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Home My WebLink AboutPermit Building 2001-03-16SPFINGFIELD Job# 01-00220-01 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 960 00016th St 103 Spr AssessorsMap#: 17033622 Lot: Block: Addition: Job Number: 01-00220-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 04603 Subdivision: ctTY oF sPRtNcFtELD, OREGON Owner: Medi-Tech Development Company Address: 1600 Valley River Drive Scope Of Work: Lease Space Phone Number: City/State/Zip: Alteration 541-726-4400 Eugene, OR 97401 Value: $10,500 converting x-ray room into two ultra sound rooms for Dr. Longsteth Contractor Type GeneralContr ElectricalContr MechanicalContr Contractor Jack R Batchelor Jr PO Box 971, Cottage Grove, OR97424 Antone Electric 27514 Snyder Road, Junction City, OR 97448 Harvey & Price Co Po Box 1910, Eugene, OR 97440-1910 Registration # Expiration Date 77 10t31t2002 Phone 541-942-7111 541-688-4444 541-746-1621 Quad Area: # Of Units: Constr. Type: Water Heater: 2CNW Office Use - Land Use: MedicalClinic, Out-Pat. Zoning Code: CC Bedrooms: Range: # Of Buildings: Occupancy Group Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required Inspections Building - Prior to cover. - Prior to taping -When all Fire Department requirements have been met. -When allrequired inspections have been approved and the building is complete, Electrical - Prior to cover. -When all electricalwork is complete. I Framing Drywall Ceiling Grid Final Fire FinalBuilding Rough Electrical Final Electrical Job# 01-00220-01 Page 2 of 3 Required lnspections Mechanical Final Mechanical Zoning: CC FloodPlain? [ Wetlands? ! Journal numbers 1: Comments: Planner: Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: -When all mechanicalwork is complete. Overlay District: # of Street Trees: 2:3 Additional Requirements tr Glenwood Area? [ Required Attachments: Source Locn: Materia!: Flood Plain FEMA: Land Use: MedicalClinic, Out-Pat. Pave Driveway? E Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main:Accessory # Of Stories: Height (feet): Gurrent Units: Proposed Units Census Code: Does not apply Total Fee Paid On Receipt# Value/Quantity Fee Amount PIan Check Commercial Plan Check Total Plan Check 03112t2001 4649 10,500 $56.23 $s6.23 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 03116t2001 03116t2001 03t16t2001 4698 4698 4698 10,500 $86.50 $6.06 $2.60 $95.16 Electrical Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 03t16t2001 0311612001 0311612001 4698 4698 4698 1 $35.00 $2.45 $1.05 $38.s0 Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical Miscellaneous Mechanical Mechanical lssuance State Surcharge - Mechanical Total Mechanical 03t16t2001 03t16t2001 03/16/2001 0311612001 03t16t2001 4698 4698 4698 4698 4698 $.oo $.45 $15.00 $10,00 $1.05 $26.50 Grand Total 15 $216.39 Job# 01-00220-0'l Page 3 of 3 Plan Check Type Date Completed 0311212001lnitial Review-C/l/P Structural-C/l/P Fire Marshal-ClllP By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, 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. I further state that 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 requested at the proper time, that the project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Date Checked By Lisa Hopper Comment CITY OF SPRINGF'ELD, ORE&'O'V sPt FIELD 225 FIFTE STREET SPFJNGFIEI,D, OREGON TNSPECTION REQUEST: OFFICE: 726-3759 1. Permits are non-tr if vork is not sta of issuance or if ans ferable e rted vithin 180 daY vork is suspended f 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Hodular Dvelling Sertice or Feeder 200 amps or lessior rri" to 4oo amps -401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 anPs/volts _-.