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Home My WebLink AboutPermit Building 1997-04-01CITY OF SPRIXGFTELED COMMERCTAL/TNDUSTRTAI. PERMTT APPLCITY OF SPRTNGFTELD COMMUNTTY SERVTCES DIV]SION BUILDING SAFETY ICATTON Page 1 97L537ilob Nurnber: 225 North Fifth StreetSpringfield, OR 97477 tocation of proposed Vlork z LO2 3OTH STAssessors Map #: 1Z0231OO Office: fnspection Line: 726 -3759 726 -3769 s: 855 SENECA Description Of Work RETATL & VOCATTONAL Architect:Name rRU, AL WATTE Address Owner: Addres General: Plumbing: Mechanical Electri-cal GOODWTLL TNDUSTRTES Single Fixture TOTAL PERMIT phone #: 34Ciry/Srat e / zip: EUGENE, Tax Lot #: OOTOO 5-1801 oREGON 97402 NEW VaLue: Expiree L1,/L0 / e8 oe /t6 / e8 to/3t/eB 0s/22/s8 98,524.oo contractor const. Contractor # ESSEX 3764 w 11TH EUGENE OR "nor;3;;tttTWTN RTVERS 2571 SE ERMTNE ALBANY "- ,,::1;;3:HARVEY & PRTCE Po Box 1910 EUGENE oR ,rnnooooooo|o0"ALERT ELECTRTC 1970 N 28TH ST SPRTNGFTE,, :i,3:T1., Phone 345-1801 Phone 342-4509 928-2292 7 46 - L52L 747 -221_3 --- PLUITTBING ---No 29 Fee Chargre 290 . o0 290.00 No 9 Furnace/burner & vent <Vent Fan/Single Duct 10 GAS OUTLETS Permit fssuance TOTAL PERMTT 1000,000 BTUs -- oFFTCE USE __ QUAD AREA: 3CNC ZONTNG CODE: CC HEAT SOURCE: GA Fee LAND USE: 5300 OCCY GROUP: M/B Charge 64 .50 27.OO 5.00 10.00 106.50 HANDICAP ACCESS: Y # oF Bl,ocs: 3 CONSTR. TYPE: 5-N,SpR ftem Sq. Ftg Main Square Feet 237L5 x $/Square Feet Value 886 ,71-6 . OO /, - - - ITfECHANTCAL gPFIr.GFIELEl ,h, Job Number: 971-537 ATT OF SPilNGFTEI,O,a Page 2 DRIVE THRU PATIO COVERS TOTAL VALUE OF PRO.'ECT 575 448 0.00 0.00 885,715.00 BUILDING Surcharge/admin MECHANICAL Surcharge/Admin PAVING VALUE PLUMBING surcharge/admin PLAN REVIEW FEE CITY SDC FEES SUBTOTAL PERMITS TOTAL PERMIT FEES EXCLI,DING EI,ECTRICAI, ]-24,760.00 1, 913 . 50 1s3.09 105.50 7.73 489.25 290.00 23.20 1,340.30 L3 ,954 .19 L8,277 .75 L8 ,277 .7 6 --- REQUIRED INSPECTIONS IE is the responsibility of the permit holder to see that all inspections are made at Ehe proper time. To request an inspection, call 726-3759 (recorder), state your City designated job number, job address, type of inspection requested and when you wj-Il 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 305 of the State Specialty Code a special inspector shall be employed by Ehe owner/Contractor during construction of any following "*" work. A copy of the special testing report.s shalI be furnished to Building Safety. In addition Eo Ehe inspections specified, the Building Official may make or reguire other inspections of any construction work to ensure compliance with the Building, City or Development Code. HIGH STRENGTH BOLTfNG - To be done during constr by State Certified Special Inspector. Results provided to City Building Division. STRUCTITRAL WELDS - To be done during conser by State Cert Special fnspector. ResulEs of inspecti-on/test co City Building TnspecEor ROUGH PLITMBING - Prior to cover. ROUGH MECI{AI{ICAL - Prior to cover. ROUGH GAS - after line is installed and capped if not attached to an appliance ROUGH ELECTRICAL - Prior to cover. ELECTRICAT SERVICE - Must be approved to obtain permanent power. FRAIIING - Prior to cover. I{ASONRY - Steel location, bond beams grouting or vert.icafs in accordance with UBC 2415. fNSULATfON - Floor,' prior to decking Wa1l/Ceiling; Prior to cover INSUL-V.B./SUB: TO BE CALLED FOR AT SAME TIME AS SI.IB FRAMING INSPECT DRYWALL - Prior to taping. CEILING GRID }TECH/SUB: FOLLOWING ROUGH MECHATiIICAL APPROVAL, PRIOR TO COVER FINAL PLITMBING - When all plumbing work is complete. FINAL GAS - When al-l- gas work is complete. 