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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 lJ