HomeMy WebLinkAboutPermit Building 2000-03-09Joh# 99-01287-01 Page 1 of 3
SPRINGFIELD
€h,
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2080 0001gth St Spr
AssessorsMap#: 17032524
Lot: Block: Addition:
Job Number: 99-01287-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00100
Subdivision:
crTY oF sPRrNcFtELD, OREGOTV
Owner: New Life System
Address: 2080 19th Street
Scope Of Work: Accessory Bldg
Storage Building and Play Area
Phone Number:
Gity/State/Zip:
Addition
541-746-1291
Springfield, OR97477
Value: $25,000
Contractor Type
GeneralContr
Contractor
Owner
X,X,X
Registration # Expiration Date Phone
Quad Area:
# Of Units:
Gonstr. Type:
Water Heater:
2CNW
Office Use
-
Land Use:
Zoning Code:
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.
Footing
Foundation
Framing
Final Fire
FinalSite Plan
FinalBuilding
Underground Electrical
Rough Electrical
Final Electrical
Storm Sewer Line
Drywell
FinalPlumbing
Required lnspections
Building
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- Prior to cover.
-When all Fire Department requirements have been met.
-After all requirements have been met for Minimum Development Standards or from the Develop
-When all required inspections have been approved and the building is complete.
Electrical
- Prior to cover.
- Prior to cover.
-When all electrical work is complete.
Plumbing
-Prior to filling trench.
-Engineered Drywell is required.
-When all plumbing work is complete.
Street lmprovement:
Curb Cut?r' Itr
San Sewer Depth (Ft):
Storm Sewer Available?
SpecialReq.:
Security Required:
Bond Begin DateTime:
Special Instructions:
Other Utilities:
Project Supervisor:
lmprovement Agr.?
Sidewalk Type:
AdditionalROW?
Size Of Line (in):
Downspouts/Drains: To Drywell-Provide Drywell E
Enchroachment Permit:
San Sewer Tee (in):
Page 2 of 3
tr
00/00/0000 00:00 A Bond End DateTime: 00/00/0000 00:00 A
Drywell construction per City details. lnclude connection for classroom bu
Types Of Warning Devices Reqd.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(sq.
Main:Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check Fee
Total Transfered Records
Transfered Records
09122t1999 35628 111 $1 10.83
$110.83
Building
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
03/09/2000
03/09/2000
03/09/2000
0000882
0000882
0000882
25,000 $170.50
$11.94
$5.12
$187.56
Plumbinl
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Storm Sewer Footage
Plumbing Administrative Fee
Total Plumbing
03/09/2000
03/09/2000
03/09/2000
03/09/2000
0000882
0000882
0000882
0000882
150
$.00
$2.80
$40.00
$1.20
$44.00
System Development
lmpervious Surface Area - Storm
Church - MWMC
Church - Transportation
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
03/09/2000
03/09/2000
03/09/2000
03/09/2000
03/09/2000
0000882
0000882
0000882
0000882
0000882
2,520
3
3
1
$584.64
$190.66
$809.52
$10.00
$79.74
$1,674.56
Grand Tota!
Plan Check Type
Engineering-C/l/P
Checked By
Ken Vogeney
Date Completed
03/09/2000
$2,016.95
By signature, I state and agree, that I have carefully examined the completed-application and do
neredy certify that all information herein is true and-correct, and I further certify that any and allwork
perforined shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the perm.it.card
is lbcated at the front of the propefi, and the approved set of plans will remain on the site at all times
Page 3 of 3
77-q
during construction
Signature Date
Job# 99-01267-01
approval.
Zoning
225 FTFTE STREET Date
SPRINGFfELD, OREGON 97477 Authorized Signature
INSPECTION REQUEST: 726-3769
OFPICE: 726-3759
JOB
The following proiect as submitted has the
zoning, and does not require specific land'
oo
r-@
q1
3.
A.
,llINGFIELO
PERHIT APPLICATION
Ci ty Job Nurnber ?7 - otzsT-oI
COHPI.,ETE FEE SCTIEDI'IJ BELOV
| ? t$c4lrrof,
oF ruqry;l.ffioN
IJGAL O"O'
- t-7O3 ZSZL{ - o o(o<>
T
tsa non-rans era e
vork is not started vithin
Nev Residential-Single orHuIti-FamiIy per dvelling unit.
Service Included:Items Cos t
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portionthereof S 15.00
Each Hanuf'd Home. or
-Hodular 'DweIIing
Service or Feeder S 40.00
Services or FeedersInstalIation, Alterations
or Relocation:
//1/
200 amps o
201 amps t
401 amps t
601 amps t
Over 1000
Reconnect i
r ress /o 400 amps
-o. 600 amps
--o 1000 amps-
amps/volts
-OnIy
Sum
s s0.00
s 60.00
s100. 00
s130. 00
s300.00
s 40.00
00
00
00
s see rrBrr a6il6-
* ttA Peif
Ci ty
and expire
180 daysof issuance or if vork is suspended for
180 days
2. COI{TRACTOR TNSTALI.,ATION ONLI
Electrical Contractor L.R. Brabham, Inc.
Address 68 West "Q" Street
Ci ty Springfield phone 747-6638
sup ervisor License Number .l4735
B
c
D.
Expiration Date 10101/01
C.onstr Contr. Number
Expiration Date
08699
12/18/01
Signat of Supervising Electrician
0vners
Address AOn /1/,^tu,
Temporary Services or PeedersInstallation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
-Over 401 to 600 amps
-0ver 600 amps or 1000-voTT
Branch Circui ts
v
40.004&0 -*-20.ffif-
-n--i--3660@iifirf ". 4+-
tr-a
= :-!n I, | (_J
' 1.3'i1 Fr
sng- s
s
$40
Sss
$80
OVNER INSTALI,ATION To oo l,n/nana<
The installation is being made on
property I ovn which is not intendedfor sale, Iease or rent.
omers Signature:
DATE:
Nev, Alteration or Exterrsion Per Panel
One Circuit $ 35.00
Each Addi tionalCircuit or vith Service -or Feeder permit--"'--5 S 2.oo /0,'
Hiscellaneous (Service/feeder not included)
-Each ins tallation
Pump or irrigation
Sign/0utIine Lighti
Limlted Energy/Res
Limited Energy/Comm
, 41471,n"74b'tzqt
E
5. SUBTOTAL OF ADOVE
7 t7. State Surcharge
3Z Admtnistrative Fee
TOTALRECEIVDD
I Z- Z- (<)-o
oq
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