3PN!ilGFIELD Job Number: 97a537 OTTOF a Page 3 GAS SERVICE - After line is inst.alled and fine has been connected to a minimum of one appliance. Pressure test done at this point. FINAL MECHAIiIICAL - When all mechanical work is complete. FfNAL ELECTRICAL - When all electrical work is complete. FTNAI./SUB FINAL FIRE - When all Fire Department reguirements have been meE. been met. FINAL PAVING - After paving is complet,e. CITRBCUT - AfEer forms are erected but prior Eo placemenE of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in p1ace. FINAL SITE PLAIiI - After all requirements have been met for Minimum Development SEandards or from the Development Agreement. FINAL BUIIJDING - When all required inspections have been approved and the building is complete. FINAL/SI'B FINAL FIRE - When all FJ-re Department requirements have been met. been met. FINAL SITE PLAI'I - After all reguirements have been met for Mini-mum Development St,andards or from the Development Agreement. FINAL BUILDING - When all reguj-red j-nspections have been approved and Ehe buil-ding is complete. --- ADDITIONAL COMMENTS --- DRC #97-07-1.62, PLANNER IS \TIM DONOVAN SITE REVIEW .'OURNAL #97-07-162, JIM DONOVAN, PLANNER Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 1,2/3L/97 By signature, I state and agree, thaL 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 shal-l- be donej-n accordance with the Ordinances of the Ci-ty 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 Communi-ty Services Division, Building Safety. f 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 i-nspect.ions are reguested 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 Ehe approved set of plans will remaj-n on the site at all times during construct.ion. ?'rf*-1,,Cnaa--. sisnarure r Wgd-,*a;e*Da --- VALIDATION --- Receipt Number Date Paid Amount Received: 27222 ,/^r-za Received By:7/- Y/, /qx \SPf FIELO follow rtrir:i; ,i;, ed by the Oregon Utility Notificatiur, C(:i,:Those rul et fo ln OAR 95.'tt-r 1 -.itr' 1916to, 0090. !6v i'rii;1, {rr,iilin cop 225 ::.ricr. (Note: the te ity N INSPECf,ION OFFICE: 726-3759 Authoriz€d 1 oN 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 INSTAILATION ONLY Electrical Contractor Address ci Phone Number L(3 ELECTRICAT PERHIT APPLI City Job Nunber COHPI,ETE FEE SCMDULE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Modular Dvelling Sertice or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: e elbmltted has the toquf€ ePecillc land u80 A B D. Branch Circuits Sum ee uBu a66ve Supe Expi -')Constr Contr. Number (-. Expiration Date S ture of rvising Electrician 200 amps or less 201 amps to 400 amps -40L amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect Only C.Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less 201 amps to 400 amps _ Over 401 to 600 amps 0ver 600 amps or 1000-volTs rvisor License ration o^r" /0 -/-qE s s0.00 s 60.00 $100. 