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Home My WebLink AboutPermit Building 1996-05-30SPFIi|GFIELD 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 950 15TH ST 303 Assessors Map #: 1-7033622 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD ilob Nurnber: COMMI'NITY SERVICES DIVISION BUII,DING SAFETY Office: Inspection Line: Page 1 950 53 9 726 -3759 726 -37 59 Tax Lot #: 04503 OwneT: MCKENZIE MEDICAL CEN Address: 960 15TH STREET Phone #: 726-4690 city/state/zip: SPRTNGF]ELD, oREGON 97477 REMODEL ValueDescription Of Work: REMODEL/INTERNAL MED 0.00 Name ROBERTSON Address Phone Architect: General: Contractor CHAMBERS CONSTR OOO1O3O 2295 Cob:urg Rd Suite 100 Eugene OR Const. Contractor #Expires o8/31,/e6 Phone 687 - 9445 QUAD AREA: 2CNW -- OFFTCE USE LAND USE: 5300 Item TENANT REMODEL TOTAT VALUE OF PRO,JECT Square Feet x $/Sguare Feet Val-ue 57, 000.00 67,000.00 Plan Check Fee 185.90 Rec #:2L481- Date: 05/1,0/96 Rec By BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/admin PLAN REVIEW AD,TUST SUBTOTAL PERMITS TOTAL PERMIT FEES EXCLI'DING EIJECTRICAIJ pLuuar/rZ*H Pa</{/ft .4e 5ry# 334.00 26.72 0.00 0.00 0.00 0.00 31.20 391, .92 39L.92 SPFINGFIELI, ,Job Number: 950539A CITY a Page 2 It is the responsibility of the permit holder to see that all inspections are made at Lhe proper time. To reguest an inspection, cal-l 726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you wil-l- be ready for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m wiLl be made the following work day. Special Inspectj-ons: In accordance with Section 306 of the State Specialty Code a special inspector shalL be employed by the Owner/Contractor during construction of any following t'*" work. A copy of the special testing reports shalI be furnished to Building Safety. In addition to the inspections specified, the euilding OfficiaL may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. ROUGH PLIIMBING - Prior to cover. ROUGH MECHAI{ICAL - Prior to cover. FINAL PLIruBING - When all plumbing work is complete. FINAL IIECHAI{ICAL - When all mechanical work is complete --- ADDITIONAL COMMENTS --- PLI]MB]NG CONTRACTOR TO SI]BMTT AS-BU]LT PLUMBING DRAWING TO CITY FOR RECORDS PRIOR TO REQUESTING FINAL APPROVAL. Plans Reviewed By: DON MOORE Building Sit,e Reviewed By: Date: 05/24/96 By signature, I state and agree, that I have carefully examined. the completed application and do hereby certlfy that a1t information hereon is true and correct, and I further certify that any and all work performed shall be donein 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 the Community Servj-ces Division, Building Safety. I further certify that only cont.ractors 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 theproper time, that project address is readabLe from the st.reet, t.hat thepermit card is l-ocated at the front of the property, and the approved setof plans will remain on the site at al-l times during construction. 4-=a - 2LSignatureDate --- VALIDATION --- Receipt Number: Date Paid: Amount Received - Received By -/ --- REQUTRED TNSPECTTONS --- /a?a? ^ CITV 225 FTFTE STREET .r 'r,)ii'i.:rl SPRINGFTELD, oREGON 97 477 INSPECTTON REQUEST: 726_3769 OFPICE: 726-3759 1 Pe ts are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COI,ITRACTOR INSTALLATTON ONLY Electrical Contracto Address SPN' EIELT' PERHTT PTICATION Ci ty Job Number COHPLETE FEE SCEEDULE BELOTI Nev Residential-Single orllulti-Family per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanuf'd Home. or -Hodular Dvelling Service or Feeder s 8s.00 s 15.00 s 40.00 Services or Feeders Installation, Alterations or ReLocation: ap.proval. 