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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 l?a?.?4-&/Aa< *