0o s130.00 $300.00s 40.00 $ s s s $ 40.00 s 40.00 s 20.00 s 36.00 L 40.00 55.00 80:00 \rs Name Addre Ci ty OVNER INSTALLATION irl0TlCE: property I ovn vh i inoi:*fl SSfr fl"\UaLL EXp I fE r F tHE!fiAhK Nev, Alteration or Extension Per Panel one circuit --\- $ 35.00 Each Additional Circuit or vith Service or Feeder Permit t s 2.00 der not inceous( Service/fee Phone 352 Iuded )The installation tallation for sale, lease o r TenAIJTHOHIZED TJNDER THIS PERfiIES [@firrigation Omers Signature: coMrvrEr\rcED 0n rs ABANDoNfff;Qf::tline Lighting_ Energy/Res Limited Energy/Comm DATE: SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTALRECEIVED 0--4 AI'IV 180 NAY PFHIOD 5 d) CTff, oo ? it i ! Ci*.y of $pr'ingfi*1d ee5 Fifth Str'eet $Pr'ingfieId, nR 97177 ( 503 ) ?eb-3753 Tr'ansaction nrlnrber' 031338 $ePtenrber'087 19BE ttr33 A|'t Received fr'onr: G0olrl'llLL INIrU$TFIE$ Cont"u*t.f0rrn : F0R IEFERREIT StrC IHARGES Addr'ess I 855 SENECA f,ityr EUGENE St'r [R ZiPr 974fi? -Br.ri lding- Joh *: 371537 BesrriPt, ion SgC,i St,orm $IrC/$anitarY $euer's SItf,/Tr'ansP $ItC/Adrr i n Total : Anrt Reeeived I f,heck * I 3fit!45 Tharrlt Yor.i 7 Lie H ' Fee t,3u3,[,fi r,903.3'A 30?71?,3e erB4;'.ti4 45rfi33"5b 45rft'J3.5u f,heclr 7 \ f{ I _v CITY OF OREGON 225 FIFT'E STREET ipnrNermlD, oREGoN 91 471 ittsPscrroN REQIEST z 726- OFFICE: 126-3759 i.r .,wing proiect as eubmltted hag ttro'r rrd ,joeo not requlre apecffic lond Authorized uao TTSCTRICAT PERHIT APPLICATION Ci ty Job Nunber -7t COHPLETE FBE SCHEDUI-E BELOS 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 SPRTt\lcFTELO SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 1 STALLATION5L OVNER INSTAILATION The installation is being made on pr"p"i,y I ovn vhich is not intended ior sale. Iease or rent ' Owners Sigrature: A B. Services or Feeders Installation, Alterations or Refocation: 200 amps or Less ZOi "ri,. to 400 amPs -401 amps to 600 amPs _- 601- amps to 1000 amPs- 0ver 1000 amPs/vo1ts - Reconnect 0n1Y Nev Residential-Single or Mul-ti-FamilY Per dvelling unit' service rncludedt ,,"r" costIJGAL DESCRIPTIONo77\o ooo -7 d-'D J9B PTION "+ Permits are non-transferable and expire li ro.t is not started vithin 180 days ;; i;;;.;"" o. if vork is susPended for 180 days. 2. COMRACTOR INSTALLATION ONLY Electrical contractor Soni trol Secur i ty Address P . O. Box 2'l 009 Ci ty Eu ene Phone 4 6 'l - 5678 Supervisor License Number /brl Prr Expiration Date Sum $ s0.00 $ 60.00 s100. 00 $130.00 s3o0. o0 s 40.00 Constr Contr. Num e Eir r niS t'EflN'l11Ti Expiration Date 00 Signa ture of 80 "Ptffr'sfr" ovners Nane Goq{coill Zrtriu=*r;e-s Ci ty Phone +45 *t@l 4g6PorarY Services or Feeders "i[Utarraiiot, Afteration or Relocation ,q i'rJ t - ,00 amps or less Sf'?oi ;r;s to 4oo amps --- t Over 401 to 600 amPS ..- ) Over 600 amPS or 1000 voTts se aEove D. Branch Circuits Nev, Alteration or Extension Per Panel gne Circuit $ 35.00 Each Additional Circuit or vith Service oi re"a". Permit $ 2'00 E. Miscelfaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Outline Lighting-- Limited EnergY/Res - Limited EnergY/Comm I w 7betgo NEI 40. 