HomeMy WebLinkAboutPermit Building 1996-10-07OFSPruNGFIELD,
SPFIrlGFIELD
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 1521 MOIIAWK BLVD
Assessors ttap #: L7032534
COMMERCIAL/IITDUSTRIAL PERMIT APPLTCATION
CITY OF SPRINGFIELD ilob Number:
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Office:
Inspection Line:
Page 1
9 513 07
725 -37 59
125 -37 69
Tax Lot #: 03900
Owner: BI MART CORP
AddrCSS:. L52T MOHAWK BLVD
Description Of Work: ENLARGE PHARMACY
Phone #: 344-068L
ciEy/state/zip: SPRTNGFTELD, oREGON 97477
REMODEL Va]-ue 0.00
GeneraL:
Plumbing:
Electrical
Contractor
DORMAN CONSTRUC OO588O1
PO Box 1458 Springfield OR 97477000
}ARVEY & PRICE OOOOOTT
PO Box 19L0 Eugene OR 974400000
ALERT ELECTRIC OOL2772
l-970 N 28th St SpringfieLd OR 97477
Congt.
Contractor #Expires
o8/21./e7
1.0/31./e6
os /22 / e7
Phone
7 44 - OOL2
7 46 -1,62L
7 47 -22L3
PI,I'MBTNG - - -
No
1
Fee Charge
10.00
15.00
Single Fixture
TOTAI. PERMIT
QUAD AREA: 2CNW
-- orFrcE usE --
LAND USE: 5300
Item
PHARMACY REMODEL
TOTAI, VALUE OF PROiIECT
Square Feet x $/Square Feet Val-ue
7, 500.00
7,500.00
PIan Check Fee:44.53 Rec #z 23292 Date: 09/26/95 Rec By: LORNE PLEGER
BUILDING
Surcharge/admin
MECHANICAL
surcharge/aamin
PLUMBING
surcharge/aamin
SUBTOTAL PERMITS
58.50
5 .49
15.00
L.20
0.00
0.00
90.19
TOTAL PERMIT FEES EXCLI'DING ELECTRICAI.90.19
SPFINGFIELEI
Job Number: 96L307
OF SPruNGFIEI.O,
Page 2
--- REQUTRED TNSPECTTONS ---
ft 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 add.ress, type ofinspection requested and when you will be ready for inspection. Requestsreceived before 7:00 a.m. wil-L be made the same working day, requests made aft.er7:00 a.m will be made the following work day.
Special Inspections: In accordance with Section 305 of the state Specialty Codea speciar inspector shalL be employed by the owner/contractor duringconstruction of any following "*" work. A copy of t,he special testing reportsshall- be furnished to Building SafeEy.
In addition to the inspections specified, the Building Official may make orrequire other inspect,ions of any construction work to ensure compliance withthe Building, City or Development Code.
ROUGH PLITMBING - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
FRiAIIING - Prior to cover.
FINAL PIJITMBING - When all plumbing work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FrNAr. BUTLDTNG - when all required inspections have been approved and
the building is complete.
--- ADDITIONAL COMMENTS
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LfSA HOPPER
Date: Lo / 02 / 96
By signature, I state and agree, that I have carefulty examined the compteted
application and do hereby certify that all- information hereon is t.rue and
correct, and I further certify that any and all work performed sha11 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 Lhe
Community Services Divlsj-on, Building Safety. I further certify that only
conLractors and employees who are in compliance with ORS 701-.055 will be
used on t,his 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, t,he front of the property, and the approved set
of plans will remain on the site at all times during construction.
/%=,aM tofof*
Signature Date
,TION - - -
Receipt Number
Date Paid
Amount Received
Received By:
OREGO'VCITY OF
SPRIhlGFIELO
225 PIFTE STRBBf,
SPRINGFIELD, oRBGON 974
BI.ACTRICAL PERHIT
City Job Nunber
,TION
INSPBCTION REOTIBST:
OFFICE: '726-3759
726-3769
Derte.n'1'
1 Signature
s are non-transferable and exPirePe
if rk is not started vithin 180 daYs
of issuance or lf vork ls suspended for
180 days.
2. COITI"ACTOR INSTALI,ATION ONLY
Electrical Contractor Alett El""att.,
Addresstgzo lr- zgtr, ,
ci Spri field,Phone 747-22L3
Supervisor License Number 3401S
Expiration Date L0-01-95
Constr Contr. Number 20-5 C
Expiration Date 10-01--94
Signa of Superv Electrician
3.COHPI,ETB FBB SCMDULE BBLOU
A. Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwel}ing
Servlce or Feeder
$ 1s.00
s 40.00
B. Services or Feeders
Installation, Alterations
Incgr Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect only
c
E.
-Each installation
Pump or irrigation
-
Sign/0utIine Light ing-
Limited Energy/Res
Limited energy/Comm
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
Over 600 amps or fbOO voTIs see rrgrr "fiffi
Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit f $ 3s.oo 5.
Each Additional
:l';:il":'rxli!,'"rvi? g 2.oo 8-
Miscellaneous (Service/feeder not included)
Sum
$ so.oo
s 60.00
$100.00
$r30.00
$300.00
$ 40.00
-fffL,t*Da
rs Name
Address
Ci Phone
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
STIBTOTAL OF ABOVB
5Z State Surcharge-aad73/^
Wo,o.-
$ 40.00
$ 40.00
s 20.00
$ 36.00
@
RBCEIVBD
5
4b
$ 8s.00
a