans will m, 07:te~imes during ,constr;;~~. ~
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--- VALIDATION
Date Paid:
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Receipt Number:
Amount Received:
Received By:
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City 0 f S P r in g (i e I d
22S Fiflh Slreel, Springfield, Oregon 97477. Developmenl services
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Date of Application '5/1"0191
Property OWner 6leVlera.1 brt:lY\I+h
Address: ~ (tf1.Je\.\ky ,,')+neA
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Site Address: ::.-.... baJew",-y SI-r,p--l.
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Phone: 7Yl....t.1,9tl
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SITE PLAN Required Date:Quantity of material, Property lines and descriptions, Tax map and
lot number, Site address, Existing Contour lines, Proposed COntour lines, Existing drainage
ways, Proposed drainage ways, Significant trees and foliage, Ground cover, Soil types,
Buildings, Septic systems, Sewers, Areas subject to flooding, Utilities, ;l reas subject to land
slides, Proposed site improvements.
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CROSS SECTIONS,
SOILS & GEOLOGY PLAN,
DRAINAGE, POLLUTION AND EROSION CONTROL PLAN
ADDITIONAL INFORMATION,
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,PHONE '=>41 / 1.7~ -0<;0<'>
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STATE oe
STATE
CONTRACTOR NAME: \--I1'1I.e.niap,
PROJECT SUPERVISOR: c.h.o.r1'Ie.
Registration Number: 4%~'l
ADDRESS: ~t.':> v.../.2nd AVtnue,
STATE: rR ,ZIP: 1:1'41)'2-
r lBBILE PHONE: ~..\ _ ?9>OI
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PHONE O~'O-"I<I~
, Expiration Date:
' ,CITY: tujeYlt..
OFFICE PHONE ~~ .114'" FAX 5'l O. 33Dlo
, EMERGENCY PHONE:~
By signature. I state llnd agree, that I have carefUlly examined the completed application and do hereby certity that all
Information herein Is true end correct. and I further certHy that any and all work. performed shall be done In accordance with
the Ordinances of the City of Springfield. applicable City Stlmderd specifications and Crawings. and the laws of the State of
Oregon pertelning to the work described herein. I further certify that only contractors and employees who are In compliance
with OAS 701.055 will be used on this project. .
The City may Inspect the work site described in this permit at any time during 8 one year period followIng the recaipt by the
City of notice of completion of tho described work and s y. at the City's solo desecration', any additional restoration work
required to return the site to a stand d acceptable to City. The permittee will be notified In writing of any work requlrod
and will have thirty (30) de s fro ate of the co to complete the work. Work. not comploted at the end of the thIrty
days will be performed b e the cas be billed to tho permiltee.
ulred I ctlons are requested at the proper time, thet project ad~ress I ~d8ble om
t e t . ,~\'-.. '-. _II f-"'~ rlurin~truCtion.
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DRAINAGE,
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WETLANDS, Description
FLOOD PLAIN, Zone:
, FEMA Community Panel No.:
FLOODWAY, FEMA Community Panel No.:
, Dale:
PLAN CHECK FEES:
UP TO 100 CUBIC YARDS
101 TO 1,000 CUBIC YARDS
1.001 TO 10.000 CUBIC YARDS
10.000 TO 100.000 CUBIC YARDS
100.001 TO 200.000
520.00
, 530.00
540.00
$40.00 For tho first 10,000 cubic yards. plus
$20.00 for oach additional 10,000 cubic yards or frllclion thoroot.
$220.00 For tho first 100.001 cubic yards, plus
$20.00 for oach additional 10,000 cubic yards or fraction thoreof.
$340 For tho first 200,001 cubic yards. plus
$6.00 lor each addition;)l 10,000 cubic yards or fraction thoroof.
200.001 CUBIC YARDS OR MORE
GRADING PERMIT FEES:
UP TO 100 CUBIC YARDS
101 TO 1.000 CUBIC YARDS
$30,00
$30.00 For tho first 100 cubic yards. plus
$ 1 4.00 for eoch additional 100 cubic yards or fraction theroof.
$156.00 For tho first 1,000 cubic YlHds, plus
$12.00 for oach additional 1,000 cubic yards or traction thereof.
$264.00 For tho first 10,000 cubic yards, plus
$54.00 for oach additional 10,000 cubic yards or fraclion lhorool.
$750.00 For tho lirst 100,001 cubic ymds, plus
$30.00 lor oach additional 10,000 cubic ynrds or fraction thorcof.
1.001 TO 10.000 CUBIC YARDS
10.000 TO 100.000 CUBIC YARDS
100.001 TO 200.000
Estimated Volume:
Plan Check Fee:
Received By:
Grading Permit fee:
Received by:
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Planning d..d ~ (~)'Pi-1<)
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Engineering 4.., 1"./}/.J..Is1"(.~ COH- $ITl "RAOING.)
BUildin9:4~~
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Maintenance:
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Receipt:27"~ ~ Date: ~~
Date:
Receipt "7 Vk::>~. Date:
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Date:
Date:
3-/4{-97
'3/1 Y/'!7
Date:
Date: ~/Y-'7":;>
Date
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Permit Number '97tP2 ?t:>~
Final ln~n,.r:tin~
Planning:
Engineering:
Building:
Maintenance:
Date:
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Date
Date
Date
Dato: