HomeMy WebLinkAboutPermit Building 1997-11-3
SRRINOPIELD
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 971375
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3957 HAYDEN BRIDGE RD
Assessors Map #: 17021900
Tax Lot #: 03300
Owner: EWEB
Address: 500 EAST 4TH AVENUE
Phone #: 484-2411
City/State/Zip: EUGENE, OREGON 97401
Description Of Work: CLORINATION FACILITY
ADDITION Value:
0,00
Name
Architect: BLACK & VEATCH
Address
Phone
--- PLUMBING ---
No,
16
Fee
Charge
160,00
85,00
25,00
25,00
20,00
Single Fixture
Sanitary Sewer 371
Water Service 47
49' FIRE WATER
2 BACKFLOW DEVICES
ft,
ft,
TOTAL PERMIT
315.00
- -- MECHANICAL ---
NO,
Fee
Charge
7,50
27,00
54,00
10,00
9
Furnace/burner & vent < 1000,000 BTUs
Vent Fan/Single Duct
9 UNIT HEATERS
Permit Issuance
TOTAL PERMIT
98.50
HANDICAP ACCESS: N
-- OFFICE USE
QUAD AREA: 3 CNC
LAND USE: 5300
Item
Sq, Ftg Main
Square Feet
2822
x
$/Square Feet
Value
604,470,00
TOTAL VALUE OF PROJECT
604,470.00
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
1,490,50
119,25
98,50
7,09
315,00
SPRINGFIELD
/~I'~
Job Number: 971375
Page 2
Surcharge/Admin
CITY SDC FEES
HOURLY PLAN REVIEW
25,20
819,87
320,00
SUBTOTAL PERMITS
3,195,41
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
&t.EiGr.
Pt!7"r""';7
3,195.41
~~
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':l~o/~.DI
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,
GRADING/EXCAVATING/FILLING - To be done during constr by Special State
Certified Inspector, Provide reports/tests to City Building Inspector
WATER LINE - Prior to filling trench,
SANITARY SEWER LINE - Prior to filling trench,
UNDERGROUND ELECTRICAL - Prior to Cover,
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
STRUCTURAL CONCRETE in excess of 2500 psi. TO be done during constr.
by State Cert, Insp, Results to City Building Inspector
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
STRUCTURAL MASONRY - To be done during constr by State Certified
Special Inspector, Provide results to City Building Inspector.
MASONRY - Steel location, bond beams grouting or verticals in
accordance with UBC 2415,
BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special
Inspector. Provide inspection/test reports to City Building Inspector
STRUCTURAL WELDS - To be done during constr by State Cert Special
Inspector. Results of inspection/test to City Building Inspector.
HIGH STRENGTH BOLTING - To be done during constr by State Certified
Special Inspector, Results provided to City Building Division,
ROUGH PLUMBING - Prior to cover,
ROUGH MECHANICAL - Prior to cover,
ROUGH ELECTRICAL - Prior to cover,
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
FINAL PLUMBING - When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete,
FINAL ELECTRICAL - When all electrical work is complete,
FINAL FIRE - When all Fire Department requirements have been met,
been met.
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
SPRINGFIELD
Job Number: 971375
Page 3
- - - ADDITIONAL COMMENTS
REVISED PLANS REPLACE FORMER JOB #961516,
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 10/27/97
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 located at the front of the property, and the approved set
of plans will remain on the site at all times during construction.
K(uAL
j-
/1/5/'1/
Date
Signature
--- VALIDATION
Date Paid:
d... 7 9. go 3
I/-() 3- 97
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Receipt Number:
Amount Received:
Received By:
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
, ,WORKSHEET
, NAME OR COMPANY
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/', "LOCATION:---l9~(f7 flt7d<!'~J2c/ - ~-dh\ .itr" ft..J~-/' If'/hn~flo,,.,;:Y~,,
/ DEVE'LQPMENT TYPE: /(,~ ~fd.4 - ,c..ll'-;'~A~j.,1/2uj;k/1 'n46b"1 ~~ V '
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BUILDING SIZE ~,S.i275.F InT SIZE SO, Ft.
1, STORM nRATN'!\GF
IMPERVIOUS SO, FT,
,
2, SA,NTTARY Sn<!ER-CfT'!
NO, OF PFU'S
(See Reverse Side)
3, TRANSPORTATiON'
:;! <.I - ,-
,J. ?-." .'J
,. .
X $0,226 PER SQ, FT, fLZ.hu.B3 "
X $46,86 PER PFU
$ -0-'
"
NO OF UNITS X TRIP RATE X COST PER TRIP
X '
X
X
.4, SANITARY SFWFR'.M,Jf1r
NO" OF. FEU'S
, X $472. 49
,
't!r
$ ,
X $472,49 ,
$
X $472,49
$
X
.PER FEU + $10 MWMC/ADM FEE $
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
5, AnMTNTSTRATTVF FFFS
TOTAL-MWMr snr $
SUBTOTAL (ADO ITEMS 1.2,3 & 4) , $ 7&'XA,.1
BASE CHARGE (SUBTOTAL ABOVE) X' ,05
, ~,f.'bA:Vr.L-'
,/( ,SDe" Co6rd~6a 1;&'
$ .17,.0Y'
Date:./~~7
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