- Reconnect OnlY One Circuit --ZEach Additional Circuit or vith Service or Feeder Permit _-_ b 180 days. 2. COMRACTOR INSTALT.ATION ONLY Electrical Contractor Address EI,E TRICAL PER}TIT APPLICATION City Job Nunber 3. COHPLETE FBE SCffiDUI^E BELOV New Residential-Single or Hulti-Family per dvelling unit' Service Included: I tems Cost $ 8s.00 $ 1s.00 $ 40.00 B.Services or Feeders Installation, Alterations or Relocation: A Sum re ,s or one { C D t $ s0.00 s 60.00 s100.00 s13o. o0 $300.00 $ 40.00 Ci ty Phone Supervisor License Number Expiration Date (J Constr Contr. Number n*L.5?C Expiration Date Signa of SuPerv L clan TemporarY Services or Feeders insiall"iion, Alteration or Relocation 200 amps"or less $ 40'00 ;oi ;;; i, +oo amps - $ :l'99 - over abr to 600 amPs ll $ 80'00 over 600 amps or-1600-*ft" see "Bn a6ove- Branch Circuits 0vn Name Address Ci tY lffi t Nev, Alteration or Extension Per Panel s 35.00 35n Ph -lt[o-44fi OITNER INSTALLATION The installation is being made on pioperty I ovn vhich is not intended ior-sa1e, lease or rent' 0vners Signature: s 2.00 E Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline LightinS- Limited EnergY/Res - Limited EnergY/Comm $ 40.00 $ 40.00 s 20.00 $ 36.00 SUBTOTAL OF ABOVE 7% state Surcharge 32 Administrative Fee TOTAL DATE: RECEIVED 5 3 rto Ls "54_7,11/,o -( -*ra-9- \_/ From: DAVID BOWLSBYTo: CORA BLACKWELL Fax: 816-346-5321 Pages: 2 Phone: DAVID @ 541-736-1029 Date: 11114100 Re: 960 N. 16TH, SPRINGFIELD, OR GC: E Urgent X For Review E Please Gomment ! Ptease Reply D Please Recycle o Gomments: David Bowlsby - Community Services Tech Development Services Division City of Springfield, Oregon (541)736-1029 FAX# 541-726-3676 SP'iIi.GFIELE' t Cora Blackwell - PNC Real Estate 210 w 1Oth 6th Floor Kansas City, Missouri 64105 RE: Certificate of Occupancy for 960 N. 16th St., Springfield, OR A search of our computer records produced no reference to a Certificate of Occupancy being issued or when it may have been issued or to whom it may have been issued. A search of our address files produced no reference to a Certificate of Occupancy being issued or when it may have been issued or to whom it may have been issued. Per Lome Pleger, City of Springfield plans examiner, all occupancies at the listed address have received our approval and there appears to be no non-conforming building issues in existence at this time. Lorne Pleger performed the original plan review of the project at960 N. 16th St. Springfield, OR. David Bowlsby Community Services Tech Development Services Division City of Springfield, Oregon (s4r) 736-1029 225 FIFTH STREET SPRINGFIELD, INSPECTION OFFICE:726-37 59 OF Date ,rc 1000 sq.ft. or less 4. SUBTOTALOFABOVE 7%o State Surchirrge 8%o Administrative Fce BAL PERIflTAPPLICATION l" o SCHEDULE BELOW Multi_Family per du.elling unit. Service Included: 1 JOB Items Cost Sum .$ 106.00 $ 19.00 $ 50.00 63.00 75.00 3p.Lq Q----r.ntr. 2. CONTRACTOR INSTALLATION ONLY Electrical c,tr It ncton C Srrpen'isor Licensc Number J OO6 s Expiration Constr Contr. Expiration Signature of Supen'ising Electrician s-e-\t U.-?9* OIVNER II\STALLATION The inslallation is being urade on propefv" I or,vn rvhich is not intended for sale. lease or rent. Olners Signature: Each sqfl additional 500 or portion iED UNDER TH T IS NOT :D OR lS Home or Sen,ice or Feeder B. Services or tr'eeders Instirllation, Alterations or Relocation: 200 xnlp5 sr lg55 2() I arrrps to -100 amps J() I untps to 600 anrps 60 I anrps to 1000 anips Oi,er I 0tl0 arnps,/r'olts Reconnect Onlv C. Teruporar-1' Scnices or Feeders Installation, Alteration or Relocation 200 anrps or less 20I amps to 400 amps Over,l0l to 600 amps Or er 600 arnps or 1000 volts see "8" above D. Branch Circuits Permits are non-transferable and expireif work is not started within l g0 days of issuance or if ryork is suspended fo4 I80 days. Neu Alteration or Extension per panel :] One Circuit / 125.00 $375.00 w$43.00 Each Additional Circuit or rvith Service or Feecler Permit $ 3.00 E. I\I iscel laneous (Sen,ice/t'ecdcr n ot i n c Iu dctl) -Each installation Punrp or irrigation $50.00 Sign/Outline Lighting 550.00 Limited Energv/Res $25.00 j\Iinimum Electric Permit Inspection Fee is S{5.00 + Surchirrges ,+b TOTAL v.o t7.q\ H4r