HomeMy WebLinkAboutPermit Building 1995-12-14SPFINGFIELD
225 North Fifth street
Springfield, OR 97477
Location of Proposed Work: 585 N 35TH ST
Assessors Map #: L7023L2L
COMMERCIAI./ INDUSTRIAT PERMIT APPLICATION
CITY OF SPRINGFIEI,D iIOb NUTNbET:
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Office:
Inspection Line:
Page 1
9s 173 5
726 -3759
725 -37 69
Tax Lot #: 03000
ATT OF SPruNGFIELD, ONEGON
Os,neT: KEVIN GIELISH
AddrESS: 37558 HILLS CREEK RD
Description Of Work: STORAGE BUILDING
Phone #: 746-3320
city/state/zip: SPRTNGFTELD, OREGON 97478
ADDITION VAlUE:0.00
CorrEractor
General OWNER
Electrical: RAINBOW ELECTRI 0096747
421-68 Winberry Crk Rd Fall Creek OR
Conet.
Contractor #Expirea Phone
7 46 -3320
02 /23 / 96 937 -3746
QUAD AREA: 3INC
-- OFFICE USE --
LAND USE: 3999
Item
Sq. Ftg Main
TOTAI, VALUE OF PRO.JECT
Square Feet
540
$/Square Feet
L7.60
Value
9, 504 . 00
9,504.00
x
Plan Check Fee:52.33 Rec #z L947L Date: LL/01,/95 Rec By: LORNE PLEGER
BUILDING
Surcharge/admin
MECHANICAL
surcharge/admin
PLUMBING
surcharge/admin
ELECTRICAL PERMIT
SUBTOTAL PERMITS
SYSTEMS DEVELOPMENT
TOTAL PERMIT FEES ffi
80
5
0
0
0
n
42
.50
.45
.00
.00
.00
.00
.1-2
1,29 . O7
232 .7 9
351". 85
SPR!]t'GFIELE,
Job Number: 951735
CITY OF ONEGON
Page 2
--- REQUIRED INSPEETIONS ---
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. To request an inspection, caJ-J- 726-3769
(recorder), state your City designated job number, job address, type of
inspection requesEed and when you wil-I 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 reports
shalI be furnished to Buildi-ng Safety.
In addition Eo the inspections specified, the BuiJ-ding Official may make or
reguire other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
ROUGH ELECTRICAL - Prior to cover.
FRiAIIING - Prior Eo cover.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
FINAL ELECTRICAL - When all elect,rical work is complete.
FINAL FIRE - When aLl- Fire Department requirements have been met.
been met.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
FINAL SITE PLAI{ - After all reguirements have been met for Minimum
Development Standards or from Ehe DevelopmenE Agreement.
--- ADDITIONAL COMMENTS ---
REFERRED TO ],AIIREN LEZELL FOR ANY MDS REQUIREMENTS
MINIMUM DEVELOPMENT STANDARD REVIEW TO BE DONE BY LAIIREN LEZELL
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 12 / o7 / 95
By signature, I state and agree, that I have carefully examined the completed
apptication and do hereby certify that a1] information hereon is true and
correct, and I further certify that any and all work performed sha1l be done
in accordance with t,he Ordinances of the City of Springfield, and the Laws
of the SLate 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 employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree Lo ensure Ehat aLl- reguired inspections are requested aE Ehe
proper time, that project address is readable from the street, Ehat the
permit card is l-ocated at Ehe front of the property, and the approved set
of plans will remain on the site at al-I times during consEruction.M ,L t ,-l
Signature Date
&r.^
SPRINGF!ELD
Job Number: 951-735
CITY OF SPruNGFIELD, OREGON
Page 3
--- VAI.IDATION ---
/2s2. rReceipt Number:
Date Paid:
Amount Received:
Received By:
/"-/7 €5
OnE@rv
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVEI,OPMENT CIIARGE
(COMMERCIAT / INDUSTRIAL)
Name or ComPanY: KEV]N GIELTSH
Location 585 N 35TH ST
Developement TlPe: C Building Size
Job No. : 951735
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft 1-0 X
2. SATiIITARY SEWER - CITY
Number Of PFUs 1.0 X 0
(see Page 2)
3. TR.ATiISPORTATION
Number Of Units
1.0 x .575 x
x Trip Rate
0.750 X
Transportation Total-
4. SAIiIITARY SEWER - ITTWUC
Number Of PFUs
0
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MIIMC SDC
SUBTOTAL - (Add Items L, 2, 3 & 4)
X 0.210 Per Sq Ft =
X 43.43 Per PFU =
Y Cost Per TriP
437.93
Y
x
Per PFU + MWMC Admin Fee
18.750
$22L .7 O
$0.00
$o. oo
s22L .7 O
$0.00
$0.00
$0.00
s22L.7 0
$11.09
5. A.DMINISTR.ATIVE FEES
Base Charge (Subtotal Irlcove)x 0.50
TOTAL SDC $232 .7 9
Reviewed By: TROY MCALLISTER Date : tT/ 1-4 / 95
SPRINGFIELD
Job Number: 951735 Page 2