00 55.00 80.00 e rtBrl $40 $40 s20 s36 00 00 00 00 5 DATE RECEIVED BY: t-? -i ta ZAAL q i':.. i.C. ,|- JOB NO ATTACHMENT A -b,CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET NA}4E OR COMPANY:'// I BUILDING SIZE lru/A. -7)o7-/t CHARGE Ca--zhr 424+1.LOCATION DEVELOPMENT TYPE 0T SIZE a, -25 SQ Ft.1 SToRMpRATNAGE _F,*yful ?;;l 5>b%,At &neJ,9z7rau'. IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY X $0.226 PER SQ NO. OF PFU'S X $46. 86 PER PFU(See Reverse Side) 3. TRANSP0RTATToN NO OF UNITS X TRIP RATE X COST PER TRiP /r<x / go x $47 2 . +{4a ur./r"/"-,/ -) ./ b^ 6rh''t Vo"a'$'b'^*t ll/ua htug 4. SANiTARY SEWER-MI^JMC (e,lor'/ No oF FEU 's // . x btq ?./X x $472.49 v x "7{ x $472.49 De.b hf"/L2 3?89 bl o l,'179 TbJ= o^^ /? M1^IT'1C/ADM 77E $ .2r>3 V e/o ?A .GZ PER FEU + $10 MWMC CREDiT iF APPLICABLE (SEE Vrr.r,ha,"r/ q-,(k a77: = /t/06'ft i)u-r' q )f oqfl = /T?'zt' REVERSE) TOTAL.MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) $4 /9 s 3 75v- *fa t, L grb oate' 3/'9 i rorAl spc Ta+wl Pry "/ Pn 7; &*/ [)alu'el' t? 3 9s7-+. 5. ADMINIST,BATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05. rutu'// so0to@i nator d3 o i zf 3/r4.1 7*f,aa3 JoB No . 7- ': !- ATTACHMENT A -b"r.u/rll. -7>oZ-/62, C ITY OF SPRI NGFI "' *:I*""ETi DEVELOPMENT CHARGE NAME OR COMPANY k2,'//Azft,/ *4 a24 LOCATION: DEVELOPMENT TYPE 1. sroRm DRAINAGE - Fr*'n 5'^/ 4vvTuelJ;"ii-t 5,7e/ra TMPERVI0US SQ t. 4 6fu x $0.226 2. SANITARY SEWER-CITY BUILDiNG SIZE NO. OF PFU'S 6.? Fr. A'rb/L At &v,*J,b7/*". PER SQ. FT.s 736 a u/ 'fr.;6A 0"bz & gZ OT SI X $46.86 PER PFU REVERSE ) 3 s& /? s i ?fr2- 4 d5-7,797 - t (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP //.X y'so x $472.+{2no'/,"/"/') 1./ x /-oG xs47z.4e Y x .7Y x$472.4s ?A frrh''t Voco'('b'^-t l/*+e lo'9 4 fir,/-'/ 0/a Dzrb 0Lfe/ -sZ sArutrnRv stwrR-mwvc o'/ ffi x ,q ft{(:r';ro MvNCfr#?t sJM MWMC CREDIT IF APPLiCABLE (SEE V",rrta,"r/ q-/-k s77: : r,t66'54"i["u* // Y oqfl = ]7'7'7to /7 5. ADt'4INiSTRATIVE FEES. BASE CHARGE (SUBTOTAL ABOVE) X .05 6lA^,< TOTAL-1''1[^IMC SDC SUBTOTAL (ADD iTEMS 1,2,3 & 4) 0r{r 3 95?- z{ ? /f outr, '/'9 t TorAL spc G+*l Pry -/ Pn G 9*/ l)afu'eJ 3 ''/ so0toSi nator /"1-t o0 & approvsl. 22 TTFTE STREET SPRINGFIELD' OREGON 9747Fte 4-* SPFTNNGFIELI' as submlttaC hes tl"* requlre opecific lend following u$i, ELECTRI(XL PERHIT APPLICATION City Job Nunbe, ?7/5rz SCEEDT'IJ BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additionaL -s00sq. ft or portion thereof Each Hanuf'd Home- or Hodular 'Dve1ling Service or Feeder s 8s.00 $ 15.00 $ 40.00 .B Services or Feeders Installation, Alterations or Relocation: @fi, INSPECTION REQIIEST: OPFICE: 726-3759 The.following project zonrng, and dooe not 7zfu.",f,2$g"a L 1 IOCATION OF INSTALIATION/a Z%,r7, 12= I.EGAL DESCRTPTION /24?--/Go, AA?4 . JOB 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 INSTALT.ATTON ONLY 3 A Sum Electri Address rH caI tr tor 200 amps or less 201 amps to 400 amps -7 401 amps to.600 amps _ 601 arufs to 1000 amps--7 Over 1000 amps/voIts Reconnect Only s s 50 60 40s -v 00 00 00 00 00 00 $ 40.00 $ ss.oo $ 80.00 see rrBrt Phone Supervisor License Number 2 Expiration Date constr contr. Number ZC-SSL c.Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date IU 200 amps"or less / 201 amps to 400 amps _ture of rvising Electrician 0ver 401 to 600 0ver 600 amps or $100 $130 s300 e .e' 4, rs Name 959 c i tv Dz, er+za=, e&P h o n e z f,/%/ oVNER INSTAi,IirfIdfr- The installation is being made on property I ovn vhibh is not intended for sale, Iease or rent. Onnerhsignature: 70.- a66 D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35-oo Each Additional Circuit or vith Service or Feeder Permi t //€ $ 2.00 =. Hiscellaneous (Service/feeder not included) amDs 1000 volts E -Each installation Pump or irrigation Sign/0utline Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL s 40.00 s 40.00 s 20.00 s 36.00 5 7&.oo -= 2).P7fA-* DATE: RECEII1-*T RECETVED 7 ,rrtPLJ(fr@ CITY OF SPF OBEGO'V 225 FIFTE STREET SPRINGFIELD, OREGON 974 INSPECTION REQUESTz 72 OFPICE: 726-3759 o"*.2a8*_ #Hts, ebnarure lr/ r^r ci t, SF. IGFIELI) uso 2 less 201 s .to 400 amps Over 401 to 600 amps 0ver 600 amps or 1000 D. Branch Circui ts ELE TRICAL PERHIT APPLICATION i{I*il#H3&T'ffir,r*Hffi. 1 P I JOB Permi ts are non transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI,ATTON ONLY Job Nurnber COHPTJTE FEE SCEEDTILE BELOV Nev Residential-Single or MuIti-Family 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 Dvelling Service or Feeder s 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs _ 40L amps to 600 amps _ 601 amps t o 1000 amps_r 1000 amps/voIts ct 0n1Y Services or Feeders , Alteration or Relocation 3 A Sum or BLElectrical Contra1 Address l*fO PvFA $ s0.00 s 60.00 s100.00 $130.00 $300.00s 40.00 Ci ty Phone Supervisor License Number Z Expiration Date b-()^ Constr Contr. Number LL) Expiration Date tb,-148 s ture of Su pervising Electrician ers Name ress Ci ty Phone OVNER IN ALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0nners Signature: ilil,- New, Alteration or Extension Per Panel One Circuit S 35.00 Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 E. Miseellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/Out1ine Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL /* o s 40.00 $ ss.00 $ 80.00 ,-To-ITs see rrB" ld) above $ s $ s 40.00 40. 00 20.00 36.00p 5 RBCEIVED B K_ \ CITY OF sFFIt.GFIELD 225 North Fifth Street Springfield, OR 97477 LocaEion of Propoeed Work: 102 30TH ST Assessors I'tap #: 17023100 COMMERCIAL/INDUSTRIAI, PERMIT APPLICATION CITY OF SPRINGFIELD COMMT'NITY SERVICES DIVISION BUILDING SAFETY Page 1 .7ob Nrurber: 971537A Office: 726-3759 Inspection Line : 726-3769 Tax Lot #: 00700 OwneT: GOODWILL INDUSTRIES Address: 855 SENECA Description Of Work: Phone #: 345-1801 ciry/state/zip: EUGENE, OREGON 97402 NEW VaLue 0.00 --- PLI'MBING --- No.Fee Charge 40.00 40.00 100.00 10.00 190.00 Sanitary Sewer Water Service Storm Sewer BACKFLOW DEVICE TOTAL PERMIT to4 L32 510 fr. fr.fr. -- oFFrcE usE -- Item FOI]NDATION ONLY TOTAI. VALUE OF PROiIECT Square Feet 237L6 x $/Sguare Feet Value 98 ,524 . OO 98, 524 . 00 BUILDING Surcharge/admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/admin SUBTOTAL PERMfTS TOTAL PERMIT FEES EXCLI'DING EI.ECTRICAI. 