HomeMy WebLinkAboutPermit Building 1996-08-12SPFI,l.GFIELEl
225 North Fifth street
Springfield, OR 97477
Location of Propoeed Work: 960 15TH ST 104
Assessors Map #z l.7033522
COMMERCIAI./ INDUSTRIAI, PERMIT APPI.ICATION
CITY OF SPRINGFIEI,D iIOb NT:.MbET:
COMMI'NITY SERVICES DTVISION
BUILDING SAFETY
office:
Inspection Line:
Page 1
9507 93
726 -37 59
726 -37 69
Tax Lot #: 04503
SPilNGFTEI.O,
Owner: MCKENZIE SURGICAL GR
AddrESS: 960 15TH STREET
Description Of Work: REMoDEL/DR. CHAPPELL
Phone #: 726-4590
ciry/state/zr-p: SPRINGFTELD, OREGON 97477
REMODEL Value:0.00
Architect
Name
ROBERTSON/SHERW
Address
132 E BROADWAY, 54O, EUGENE
Phone
345-4302
GeneraL:
Contractor
CI{AMBERS CONSTR OOO1O3O
2295 Coburg Rd Suite 100 Eugene oR
Const.
Contractsor #Expiree
o8/31-/e5
Phone
687 -9445
--- PLI'MBING ---
No Fee Charge
0. 00
l_5 . 00
15.00
CAP TERMINATED
FIXTURES
TOTAL PERMIT
QUAD AREA: 2CNW
-- oFFrcE usE --
LAND USE: 5300 ZONING CODE: CC
Item
REMODEL 1431 SQ. FT
TOTAL VALUE OF PROJECT
Square Feet x $/Sguare Feet VaIue
25, 000.00
25, 000 . 00
Plan Check Fee:113.75 Rec #z 2L900 Date: 05/L2/96 Rec By: LISA HOPPER
BUILDING
Surcharge/aamin
MECHANICAL
surcharge/eamin
PLUMBING
Surcharge/admin
175.00
14.00
0.00
0.00
15.00
1, .20
SUBTOTAL PERMITS 205.20
SPF!NGFIELD
.Tob Number : 9607 93
SPilNGFIEID,a
Page 2
TOTAL PERMIT trEES EXCI,I'DING EI.ECTRICAIJ 205.20
-.- REQUIRED INSPECTIONS ---
It, is the responsibility of the permiU holder to see that all inspections are
made at the proper time. To requesL an inspection, cal-} 726-3769
(recorder), state your City designaEed job number, job address, type of
inspection requested and when you will be ready for inspection. Requests
received before 7:00 a.m. witl be made the same working day, requests made after
7:00 a.m will be made the following work day.
Special InspecEions: In accordance with Section 306 of the State Specialty Code
a special inspector shaLl- be employed by the Owner/Cont,racLor during
constructi-on of any following t'*" work. A copy of the special testing reports
shal-I be furnished to Building Safety.
In addition to the inspections specified, the Building Official may make or
require other inspections of any construction work to ensure compliance wiLh
the Building, City or Development Code.
SAI'IITARY SEWER cAP - Capped wiEhin five feet of the property line and
capped with an approved material- as UPC reguires.
ROUGH ELECTRfCAL - Prior to cover.
FINAIJ ELECTRICAL - When al-l- electrical work is complete.
FINAL FIRE - When all Fire Department requirements have been meL.
been met.
FINAL BUILDING - When all reguired inspections have been approved and
Ehe building is complete.
--- A.DDITIONAL CO!!}TE![TS
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: o8/02/95
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 all work performed shall be done
in accordance with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described herein, and that
NO OCCUPANCY wil-I be made of any structure without permission of Lhe
Community Services Division, Building Safety. I further certify that only
contracLors and employees who are in compliance with ORS 701-.055 will be
used on this project.
f further agree to ensure thaE all reguired inspections are requested aE the
proper time, that 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.
8^t2- 7 6
Si gnature Date
Receipt Number:
Date Paid:
Amount Received:
--- VALTDATTON ---
Received By:
2o
22*lag,/zz,/lc
(/
llN(;Ftl:t-_t,
The tollcwing
z{ning, and does
a1-'proval.
225 FIFTB STREET no,4:J4'4,U
SPRINGFfELD, OREGON 97 477 :"'"..: !r r:"".,'-::1
INSPECTTON REQT'EST: 726-37(19
OFFICE: 726-3759
I OF
ON
JOB ON
2. CONTRACTOR INSTALIATION OI.IIY
Electrical Contracto
Address
Ci ty Phone
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
City Job Number
COHPI,ETE FBE SCEEDI,II-E BEtOg
esidential-Sing1e or
-Family per dvelling unit.
ce Included:
I tems Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
-
Hodular Dvelling
Sertice or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
ntt require sPecilic land uee
ELECTRICAI PERHIT APPTI
0l
3
A wR
Itirvi
Ne
Hu
Se
Sum
B
\trr
Supervisor License Number
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-601 amps to 1"000 amps-
Over 1000 amps/volts
-Reconnect OnIy
s s0.00
s 50.00
s100.00
s130.00
$300.00
$ 40.00
$ 3s.00
$ 2.00
Expiration Da," tIH lq6_
Signature of Supervising Electrician
Expiration Date
Constr Contr. Number
Ovners N,
Address
Ci ty Phone
OYNER STALLATION
The installation is being made onproperty f ovn vhich is not intendedfor sa1e, lease or rent.
Ovners Signature:
DATE:
RECE
Temporary Services or FeedersInsta1Iation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
200 amps"or less S 40.00
201 amps to 400 amps
-
S 55.00over 401 to 600 amps
-
S 80.00
Over 600 amps or 1000 vofTs see uB" a66ve
C
one Circuit I
Each AdditionalCircuit or vith Service^or Feeder Permi t dI.
35
+
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation SSign/Out1ine Lighting_- $
Limi ted Energy/Res SLimited Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
40.00
40.00
20. 00
36.00
OBEGO'VCITV OF
RECETVED B
5 a)
\-Qq
4
Qun \to't t $#