The URL can be used to link to this page

Home My WebLink AboutPermit Building 1998-11-09CITY OF SPRINGFIELD, .-: !5PRINGFIELD 225 North Fifth Street Springfield, OR 97477 LocaEion of Proposed work: 1333 1ST ST Assessors Map #: L'7032633 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY age 1 ilob Number : 9 813 14 Office Inspection Line 726-3159 726 -31 59 Tax Lot #: 00544 Owner: I{ARQUIS QUALITY HEAL Phone #: 29'7-1-305 Address: 6634 SW BEAAVERTON HILLCiLy/State/Zip: PORTLAND, OREGON 9'7225 Description Of Work: PARKING & DRAINAGE ADDITION VAIuC:0.00 Name BR;\NCH Address Phone Architect: Contractor Const. Contractor #Expires 07 /1-s/ee Phone 364 - 8236General-CASCADE PAVING OO52A49 3750 MATNL]NE DR NE SALEM OR 973030 --- PLI'MBING --- No Fee Charge 70.00 70.00 Storm Sewer TOTAI, PERMIT 320 fr HANDICAP ACCESS: Y ZONING CODE: LDR -- OFFTCE USE -- QUAD AREA: 1CNW LAND USE: 5300 ILem TOTAL VALUE OF PRO'JECT Square Feet x $/Square FeeL VaIue 0.00 surcharge/admin MECHANICAL surcharge/admin PAVTNG VALUE PLUMBING Surcharge/admin CITY SDC FEES PLAN REVIEW FEE 2 HR SUBTOTAL PERMITS 0 0 0 2LL 70 5 00 00 00 00 00 60 53 00 5 ,2L2 80 5,579.1,3 5 ,57 9 .L3 NOTICHr iurs pinMrT ghlALL ExPIHE lF THE w,RK iuitronreup uNoERTt{ls PERMIT ls Nor C6t-,Meu',*nF sH l$ AtsANDoNHn FoR Ar.lY iEi$ rief FEHlCIlJ TOTAL PERMIT FEES EXCLUDING ELECTRICAL SPRINGFIELD Job Number: 9BA3a4 CITY OF Page 2 REQUIRED INSPECTIONS It is the responsibi-Iity of the permit holder to see that all inspections are made at the proper time. To request an inspection, caLL 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 7:00 a.m will be made the fol-lowing work day. Speciat Inspections: fn accordance with Section 305 of the State Specialty Code a special inspecLor shal1 be employed by the owner/Contractor during construction of any following rt*tt work. A copy of the special testing reports sha11 be furnished to Building Safety. In addition to the inspections specified, the Building Official- may make or require other inspections of any construction work to ensure compliance wlth the Building, City or Development Code. STORM SEWER LINE - Prior Lo filling trench. ITNDERGROITND ELECTRICAL - Prior to Cover. ROUGH GRA,DING - After gravel is in place but prior to placing concrete FINAL PLITMBING - When all plumbing work is complete. FINAL ELECTRICAL - When al-1 electrical work is complete. FfNAL SITE PLAN - After all requirements have been met for Minimum Development Standards or from the DevelopmenL Agreement. FINAL PAVING - After paving ls complete. --- ADDTTIONAL COMMENTS REFERRED TO .fULfE SCOTT FOR ANY M]NIMUM DEVELOPMENT STANDARD REQUIREMENTS DRC .TOURNAL #98_09-195, KITT] GALE, PLANNER Plans Revj-ewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER DaLe: L1,/05/98 By signature, I state and agree, thaL I have carefully examined Lhe completed application and do hereby certify that alf information hereon is true and correcL, 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 sLructure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with oRS 701.055 wj-11 be used on this project. I further agree to ensure that al-I requi-red inspections are requested at the proper time, that project address is readable from t.he streeL, that the permit card is focated at the front of the property, and the approved set of will remain on the site at all- times during construcLion \\-q-w Signa Date Recerpt Number Date Paid Amount Received - - - VAI.IDATION l(fr st 71.(t Received By U CITY OF not ;ffiffitr* L&r st"- -I(;FIELO BLECTRICAL PERHIT225 FIFTE STREET SPRINGFIEI.,D, OREGON INSPECf,ION REQTIEST: OFFICE: 726-3759 I g/3/ 1. LOCATI ON OF INSTALLATIONE--r ,=t:-l--A.Bl I,EGAL DESCRIPTION I? 03 Ab StooSnT e*\4 UtilitY c -@10 th6$uqr[ 1n c City Job Nurnber 3. COHPIJTE FEE SCEBDTIIJ BELOV Each Manuf'd Home. or Modular DveIIing SerVice or Feeder B. Services or Feeders InstaIlation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amPs/vo1ts Reconnect OniY tt E Nev Residential-Single or Multi-Family per dvelling unit. Service Included: hiQTlCIEl Items Cost Sum loooTldt$. ffifl Mrp u6bb Ery r$Qggff ei"t Asduonurnuloon THi5ffi RMlr ls NoT iftEofuffi;fPf, FISR: iii:'ri,,ili ri0NEB Fff. oo you inO and expire 180 days pended for0090.E} 2.ONLY Elec trical Con t rac tor Sn^\wr'.r tS's-tcte Address llrq :- 6 L\q Tt' AuL Phone 36;-:O623 Supervisor License Number qq/7 s Expiration Date 0 Constr Contr. Number Exp on Date O OO gBature of Supe rv]'s Electrician .,/z Ovners Name /: Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less 201 amps to 400 amPs - Over 401 to 600 amps Over 600 amps or fOOO voTEs Branch Circuits Nev, Alteration or Extension Per Pane1 onecircuit t S35.00 Each AdditionalCircuit or vith Service Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Out1ine Lighting- Limited EnergY/Res - Limi ted EnergY/Comm SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL # 37_p 00 00 00 00 00 00 50. 60. 100. $ 40.00 s40 40.00 5s. oo BO. OO ee nB* a6ffi 130 s300 s s s $ $ $ $ s Addr Ci ty Yhone 71? - t5ft 5 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent' 0mers Signature: DATE: 40.00 40.00 20.00 36.00 s $ $ $ u)5 RECEIVED rR city #*$r-Bnru* D. JOURNAL OR JOB NO. ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOP-MENT CHARGE WORKSHEET NAME OR COMPANY 14r1Q,-,7)t ,L'/sr't- z LL-L AJrn {f? v LOCATION DEVELOPMENT TYPE : €n /c-- J Z- /r|- /. t "/ BUiLDING SIZE OT SIZ FI 1. STORM DRAINAGE IMPERVIOUS SQ. FT ,70 ,r( J,?e>X $0.227 PER SQ. FT 2. SANITARY SEWER-CITY - A/u A-2, c4Art?-Lbbo,s NO. OF PFU'S X $47 14 PER PFU (See Reverse Side) - rt/"-/ozV c?/zt- Tltr//-^s - / Z 26 7d gt ) '11'to 3. TRANSPORTATI0N ^ //" b/J, c7,a1y'ens-'c't '// NO OF UNITS X TRIP RATE X COST PER TRIP x $475.32 x _ x $475.32 $ :9- $* $ $* <$ $ 10.00 TOTAL_MI,JMC SDC sO X 4. SANITARY SEWER.I'4WMC A. REIMBURSEMENT COST 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVT) X .05 Date SDC o0 nator ATTACH 'A. [,\IPD -'4 u*A-;c/c+-S-tb.t NO. OF FEU'S X PER FEU B. IMPROVEMENT COST NO. OF FEU'S X PER FEU MWI'4C CREDIT IF APPLICABLE (SEE REVERSE) Mt^lMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5./_$.{/ra ---- "o-$ /7,2. /"k/€E tsJETOTAL SDC RCPT#PLAN CHECK FEE DATE BY BUILDING PERMIT PLUMBI NG zo,oo DEMOLITION 5% State Surcharqe 5% State Surcharoe /n MECHANICAL FENCE VALUE $44top 2o.d 5% State Su rcharoe SIDEWALK FT, SUBTOTAL PERMITS PAVING CUBBCUT FT. SYSTEMS DEVELOPMENT 4/-o oTOTAL PERMIT FEES EXCLUDING ELECTRICAL %/t/z- 74- $e- k* Un*u-