430.00 34 .40 0.00 0.00 190.00 L5.20S^=S^**.,rot --fsf^$fr= SH $ "rsrs=F 669 .60 559.50 SFNINGFTELE! h, Job Number: 971537A OTTOF SPruNGFIEID, Page 2 --- REQUIRED INSPECTIONS --- It is the responsibility of the permit hol-der to see that all inspections are made at the proper time. To reguest an inspection, cal-]- 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:OO a.m will be made the following work day. Special Inspections: In accordance with Section 305 of the State Specialty Code a special inspector shal-L be employed by the Owner/Contractor during construction of any following "*', work. A copy of the special testing reports shall- be furnished to Building Safety. In addition to the inspections specifj-ed, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. 6RADIN6/EXCAVATING/fII,I.IUC - To be done during consLr by Special State Certified Inspector. Provide reports/tests to City Building Inspector WATER LINE - Prior to filling Erench. SAT.IITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior Eo filling trench. ITNDERGROITND ELECTRICAL - Prior Eo Cover. STRUCTITRAL CONCRETE in excesa of 2500 pei. To be done during conaEr. by State Cert. Insp. Results to City Building Inspector BOLTS INSTALLED IN CONCRETE - To be done by SLaEe Certified Special Inspector. Provide inspection/test reports to City Building Inspector --- ADDITIONAL COMMENTS --- FOUNDATION & SITE UTILITIES, ONLY. DRC \TOURNAL #97-07-1-62,JIM DONOVAN, PLANNER Date: 02/1,3/98Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: By signature, I state and agree, that I have carefully examined the completed application and do hereby certi-fy that all information hereon is true and correct, and I further certify Ehat any and all work performed shaIl be done in accordance with Lhe Ordinances of the City of Springfield, and the Laws of the State of Oregon pertainj-ng to tshe 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 contracEors and employees who are in compliance with ORS 701.055 wifl be used on this proiect. I further agree to ensure that al-I required inspections are requested at the proper Eime, t.hat project address is readable from the street, that the permit card is focated aE the front of the property, and the approved set of plans wil-l- remain on the site at al-I times during consLruction. z / 'eEi{r ISignatureDa Receipt Number: Date Paid: Amount Received: Received By: --- VALIDATION --- asB L-l O-n -1( Au7. bo ru) a Springfield Oregon 97477 . Developmerlt services aCI ty of 225 Fifrh Street, Springfield, lb StateAddress Date of Appll Explratlon Date:a2,'//rz/qt/q7 4t-r-eurie, Owner GoProperty o[.-'.[\l -3\ lrr€J zt Phone: Site Address:tr ucB Jo. No. of 'TL 2aeland use -oz*?>)Tax Map No Tax Lot: r?.oL -3, Springfleld, Oregon3af\ F M *,r., tr a tr Supplier Sr-*.+_ , Materla '60 ( I I2a o Phone Project EXCAVATION, Qua GRA DIN G Oua Address Destlnation: b glFr.- S^^,t + Graue\ zy'zv, rs FILL, ouantltv_=f?fO-._, source Locat a- 6 tr K Na o P,'IF,tt#. gf.g'!i!,Rgl'd$yilx'I"""1fl,?i?l'ii: ElsBs',,Jd,!st3[trrni,.,',Elsll,fl]i]S'&.,, "B,,i,l3b[{:"}s3;f'.J,fffiiij,htli:..r!ii:ii,l"t,t;54t, ir,n,;.;i;;;,-..,luia;r16 ,ano DRAINAGE, POLLUTION AND EROSTON CONTROL PLAN SOILS & GEOLOGY PLAN,ev. Se,rv\cesONtrtLE - b cRoss sEcTtoNs, ADDITIONAL INFORMATION, REPLANTING PLAN PHONE STATE CITY STATEADDRESS COMPANY NA P COMPANY NAME: CITY PROJECT SUPERVISOR: ADDRESS: ?.O . Bc>^ rr o r't PROJECT SUPERVISOR: STATE: Oq ,ZlP:_OFF|CEPHON EMEBGENCY PHONE:MOBILE PHONE: ADDRESS:?,o.3ar 7 3 to-?CITY: PROJECT SUPERVISOR Beglstration Num CONTRACTOR NAME: PHONE fl{.,-Etrt't 3t, tr--./fa? Explration Date: FAXTY r-o rq 6 clltz3o ut tsu, zo-l- dutl--J oz J tttl-zlrl E-.Lu l-l- oEIg =c,IIe ihl-z F -lfvtzoU .; e,ol-U dFzoU 1" urc:]F zu tt z (.) E a' =o Ej tr d o ll,o 6 .J, 8y tlonttute. ! llrtc rnd !gr.o, lhlt I hrvo crrolully rxamlnrd the compleled rppllcatlon and do hareby certlfy that alllnformrtion harcln b truc a-ird doncct. ano t lUritrir'certry-ttial anv-a-no'iit'irlifliliirii-,ir,oi itrirr bli'j|n. tn accordance withthc orclinancot or th. cltv ol. sprlngfiold. cpplliablu Qirv 's6qti;;g'sp-i-ctitidt6ni-r;iiijiiviln'rii,'r'n-o-tic lawc ot rhe star. ororcson porttlnlns to thc work ,icsdtuiJ'trl?iin. t-iunrri'r ;;;tty rirf;;iyiintr"ctorc cnd emptoyccs who aro ln compticncewlth ORS 701.056 will bc urcd on thh projccr. Ttio city mpv ln-soect r.hc.wo{ shc dcscrlbcd ln rhlr permir ai any rlme durin ffi:*li:ti,^uffji:tt.ffi,CI::e'ir,tiii$i,fr*i$filf,:ffi,{fril'iliti,i'rdfiif,lll1t'iliji}ffi'dayr wlllbc porformed by thc clty and rhs corrr wl[ bc bilted to'ttd piimtrlc, I l.funher rgrcr to.anturc thct allrcqulrcd lnsp.ectlonr lrc roquestsd lt.thc propcr tlme, thrt proJect address ls readable fromthr rtr6rt, rnd thc approvcd rlt ol plrnr will rcmrln on thi ritc at aitilmir-juarig ciniiru[iffi. ' --- Slgnature oate OeT. l3 'fU L kq7-ot-th; , .,..ral..i ..And D Fr EuIII 0. z orF u,IIlFJ oz III U zr .J*o oz J ? -q) L/J DRAINAGE, E storm, W{n"n,O cutvert, B -aturat. tr FLooD pLAtN, zonet ,l/ /A , FEMA community panet No. Panel No.: ; i , DateO FLooDWAY, FEMA community 0,<{ lzorea4G' WETLANDS, Descrlption $20.00 $30.00 040.00 $40.00 For the first 10,000 cublo yards, plus $20.00 for each addltlonal 10,000 cublc yords or frsction thereof. $220.00 For the llrrt 100,001 cublc vrrdc, plus $20.00 lor esch addltlonrl 10.000 cublc yards or lractlon thereof. t340 For thc llret 200,001 cublc yardr, plus 96.00 for cech additlonrl 10,000 cublc yardo or fractlon thereof. 930.00 130.00 For the first 100 cublc yards, plus t14.00 for each additlonal 100 cublc yords or fracrion theroof. $ I 58.00 For thc first 1,000 cublc yardc, pluc 912.0O for each additlonal 1,O00 cublo yarde or fractlon thereof. t204.00 For the rirlt lO,00O cublc yarde, ptus 954.00 tor oach sddltlonal lO,O00 cublc yrrds or lracrion thereof. $760.00 For the first 100,00t cublc yards, plus 930.00 for each odditionol 10,000 cubic yards or fracrion thereof, Date: o) 0o o^tet /7'Ztff' 6 Receipt ,0a 1tr51 Recelpt 1iz. '2-% Estimated Volume Received o fz CA Date: Z 200,001 cu8tc YARos oB MoRE 't,001 To 10,000 cuBlc YAROS Grading Permlt fee: Received by: Plan Check Fee: 10,000 To 100,000 cuBtc YAROS 100,001 To 20.0,000 PLAN CHECK FEES: UP TO 1OO CUBIC YAROS lOI TO I,OOO CUBIC YARDS 1,001 To 10.000 cuEtc YABoS 10.000 To 100,000 cuBlc YARDS 100.001 To 200,000 GRADING PERMIT FEES: UP TO IOO CUEIC YARDS r01 To 1,000 cu8tc YARDS Building:ts tr PI Date: 7- 3'78 Date e- 4-7 Date oate: V 7 9A FI E u, tIJ O- zc IF' u ]IJFJ oz IJJ U z I d,o az J Date Datez 2.5 -%Permlt Nu^b*jZ/4z3 tssued by Final lnsnpctfons. Planning: Engineerlng: Building: Maintenance: .Date Date oEl-C'EI ELlrt =a -l odO.o. t-l :.J. 'i',. tul Tl,r. o'ttl Eul -ulc I Date: