HomeMy WebLinkAboutPermit Building 2002-08-08M
SPRINGFIELD
Job# 02-00692-01
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of4
Job Number: 02-00692-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 03002
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2350 Yolanda Ave Spr
AssessorsMap#: 17432441
Lot: BIock: Addition:
GITY OF SPRINGFIELD, OREGON
Owner: Springfield School District
Address: 525 MillStreet
Scope Of Work: Kitchen
Yolanda Elementary kitchen addition
Kitchen addition
Phone Number:
City/State/Zip:
Addition
541-744-6375
Springfield, OR97477
Value: $6,000
Contractor Type
GeneralContr
ElectricalContr
MechanicalContr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2PNC
(VN) Wood Frame
Zoning Code: PLOS
Bedrooms:
Range:
School # Of Bu
Occu
Heat
Phone
541-744-6375
541-744-6375
541-744-6375
541-744-6375
50+
Contractor
Springfield School District
525 Mill Street, Springfield, OR 97477
Springfield School District
525 Mill Street, Springfield, OR 97477
Springfield School District
525 Mill Street, Springfield,
Springfield School District
525 Mill Street, Springfield,
Registration # Expiration Date
$$
t0$
To request an
a.m. willbe m
working day
Foundation
Framing
Walllnsulation
Special
Final Building
-Prior to Cover
-See Plan Review and/or lnspectors Notes, or prior to cover if applicable.
-When all required inspections have been approved and the building is complete.
Electrical
Rough Electrical - Prior to cover.
oR 974
)\oLand Use:
(
Required
,?,
{$e \no \s 1I
Final Electrical
Rough Mechanical
Final Mechanical
Zoning:PLOS
FloodPlain? [ Wetlands? !
Journalnumberc
1t 2:
Comments:
Planner:
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Job# 02-00692-01
Required lnspections
Electrical
-When all electricalwork is complete
Mechanical
-Prior to cover.
-When all mechanicalwork is complete.
Overlay District:
# of Street Trees
Land Use: Elementary School
Pave Driveway? [ ]
Page 2 of 4
3:
Additional Requirements:
I Glenwood Area? [ ] Required Attachments:
Source Locn:
Material:
FIood Plain FEMA:
Construction Types(VN) Wood Frame
Occupancy Groups: School 50+
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main: 160 Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:160
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Public Plan Review
Fire & Life Safety Plan Review
Total Plan Gheck
06t12t2002
06124t2002
9526
971 0
6,000
000
$49.53
$30.48
$80.01
6,
Building
Building Permit
Foundation Only
State Surcharge For Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
8% Building Administrative Fee
Total Building
08t08t2002
06t24t2002
06t2412002
08t08t2002
06t24t2002
08t08t2002
1 0236
9710
971 0
10236
971 0
1 0236
4,500
1,500
$68.40
$45.00
$3.1 5
$4.79
$3.60
$5.47
$130.41
Electrical
Minimum Electrical Permit Fee
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
07t24t2002
07t24t2002
07t24t2002
07t2412002
10025
10025
10025
10025
2
$.00
$46.00
$3.22
$3.68
$s2.90
Mechanical
Minimum Mechanical Permit 08t08t2002 10236 $39.00
Job# 02-00692-01 Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
8% Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
08108t2002
08t08t2002
08t08t2002
08t08t2002
10236
1 0236
10236
10236
1
$3.60
$6.00
$10.00
$3.1 5
$61.75
lmpervious Surface Area - Storm
MWMC Administrative Fee
SDC Administrative Fee
Elementary School- MWMC
Total System Development
System Development
06t24t2002
06t24t2002
06t24t2002
06t24t2002
9710
9710
9710
971 0
234
1
$63.92
$10.00
$4.58
$17.76
$96.26
Photocopy Fees
Total DeposiUCopies/Mis
DeposiUCopies/Mis
06124t2002 9710 2 $1.25
$1.25
Grand Total
Plan Check Type
lnitial Review-C/l/P
Engineering-C/l/P
Planning-C/l/P
Structural-C/l/P
Structural-C/l/P
Fire Marshal-C/l/P
Fire Marshal-ClllP
SUB - Comm/lnd
SUB - Comm/lnd
SUB - Comm/lnd
Ghecked By
Lisa Hopper
Pam Ownby
Liz Miller
Tom Marx
Don Moore
AlGerard
AlGerard
Jack Foster
Don Moore
Jack Foster
Date Completed
06t13t2002
06t18t2002
06t18t2002
06t25t2002
06t24t2002
08t0112002
06t24t2002
07t02t2002
06t1412002
07t09t2002
$422.58
Comment
No Plumbing is shown. lf they come in for a
Plumbing Permit, lwill need to charge SDC
fees.
Foundation only
Plan review of addition to school cafeteria
approx 140 sq ft.
1. Verification of fire alarm pull station location
and alarm operation shall occur at Final
Occupancy inspection.
Foundation only
Faxed Energy Forms Request to John
Sarceno at Springfield School District 6113102 -
lh Building Envelope ONLY
approved. Working with John Sarceno at
School District regarding HBAC and lighting.
712102
RECEIVED ENERGY FORMS FROM JOHN
SARACINO, called Jack Foster for pick-up
from SUB box at front counter.6114lO2 dlm
Spoke with John Saraceno and bot the HVAC
and lighting questions are answered. I can
now pass both of those components
Foundation onlySUB - Comm/lnd Jack Foster 06t24t2002
Job# 02-00692-01
By signature, I state and agree, that I have carefully examined the completed application and do
this project.
I further agree to
address is readal
are requested at the proper time, that each
permit card is located at the front of the property, and the
approved site at alltimes during construction.
sig n re
Page 4 of 4
that all
from the
s will rema
3.
A.
OFFI
J3So Vouq^ie ST
COMPLETE
Nen'
Perniits are non-transferable
if lvork is not started r.vithin 180 Qqy6orized
of issuance or ifrvork is suspended for
180 days. I
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address lFto AJ ' qr-Nt
Pirone ?.1
B. Serrices or Feeders
Installation, Alterations
Relocation:
anps or
or
500
ftor
Each Manufd Horne or
Modular Drvelling
Service or Feeder
201 alnps to
$ 106.00
Signature
-o
$ r 9.00
75.00 _
50.00
Supervisor
. Number
Expiration Date
itturc of Supen'ising Electrician
D. Brunch Circuits
Neu Altcnrtion 0r E\tension Pcr Plrne1
Onc Circuit -l--rlress l$t b
OWNER INSTALLATION
The installation is being made on
propertt* I own rvhich is not intended
lor sale. leirse or rent.
S
\E-' racfi aEditfi,AiiorlcuQ Uf Si&H*ic"
or FYeEq:iHdiiiit .
E. I\Iisccllaneous (Senice/t'ceder not included)
-Each installtttion
Punrp or irrigation
Sign/Outline Lighting
Limited Energl,/Res
Liliited Energr'/Comm
N'Iinimum Electric Permit Inspection Fee is S-15.00 * Surcharges
{. SUBTOTALOFABOVE
7oh State Surchrrge
87o Administrativc Fec
oO
2
3'e
$50.00
$5o.oo _
s25.oo _
$+5.00
z
Orvncrs
TOTAL SZY
ELEL ,CAL PERIVIIT APPLICATION
City JobNumbe,. *. 2 *o o67 z- o /
C.
$ 50.00
Expiration
7
200 anrps or less
201 anips to 400 amps
Or,'er -t0l to 600 anips
Olcr 600 irnlps or 1000 r,olts see
"B" abot'e
$50.00
s6e.00
$ 100.00
,.1 , -- (ri
$43.00 fl < -