HomeMy WebLinkAboutPermit Building 1996-03-20SPFINGFIELD
225 North Fifth Street
Springfield, OR 97477
a
COMMERCIAI,/TNDUSTRIAL PERMIT APPI.ICATION
CITY OF SPRINGFIELD ilob Number:
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Office
InspecEion Line
Page 1
95L648
726 -37 59
725 -37 69
Location of Proposed Work: 593 35TH ST
Assessors Map #: L7O23LL2 Tax Lot #: 01500
Owner: STAFEK & SON Phone #: 747-2433
Address: 3895 COMMERCIAL AVENUE City/State/Zrp: SPRINGFIELD, OREGON 97478
Description Of Work: CELL TOWER NEW Val-ue (fl,355,0o
Name
Archit,ect : EPPING/peffeNBe
Address Phone
General:
Contractor
GALE ROBERTS 0049237
338 West 11th Ave Eugene OR 9740100
Congt.
Contractor #Expires
Lo/21,/e6
Phone
485 - 4253
HANDICAP ACCESS: N
ZONfNG CODE: LMI
-- oFFrcE usE --
QUAD AREA: 3CNC LAND USE: 5300
f t.em
Sq. Ftg Main
CELLULAR TOWER
TOTAL VAI.UE OF PRO{IECT
Square Feet
335
x $/Square Feet Value
0.00
49,355.00
49, 355 . 00
Plan Check Fee: 183.95 Rec #: 24028 Date: t2/LL/96 Rec By: DoN MooRE
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
FENCE VALUE
STDEWAIJK
CURBCUT
1, 000 . 00
SI'BTOTAL PERMITS
283
22
nn
.64
.00
.00
.00
.00
.00
.90
.90
0
0
0
0
5
L3
13
338 .44
TOTAL PERITT FEES EXCLI'DING ELECTRICAL 338.44
SPRTNGFIELO
ilob Number: 95L648
a
Page 2
-.. REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. To requesu an inspection, cal-r. 726-3769
(recorder), state your City designated job number, job address, type of
inspection reguesEed and when you wilt be ready for inspection. Requests
received before 7:00 a.m. will be made the same working day, reguests made after
7:00 a.m will be made the following work day.
Special Inspections: In accordance with SecLion 305 of Lhe State Specialty Code
a special inspector shaIl be employed by Lhe Owner/Contractor during
construction of any following "*" work. A copy of the special Eesting reports
shall be furnished to Building Safety.
In addigion to the inspections specified, Ehe Building Official may make or
reguire other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
FOOTING - After trenches are excavated.
SLAB - To be made after alt inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concreEe
IrIIDERGROIT!{D ELECTRICAT - Prior to Cover.
STRUCTITRAL CONCRETE in excess of 2500 pai. To be done during conEtr.
by Strate Cert. Insp. Results to City Building Inspector
HIGH STRENGTH BOLTTNG - To be done during constr by State Certifj-ed
Special InspecEor. Results provided to City Building Division.
STRUCTITRAL WELDS - To be done during constr by State CerE Special
Inspector. Results of inspecLion/test Eo City Building Inspector.
BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special
InspecUor. Provide inspection/test reports to City Building Inspector
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FINAL ELECTRICAL - When all eleetrical- work is compleEe.
FINAL FIRE - When all Fj-re DeparEment requirements have been met.
been met.
FINAL SITE PLAtiI - After all reguirements have been met for Minimum
Development Standards or from the DevelopmenE Agreement.
FINAL BUITDING - When all reguired inspections have been approved and
the building is complete.
--- ADDITIONAI, COMMENTS ---
DRC #95-09-189, PLANNER IS GARY KARP
SEE .fOI'RNAL 96-09-189 FOR DISCRETIONARY USE AND DEVELOPMENT COORDINATION REVIEW
GARY KARP, PLANNER
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 01-/03/97
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 thaL any and aII work performed shal-L be done
in accordance with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to tshe 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 Eo ensure that all reguired inspections are reguested at the
proper time, that project address is readable from the street, that the
permit card is locat,ed at the front of the property, and the approved set.
of plans will remain on t,he siEe at all times during construction.
3,2O-?7
Signat Date
SPFT]tlGFIELE,
Job Number: 96L648
SPilNGFTELD,
Page 3
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VALIDATION -..
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SPFlII{{iFIELc,
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1
225 FIFTB STREET Au
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFPICE: 726-3759
ELE TRICAL PERHTT APPLICATION
Job Nunber
3. COHPIJTE FEE SCEEDI.ILE BELOIJ
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
$ 8s.00
$ 15.00
$ 40.00Servior Feeder
F ON
A
LEGAL ON Sum
e_e.0
L000 sq.ft. or l-ess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular DvelIing
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if lrork is suspended for
180 days.
2. CONTRACTOR INSTALT.ATION ONLY
Electricaf Contractor
Address o \,.)
Ci ty Phon e
Supervisor License Number
Expiration Date ()q
Constr Contr. Number
Expiration Date ta/q Q tQ.Q-?
Signa ture of Su pervising Electrician
LI
Ovners Name
Addre s
Ci ty Phone
INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
0vners Signature:
DATE:
ps or less I
amps to 400 amPs
40L amps to 600 amPs
-
601- amps to 1000 amPs-
0ver 1000 amps/vo1ts
--
Reconnect 0n1Y
B.
c
D
10n
10
Feeders
, Alterations
n:
$ s0.00
s 60.00
s 100. 00
s130.00
s300.00s 40.00
40.00
55.00
80.00
s see rrBrr amt
3s.00
2.oo d0_
not included)
40.00
40.00
20.00
,@
s_
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
?01 annps to 400 amPs
-
0ver 401 to 600 amps
Over 600 amps or 1000 voTI
s
s
$
E
Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit S
Each Additional
Circuit or vith Service-
or Feeder Permit lD S
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
sign/outline Lighting- $
Liilited Energy/Res
-
$
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.strative Fee
TOTALRECEIVED
Nfr
r !10 1
I
5
{, iapproval.
,L h
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