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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 < -