HomeMy WebLinkAboutPermit Building 1998-09-16CITY OF SPruNGFIELT',
SPFINGFIELD
General
QUAD AREA: 2CSW
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFTELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
a
age 1
ilob Number: 98L!52
726 -37 59
726 -37 69
225 North Fifth Street
Springfield, OR 974'7'7
Location of Proposed Work: 2Ol S 18TH ST
Assessors Map #: 17033600
Owner: CITY OF SPRINGFIELD
Address 20a SOUTH 18TH STREET CiLy/
Description Of Work: STAIRCASE
office:
Inspection Line:
Tax Lot #: 00500
#: 726-3'761-
SPRINGFIELD, OREGON 9'7477
ADDITTON Value
Phone
0.00
'v1
Contractor ))^
GIBSON STEEL O
247 WASHTNGTON ST EUGENE OR
-- OFFTCE
LAND USE: 5800
80
40100 ba {:*
681 -8672
Item
TOTAL VALUE OF PRO.JECT
Square Feet x $/Square Feet Vafue
5, 900 . 00
BUfLDING
Surcharge/admin
MECHANICAL
Surcharge/admin
PLUMBING
surcharge/admin
PLAN REVIEW FEE
SUBTOTAL PERMITS
TOTAL PERMIT FEES EXCLI'DING ELECTRICAL
4
56.50
4 .53
0.00
0.00
0.00
0.00
36.73
h
97 -'7 6to
7.75
f.
A1^b-
--- REQUIRED INSPECTIONS -v
It is the responsibility of the permiL holder to see thaL all inspections are
made aL 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 inspectlon. Requests
received before 7:00 a.m. will- be made Lhe same worklng day, requests made after
7:00 a.m will be made the foflowing work day.
Special Inspections: fn accordance with Section 305 of the St.ate Specialty Code
a special inspector sha11 be employed by the owner,/Contractor during
construction of any following "*" work. A copy of the special testing reports
shal-1 be furnished to Building Safety.
In addition to the inspections specified, Lhe Buildlng official may make or
require other inspections of any construction work to ensure compliance with
the Buj-Idj-ng, City or DevelopmenL Code.
SPRINGFIELD
,.Tob Number: 98L152
SPTNGFIELq
Page 2
FOOTING - After trenches are excavated.
FRAIIfNG - Prior Lo cover.
FINAL BUILDING - When all required inspections have been approwed and
the building is complete.
--- ADDITIONAL COMMENTS
Plans Revj-ewed By: TOM MARX
Building Site Reviewed By: LISA HOPPER
Date:09/t5/98
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 al-l- work performed shal1 be done
in accordance wj-t.h the Ordinances of the City of Springfietd, and the Laws
of the State of Oregon pertaj-ning to the work described herein, and that
NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. f further certify Lhat only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that all required inspections are requesLed at the
proper time, that project address is readable from the street, that the
permit card j-s located at the front of the property, and the approved set
of plans will- remain on the site at al,I times during construction.
'O* t'L 4- tb-Q6
Signature Date
VALIDATION ---
3\44 IReceipt Number
Date Paid
Amount Received
Received By
SPr .GFIELO
C'TY OF SPRINGFIELD, OREGON
225 FIFTE STRXET
The lollowing proiect as submitted has the following
does not require specific land ,""ELECTRICAI PERHIT APPLICATIONzoning. and
approval.
INSPECTION REQUBST: 726-3
oFFrcE: 726-3759 Date
SPRTNGFTELD, OREGON 97477
T6fonins 2 -JC -e1 ty Job trvnaer 7F//52_
Authorized Signature r<^,J. COHPLETE FEE SCEEDIILE BELOII
1. LOCAT.Do\ 5 ION OP INSTALLATIONt*.ri\A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
Electrical Contracto
LEGAI, DESCRIPTION
JOB DESCRIPTION .
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. CO}ITRACTOR INSTALI..ATTON O}ILY
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B Services or Feeders
Instaflation, Alterations
or ReLocation:
ESS
00 amps
00 amps
000 amps_
s/volts _
v
C
D. Branch Circui ts
Nev, Alteration or Extension
One Ci rcui t
Each Additional
Ci rcui t or vi th Servi ce
or Feeder Permi t
Miscellaneous ( Service/feeder
-Each install-ation
Pump or irrigation S
Sign/0ut1ine Lighting- S
Limi ted Energy/Res S
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
I tems Cos t Sum
s 8s.00
s 1s.00
s 40.00
130.00
300.00
40.00
Per Panef
s 35.00
s 2.00
i.ncluded )
r Son it ro I Secur i ty
AddressP.O. Box 21009
Ci ty Euqene Phone 461 -5678
Supervisor License Number V-ffQtsfr-
Expiration Date to
Constr Contr. Number 65149
Expiration Date 6-28-00
Signa ture of Supervising Electrician
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or fess
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000-vofTs
200 amps or
201 amps to
401 amps to
601 amps to
Over 1000 am
Reconnect 0n
$
S
S
s
S
$
I
4
6
1
p
I
00
00
00
00
00
00
Btt
00
00
00
00
50.
60.
100.
s 40.
s ss.
$ Bo.
seett Eove-a
Ovners Name
Addres
Cit Phone
OIINER INSTALI.ATION
The instal-lation is being made on
propertv l own which is not intended
for sale. lease or rent.
0vners Signature:
E
5
not
40.
40,
20.
36.@
DATE:
RECEI
RECEIVED B
2
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