HomeMy WebLinkAboutPermit Building 1996-04-23SPFIIl.GF!ELO
225 North Fifth Street
SpringfieJ-d, OR 97477
COM!,TERCIAL/ TNDUSTRIAL PER}TI T AP PIJ I CATION
CITY OF SPRINGFIEI.D
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
.fob Nu.uber: 960418
aa
afr,
Office:
Inspection Line:
725 -3759
725 -37 69
LocaEion of Proposed Work: 3200 VITUS LN
Assessors t"tap #: 17023000 Tax Lot #: 00801
Owner: RAINBOW WATER Phone #: 745-!576
Address: 1550 NORTH 42ND STREET City/SLate/Zip: SPRINGFIELD, OREGON 97478
Description Of Work: CONCRETE RESERVOIR NEW Val-ue 0.00
SPilNGFTEI-O,
Name
CH2M HILL
Address Phone
Architect:
Contractor
ConEt.
Contractor #Expires
1-2/20/e5
Phone
255 -L985General:WARD HENSHAW 0062762
PO Box 950 Canby OR 9701-30000
}ANDICAP ACCESS: N
-- oFFrcE usE --
QUAD AREA: 3CNC LAND USE: 5300
IUem Square Feet x $/Square Feet VaLue
TOTAL VALUE OF PRO,TECT 1,550,000.00
PIan Check Fee: 1,890.20 Rec #: 2084L Date: 03/27/95 Rec By: LoRNE PLEGER
BUILDING
surcharge/aamin
MEC}IANICAL
Surcharge/eamin
PLUMBING
Surcharge/edmin
SUBTOTAL PERMITS
SYSTEMS DEVELOPMENT
TOTAL PERMIT FEES EXCLI'DING EI,ECTRICAL
2, 908.00
232 .54
0.00
0.00
0.00
0.00
3,140.64
2 ,7 05 .98
5 ,846 .62
SPF!NGFIELE'
o
h,
ilob Number: 95O4Lg Page 2
--- REQUTRED INSPECTIONS ---
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. To reguest an inspection, caLL 726-3769(recorder), state your City designated job number, job address, type of
inspection reguested and when you wil-l- 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 Section 306 of the State Specialty Code
a special inspector sha11 be employed by the Owner/Contractor during
constructj-on of any following:'t*rrwork. A copy of t.he special testing reports
shall- be furnished to Bui-lding Safety.
In addition to the inspecEions specified, the Building Official may make or
require other inspections of any construction work to ensure compliance wit.h
the Building, Cit,y or Development, Code.
TEMPOR,ARY POWER
I,NDERGROI,ND EIJECTRICAL - Prior To Cover.
GRADING/EXCAVATING/FIIJIJING - To be done during constr by Special State
Certified Inspector. Provide reports/tests to City Building Inspector
FOOTING - After Lrenches are excavated.
SLAB - To be made after all inslab building service eguipment, conduit
pipi-ng, and other equipment items are in place buL prior to concrete
BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special
InspecEor. Provide inspection/test reports to CiEy Building Inspector
STRUCTURAL CONCRETE in exceeE of 2500 pei. To be done during constr.
by State Cert. Insp. Resul-ts to City Building Inspector
STRUCTURAL WELDS - To be done during constr by State Cert Special
Inspector. Results of inspection/tesE Eo City Building Inspector.
ROUGH ELECTRICAL - Prior to cover.
FINAL ELECTRfCAL - When al-I electrical work is compLete.
FINAL FfRE - When all- Fire DepartmenE reguirements have been met.
been met.
FINAL SITE PLAII - After all requirements have been met for Minimum
DevelopmenE Standards or from the Development Agreement.
FINAL BUILDfNG - When all reguired inspections have been approved and
the building is complete.
--- ADDITIONAL COM}IEMTS ---
DRC 96-02-23, PLANNER IS LAI'REN LEZELL
SITE PLAI{ REVIEW ,JOURNAL #96-02-23, LAIIREN LEZF,LL, PLANNER
P1ans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: o4/23/95
By signature, I state and agree, that I have carefully examined the completed
application and do hereby cert.ify that alL information hereon is t,rue and
correct, and I furLher certify that any and aII 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
contracLors and employees who are in compliance with ORS 701.055 will- be
used on this projecE.