1Dcte ,l_4(o 3 A Ci ty Expiration Date Signa ture of Su Phone pervising trician 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/voIts -Reconnect Only Sum 00 00 00 ee rBrr a56ie il\od B supervi.l.Yr".nse Number t[L{ lq6- s s0.00 s 60.00 $100.00 s130.00 s300.00 $ 40.00 40 55 BO s s s s Expiration Date Constr Contr. Number 4 C Temporary Services or Feeders Installation, Alteration or Relocation Ci ty Phone OIJNER ON The installat on is being made onproperty I ovn vhich is not intended for sale, Iease or rent. Omers Signature: DATE: 200 amps''or less 201 amps to 400 amps SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.strative Fee TOTAL onecircuit I $35.00 Each Additional Circuit or vith Service-ror Feeder Permit s-h $ 2.00 -Each installation Pump or irrigation Sign/0u tline Ligh ting- Limi ted Energy/Res _- Limited Energy/Comm 0ver 401 to 600 amps -Over 600 amps or L000-Iofts Branch Circui ts Ovners Address Nev, Alteration or Extension Per Panel E. Miscellaneous (Service/feeder not included) s 40.00 $ 40.00 $ 20.00 s 36.00 5 RBCEIVED SPilNGFIELD, SPFINGFIELE, 225 North Fifth street Springfield, OR 97477 Location of Proposed Work: 950 15TH ST 303 Assessors Map #: L7033622 COMMERCIAL/ITIDUSTRIAI, PERMIT APPLICATION CITY OF SPRINGFIELD ilob Nr:.mber: COMMI'NITY SERVICES DIVISION BUILDING SAFETY office: Inspection Line: Page 1 950539A 726 -37 59 726 -37 69 Tax Lot #: 04603 Ow:xeT: MCKENZIE MEDICAL CEN AddrESS: 950 15TH STREET Description of Work Phone #: 726-4690 city/state/zj-p: SPRINGFTELD, OREGON 97477 REMODEL VA]UC:0.00 --- PTIIMBING --- No 5 Fee Charge s0.00 50 .00 Single Fixture TOTAL PERMIT --- MECIIAI{ICAL --- No Fee Charge 4.50 t_0.00 25.00 REL. /INSTALL DUCTS Permit Issuance TOTAI. PERMIT -- oFFrcE usE -- Item TOTAL VAI.UE OF PROJECT Square Feet x $/Square Feet Value 0.00 Plan Check Fee: 185.90 Rec #: 2L48L Date: 05/t0/96 Rec By: Surcharge/admin MECHANICAL Surcharge/admin PLUMB]NG Surcharge/aamin SUBTOTAL PERMfTS 0.00 25.00 1.20 50.00 4.00 80.20 TOTAI, PER}IIT FEES EXCLI'DING ELECTRICAL 80.20 SPN!]llGFIELD Job Number: 950639 SPilNGFIEI.O, Page 2 --- REQUTRED TNSPECTIONS --- It is the responsibiliLy of the permit holder to see that al-] inspections are made at the proper time. To request an inspection, cal-l- 726-3769 (recorder), staEe your City designated job number, job address, Lype of inspection requested and when you will be ready for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m will- be made the following work day. Special rnspections: In accordance with Section 305 of the State Specialty Code a special inspector shall be employed by the Owner/Contractor during construction of any following r'*" work. A copy of the special testing reports sha1l 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 with Ehe Building, City or Development Code. ROUGH MECI{AI.IICAL - Prior to cover. ROUGH PLITMBING - Prior to cover. ROUGH ELECTRICAL - Prior to cover. FRAIIING - Prior to cover DRYWALL - Prior Eo taping. CEILING GRID FINAL MECIIAI{ICAL - When alf mechanical work is comp}ete. FINAL ELECTRICAL - When all electricaL work is complete. FINAL PLITMBING - When all plumbing work is compleEe. FINAL FIRE - When all Fire Department requirements have been met. been met. FINAL BUILDING - When all required inspections have been approved and the building is complete. --- ADDITIONAL COMMEMTS --- SEPARATE PERMTTS ARE REQU]RED FOR PLUMBING, MECIANICAL AND ELECTRfCAL WORK. PLUMBING CONTRACTOR TO PROVIDE AS-BUILT DRAWING PRIOR TO FINAL PLUMBI. APPROVAL Plans Reviewed By: DON MOORE Building Site Reviewed By: LISA HOPPER Date: 05/24/95 By signaLure, I state and agree, that I have carefully examined the completed application and do hereby certify that al-I 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 t.he 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 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 to ensure that al-l- reguired inspections are requested at the proper time, that project address is readabfe 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. 5-€a-7b Signature Date SPFI,l.GFIELC' rTob Number: 960539 aTr SPruNGFIEI-O, Page 3 Reeeipt Number: Date Paid: Amount Received: Received By: ,,oo. , *r/Li Tf 1 --- VALIDATION --- h t*7,-eC