FIXTURE I'NIT CALCULATION TABI,E
CITY OF SPruNGFIELT', ONEGON
Fixture Tlpe
Number of
New Fixture
unit
Equivalent
Fixture
Units
Bathtsub
Drinking Fountain
Floor Drain
Interceptors For Grease/OiI/Solids/etc
Inteceptors For Sand/Auto Wash,/Etc
Laundry Tub/Clot.heswasher
Clotheswasher - 3 Or More
Receptor For Refrigerat,or/Water Station/fEc
Receptor for Commercial Sink/Dishwasher/EEc
Shower, Single StaLf
Shower, Gang
Sink, Bar, Commercial, Residential- Kitchen
Urinal, Sta1l/wal1
Wash BasinfLavaEory, Single
Water Closet, Public Installation
water Closet, Private
Miscellaneous
TOTAL FIXTTIRE UNITS =
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are caLculated separately
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only ff Applicable: 0 X 0.00 = 0.00
Improvement (if after annexation dat,e): 0 X 0.00 = 0.00
CREDIT TOTAIJ = $0.00
(If l-and value is multiplied by 1 t.hen t.he parcel/Iand credit is not accurate. )
0
0
U
U
0
U
0
0
0
0
0
U
0
0
0
0
a
l_
2
3
5
z
6
1
3
z
1
5
4
0
0
0
0
n
0
U
0
0
0
n
U
0
0
0
U
SPFrI}IGFtELO
Zon tr
&,q
225 FTFTE STREET
SPRINGFIEI,D, OREGON 97 477
INSPECTION REQ{IEST: :126-3169
OFFICE: 726-3759
1. LOCATION O INST ON
I,EGAI DESCRTPTION
JOB DESCRIPTION
(
expi rePermits are non-trans f era e
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI{TRACTOR INSTALTATION ONLY
Ci ty 'hone
Supervisor License Number "4b z.t
Constr Contr. Number H7
Expiration Date
S ture of Supe an
ers Name
Address
Ci ty SzD Phone fu2szoT
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners S
;sa t
PERHIT APPLICATION
-Ei.y Job Nurnber
COHPI,ETE FEE SCffiDTIIJ BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
B
1000 sq.ft. or less
Each additi.onal 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-
401- amps to 600 amPs _601 arnps to 1000 amps-
Over L000 amps/vo1ts
Reconnect 0niy
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
over 4b1 to 600 amps
-
$'80.00
0ver 600 amps or 1000 voTts see "B" above
Nev, Alteration or Extension Per Panel
one circuit / $ 35-oo 3f,,*
Each Additional
Circuit or vith Service
or Feeder Permit S- $ 2'00 /D"' ?
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/0utline Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
,h,
3
A
Sum
ElectricaL Contractor dr(t * " t/^er-
Address
t( @xP
s s0.00
s 60.00
sr.00.00
s130. 00
s300.00s 40.00
c
\
D
E
s 40.00
s 40.00
s 20.00
$ 36.00
5
RECETVED B
ture:
45 s--
/^'z 3/L/ o?*e
Expirat ion Date ,/D - ? 6
$ 40.00
OREGO'VCITY OF SPR
SPFlINGFIELO
.- ,, -l
Tr-: fcllowirrq )roiect ss subrnltted has the
i :'tl, ota'lbes not require specific land
EIJCTRICAL PERHIT APPLICATION
Ci Job Number
COHPLETE FEE SCEEDUIJ BELOI{
Nev Residential-Single or
Multi-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 Bs.o0
33irllllH,^35fi1.0 N s7 h..t r:'''' / r I ttl {15
INSPECTION REQUEST z. 726-376flLiri:cri:e.:i Sl.;1
OFFICE: 726-3759'
t,-?;#o* f 2 vzl
/2
DESCRIPTIONLat 3tw
1. LOCATIONbF6 N 3t OF INSTSrfd
3
A
I,EGAL
180 days. +
2. COI{TRACTOR INSTAII.,ATION ONLY
Permits are non-transferable and expire
if vork is not started vithin 180 days
oi i""u"tce or if work is suspended for $ 40.00
Services or Feeders
InstalIation, 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/volts
-
Reconnect 0n1Y
Temporary Services or Feeders
Inslallaiion, Alteration or Relocation
200 amps''or less
201 amps to 400 amPs
-Over 401 to 600 amPs
Over 600 amps or fOOOlorfs
Branch Circuits
Nev, Alteration or Extension Per Panel ;
one circuit L/' $ 35.00 W
Each Additional
Circuit or vith Service
or Feeder Permit"-- -Z- $ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40'00
l,iilltedEnergY/Res
-
$20'00
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
Sum
s 1s.00
B
EIec
Addr
Ci ty
s
trical Contractor
ess s s0.00
s 60.00
s100.00
$130.00
s300.00s 40.00
$
$
$
s
Phone q $74{
Supervisor License Number .-34?r S
Expiration Date /6^?.S-
Constr Contr. Number
Expi ration Date L
re of trician
\
I
rs Name G.--; Gil,sl"
dress 77SSf 6g' rls Caut- &J
Ci ty Phone I 7c43g20
DATE:
c.
D
E
40.00
5s. oo
80.00
ee trBrr aSove
5
RECEIVED
2
cle
JOB DESCRIPTION
s x"4i"Z'l$,-"ct+ e ", *+ s L'v
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent'
0vners Signature: