HomeMy WebLinkAboutPermit Building 2001-11-20SPRTNGFIELD
225 North Fifth Street
Springfield, OR97477
Job# 01-00611-01
COMMERCTAL PERMIT
City Of Springfield
Community Services Division
Building SafetY
Page 1 of 3
Location Of Proposed Site: 697 00034th St Spr
AssessorsMaP#: 17023121
Lot: Block: Addition:
Job Number: 01 -0061 1-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 03600
Subdivision:
ctTY oF SPRINGFIELD, OREGOTV
Owner: Brad Miller
Address: 87760 Cedar Flats Road
Scope Of Work: Commercial
Contractor TyPe
GeneralContr
ElectricalContr
Phone Number:
City/State/Zip:
New
541-741-1333
Springfield, OR 97478
Value: $2'500
tnterior remodel/ partition 3000 sf. SEE NOTES UNDER PLAN CHECK APPROVAL. This is a
tentative anoroval. A final anoroval (certificate of occttnancv) of the nronosal shall he oranted to
Contractor Registration # Expiration Date Phone
Ed Ransdell
697 34th Street, Springfield, OR 97478
Double D Electric 151
5155 Table Rock Rd, Central Point, OR
97524
541-746-5665
1-664-2107
nona
Office Use
Zoning Gode: LMI
Bedrooms:
Range:
Yol
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use: lndustrialWa & Stor
rhe
Genter
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day NOTICE:
Required lnspecffi$
UNDER THISPERMITISNOTBuil
ORISABANDONED FOR
Framing
Walllnsulation
Firewall
FinalBuilding
Electrical Service
Special
Rough Mechanical
Final Mechanicat
- Prior to cover,COMMENCED
-Prior to Cover
- Located and constructed acco rd i ng toflUYl9O DAY PERIOD'
-When all required inspections have been approved and the building is complete
Eiectiical I
-Must be approved to obtain permanent power.
-See Plan Review andlor lnspectors Notes, or prior to cover if applicable.
Mechanical I
-Prior to cover.
- When all mechanical work is complete.
Job# 01-00611-01 Page 2 of 3
Land Use: lndustrialWarehs & Stor
Pave Driveway? Z
Zoning: LMI
FloodPlain? [Wetlands? !
Journal numbers
1:
Comments:
Planner: Sam Gollah
Urban Growth Boundary?[
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Overlay District:
# of Street Trees:
2:
Gtenwood Area? [
1
3:
Additional Req uirements :
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:1161 of2975
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main:Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total
Fee Paid On Receipt# Value/Quantity Fee Amount
PIan Check
11t20t2001 7293Commercial Plan Check
Total Plan Check
2,500 $25.03
$2s.03
Building
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
1112012001
1112012001
11t20t2001
7293
7293
7293
2,500 $38.50
$2.70
$1 .16
$42.36
Permanent: 200 Amps or Less
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Electrical
06t15t2001
0611512001
06t15t2001
5831
5831
5831
2 $100.00
$7.00
$3.00
$110.00
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
Mechanical
1112012001
1112012001
11120t2001
11t2012001
7293
7293
7293
7293
$15.00
$.as
$10.00
$1.05
$26.50
Grand Total
PIan Check Type
lnitial Review-C/l/P
Checked By
Tom Max
Date Completed
1111912001
Comment
$203.89
1
Job# 01-00611-01
Date Completed
1111612001
Page 3 of 3
Comment
This is a tentative approval. A final approval
(certificate of occupancy) of the proposal shall
be granted to the applicant after the following
conditions have been met: !) lnstallation of four
parking spaces with wheel stops; 2) Screen
trash receptacle area; 3) Plant a street tree.
)1.-ztr'o/
Date
Plan Check Type
Planning-C/l/P
Checked By
Sam Gollah
Structural-C/l/P Tom Max 1012912001
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 employess who are in acompliance 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 each
address is readable from the stret, that the permit card is lcoated at the front of the property, and the
apprryed setg{plans will.remain on the site at all times during constructionLa[*"*r/[tu
Signature
CITY OF SPRINGFIELD OREGON
DEVELOPMENT SER
225 FTPTE STREET
SPRINGFIELD
INSPECTION REQI'EST
OFFICE: 726-37
1. LOCATION OF
59
I,EGAI DESCRTFTION
OL
JOB DESCRIPTION
VICES DEPARTMENT
;i:,:!,.:;:,,::?i"jn},f
I,lil,T:
SPFlINGFIELD
',Hj"H',
Nev Residential-Single or
Multi-FamilY Per dvelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
or less Zto 400 amPs
-
to 600 amPs
-
to 1000 amPs-
amps/volts
-
0nIy
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-s753
FAX (541) 726-3689
Zoning A
o360C.
-o
EI,ECIRTCAL PER}IIT APPLICATION
City Job Nunber t)/' Q oG /-o/
FEE SCEEDUI,E BELOII
A unit.
Cost
$ 8s.00
$ 1s.00
$ 40.00
Sum
N c,.,r 3 1..<- SP 1.-t)' r- t
Permits are non-transferable and expire
ii vortc is not started vithin 180 daYs
;; i;;;;"" ot if r.rork is susPended for
180 days.
2. COMRACTOR INSTAI.I.ATION ONLY
Elec t ri ca1 Contractor D<r.t b El.etr,c
rl
B
E
Address /s A
/or I
Expiration Date lz/a t ol
Signa of Electrician
0vn s Name e lvl"tl
Address 87 oC"
Ci ty Phone -v1/ - ,13.33
DATE:
Ci ty (c,gT72Y Yr).Nt Phone 66
Supervisor License Number ,l {{75
tDl- tltt
7t 07
200 amps
20L amps
401 amps
601 anps
Over 1000
Reconnect
00
00
00
00
00
00
$ s0.
s 60.
$100.
$130.
s300
s40
/oo
a6oF
Expiration Date /o c
constr contr. uumber /{- /o9 <
TemoorarY Services or Feeders
inii.Il.iion, Alteration or Relocation
$ 40.00
s s5.00
$ 80.00
see rrBrr
200 amps or less,oi ;;" to 4oo amPs
-Over 401 to 600 amPS
-
0ver 600 amPs or 1000 volts
OVNER INSTALI,ATION
The installation is being made on
piop".ty I ovn vhich is not intended
ior sale, lease or rent'
0vners Signature:
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 3s.00
$ 2.00
/M n'H=
=i
One Cireuit
Each Additional
Circuit or vith Service
or Feeder Permit
-
SUBTOTAL OF ABOVE
7% state Surcharge
3Z Administrative Fee
TOTAI
Miscellaneous (Service/feeder not included)
-Each installation
Purp or irrigation $ 40'00
iiglzo",iln""iier,iins-: $ 40'oo
D
5
. j;}.r,+.1-*RECETVED
6
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