I further agree to ensure that all required inspections are reguested at t,he
proper time, that project address is readable from the street, t,hat the
permit card is located at the front of the property, and the approved set
of plans will- remain on Ehe site at all Eimes during const,ruction.
4 -2.>-"tL
Signat,ure Date
SPFINGFIELE,
Job Number: 950418
a SPilNGflEA,a
Page 3
--- VALIDATION ---
Zt241Receipt Number:
Date Paid:
Amount Received:
Received By:
t{-23-1b
564 b . (cL
LL
SPFINGFIELD
a
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Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEMI CIIARGE
(COMMERCIAI. / TNDUSTRIAL)
SPilNGFIELD,
Name or Company: RAINBOW WATER
Location: 3200 VITUS LN
Developement Tlpe: I Building Size:
Job No.: 950418
Lot Size Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft 1.0 X L2272
2. SA.I'IITARY SEWER - CITY
Number Of PFUs 1.0 X 0
(see Page 2)
3. TRAI{SPORTATION
Number Of Units
5. ADMTNISTR.ATIVE FEES
Base Charge (SubtoEal Above)
X 43.43 Per PFU =
X Trip Rate X Cost Per Trip
X 0.210 Per Sq Ft =
Per PFU + MIMC Admin Fee
r-8.750
Transportation Total
4. SAIiIITARY SEWER - MI'n{C
Number Of PFUs
0
MI^MC CREDIT If ApplicabJ-e (see Page 2)
TOTAL - MWMC SDC
SUBTOTATJ - (Add ItemE 1, 2, 3 & 4)
x
x
$2,577 .L2
$0.00
$o. oo
$o. oo
$o. oo
$o. oo
i2,577 .L2
$128.85x 0.50
TOTAL SDC $2,705 . 98
Reviewed By: TROY MCALLISTER Date: 03/28/95
SPRINGFIELEl
o
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,Job Number: 960418 Page 2
FIXTIIRE I'NIT CALCULATION TABLE
Fixture Type
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
FLoor Drain
Interceptors For Grease/Oi1/Solids/rtc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clot.heswasher
Clot,heswasher - 3 Or More
Receptor For Refrigerator/Water Station/ntc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Sing1e SLaII
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, SEall/wa11
Iilash Basinf T,avatory, Single
Water Closet, Publ-ic Installation
Water Closet, Private
Miscel-Ianeous
TOTAL FIXTURE UNITS =
CREDfT CALCTLATION TABLE: Based on assessed value. If improvements occured
after annexaLion date, crediLs are calculated separately
(calculaLions are by $r-000)
Year Annexed:
Credit For Parcef Or Land Only If Applicable: 0 X 0.00 = 0.00
ImprovemenL (if after annexat,ion date): 0 X 0.00 = 0.00
CREDIT TOTAL = $0.00
(If land value is multiplied by L then the parcel/land credit, is not accurate.)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
U
n
0
0
0
0
0
2
L
3
5
2
6
l_
3
z
a
2
1
6
4
CITY OF OREGONe
Pto
7 lv -q'1
P r'/\
SPFrI!*GFIELT)
EI^ECTRICAL PERHIT AP
Job Nunbe r'7 b
Items
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e.
225 FIFTE STREET
SPRTNGFTEL^D, OR-EGON 91 471
INSPECTI0N REQUESTz 726-3769
OFFICE: 726-3759
3 'fr,?ux
JOB DESCRIPTIONr
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTAII,ATION ONLY
Electrical ContractorNoi-t hu: <E-l InJ
Address
cit
OVNER ALLATION
Ci ty
3. COHPLETE FBE SCHEDTILE BELOV
€t PLICATION
0'il {
A Nev Residential-Single or
Multi-FamilY Per dvelling unj't'
Service Included:
Cos t
s 8s.00
s 40.00
s s0.00
s 60.00
s100.00
$130.00
s300.00s 40.00
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home' or
Modular Dvelling
Sertice or Feeder
Supervisor License Number lfl 7 S
Signature of Supervising Electrician
Ovners Name Atn LO
Address l5 SO orr\ q 2 ryS Trc..rf
,n"".1llp - lb1 lt
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less _t--
201 amps to 400 amPs
-401- amps to 600 amps
-
601 amps to 1000 amPs-
0ver 1000 amPs/volts
-
Reconnect OnIY
B.
eVc-
D.
E
tr*
-Expiration Date I t- qq
constr contr. Number 1 / 0 l; l3
TemporarY Services or Feeders
Insiallaiion, Alteration or Relocation
Expiration Date Ql -ot-7q 200 amps''or less
201 amps to 400 amPs
-Over 40L to 600 amPs
Over 600 amPs or 1000-voT[s
C
40.00
55.00
80.00
e-e I'B* a56ve
$
s
$
S
$
s
$
$
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
0vners Signature:
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35'00
f."n eaaitional-cii"utt or vith Servic-e 1.00 6*or r""aet Permit 3 S '
Miscellaneous (Service/feeder not included)
-Each instaflation
Pump or irrigation ---Sign/Outline Lighting_-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
c*
5IDATE:
RBCEI
RBCEIVED
I
s r.s.00
n
'
t " "'ot'tt .e..re u,el rtO,t0rD ,.. 'r'. 6pFD DEy. 6ER,.a lEl vva
a
EPNIilOHGID
Tha foiioving prolect as I
'225 FIrrE StRPfrEPInGTIBII, onBconmsPEctloll nsouEsii
oFffICEr 726-3159
zoning, 6nd doeri not roquire spocific land
approvel.
Zoning Q-o EI,ACIRICAI, PERT{IT APPIJGATTON
q-Q.5-1b Clty Job
9t4n
726-s162
Aulhoriz€d Slg
JOB DESCMIrrION
Addrers 68 llest "Q" Street
cl Sprl nqf iel d,Phone 747-6638
Super,vlsor Llcense Nurrrber
Exptratlon Dat t}lr lN
Conitr Contr. Number 08699
F..-,ahy.--^r-- h ^ l2llAlGLaLluli l,alU '-t iet Jv
e i,f Supervlslng Electrl
DEr,ou
5> l;'illi tI""l l'; I f Hleit ll i""13 o"l3l: "of_tcsuancG or tf.vork ti-iripini"i-ii.
180 days.
2, OOTM,ACrOR IIISTALT,AIION OHLI
Electrlcal Contractor L.R. Brabham, Inc.
tlev Eesldenttal-Strrsle orllultt-Faully pcr dvilttrrg untt.Servlce Includeil r
I tens
1000 sq.ft. or less
Each addittonal 500Eg. ft or portlon
thereof
Each Hanufrd Soac or
-Hodular Dvelllng
Servlbe or feeder _. S 40,00
Servlces or fccders'Installatton, Alterattonsor Rcloeatlon;
/ocA
A
B.
c.
Cost
s 85,00
$ 15.00
Sun
{*
I 4735
200 anrps or less20I aups to 400 emDs
-401 smps to 600 anis
-601 aurps to 1000 aips-Over 1000 anps/volt
Reconnect Only
-
$ 5o.oo I
$ 60.00
$l(x).00
$130.00 .-
$300.00
$ 40.00 --
Temporary Servlces or IecdersInstallatlon, Alteratlon or Relocatton
Ovnero K*rir/nu [d*ra<irsh< ,
Address l55c N +trd s*
cl t'honc ?U /bru
t,-.
snps
anps
1000-T6rT
llev, Alterailon or Extenslon per panel
One Clrcult G aEEachAdrltrronrl
-
$35'oo
Clrcutt or vtth Scrvlceor Feeder fcrnlt __ $ 2.00
200 anps or lesr201 anps to 400. Over 401 to 600Over 600 amps or
D. Eranch Clrcults
E, lltscell
s see oBr aEm
s
$
$
00
o0
00
40,
55.
90.
w
t lan
ogl,tER lNsrAu4rroN
fhe tnstalhtton tr betng aadc on
Droperty t ovn vtrtch tt not lntendtd
for galcr lease or tent.
Ovners 8lgnaturet
funp or
Stgn/0u
Ltot tcd -$
ng_ s
rnlous (6crv
nstallai ton
,!iil,illf,t,
unorgy/Rcr
Energy/Coaa
I cc/l ccdcr not lncluded)
40.00
40.00
-20.00
-
-Each t
Ltolted s
tRECEIVET)
5.SUBTOTAL OF ASOIIElI 9lalr-suretrrrge3f AitntntEtratlv; feeT0rr\t
$
oo
r' .'ali,il\:,/t.'
'L
I
II
1
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