HomeMy WebLinkAboutPermit Board of Appeals 1996-12-23SPRINGFIELD
225 North Fifth SLreet
Springfield, OR 97477
Locatsion of Proposed Work: 305 S 4TH ST
Assessors t"tap #: 17033500
h,
COMMERCIAI,/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIEI.D iIOb NUNbET:
COMMT'NITY SERVICES DIVISION
BUII..DING SAFETY
Office r
Inspection Line:
Page 1
96LL29
725 -3759
726 -37 69
Tax Lot #: 00305
SPilNGFIELD,
Owner: TIMBER PRODUCTS SALE
Address: 305 SOUTH 4TH STREET
Description Of Work: ALTER WOMENS RESTROOM
phone #:
city/sr.ate/zip: SPRINGFIELD, OREGON 97477
REMODEL VaIuE:0.00
Architect
Name
GLAS ARCHITECTU
Address Phone
PI,I'MBING - - -
No
3
Fee Charge
30.00
30.00
Single Fixture
TOTAL PERMIT
--- MECTIA}iIICAI, ---
No
1
Fee Charge
3.00
6.00
10.00
25.00
Vent Fan/Single Duct
ALTER DUCTWORK
Permit lssuance
TOTAL PERMIT
HANDICAP ACCESS: Y
-- oFFrcE usE --
QUAD AREA: 1ISI I LAND USE: 3999
TOTAL VALUE Of PROJECT
Sguare Feet
462
$/Sguare Feet VaIue
15, 000 . 00
15,000.00
Plan Check Fee:71.83 Rec #: 22896 Date: 08/1-6/96 Rec By: LISA HOPPER
BUILDING
Surcharge/admin
MECHANICAT
Surcharge/edmin
PLUMBING
110.50
8.8s
25.00
L.20
30.00
It.em
BATHROOM REMODEL
SPFIi|GFIELD
ilob Number: 961,]-29
SPNINGFTEI-D,
Page 2
Surcharge/edmin
SUBTOTAI, PERMITS
TOTAL PER}IIT FEES EXCLI'DING EI,ECTRICAI,
2 .40
1,77.95
L77.95
--- REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that, a1l- inspections are
made at the proper time. To reguest an inspection, caLL 726-3769(recorder), state your City designated job number, job address, type ofinspection requested and when you will be ready for inspection. Requesus
received before 7:00 a.m. will be made the same working day, requests made after7:00 a.m will be made the following work day.
Special Inspections: In accordance wit,h Section 305 of the State Specialty Codea special inspector shal1 be employed by the owner/Contractor duringconstrucLion of any following "*" work. A copy of t,he special testing reportsshalI be furnished to Building Safety.
In addit,ion to the inspections specified, the Building Official may make orrequire other inspections of any construction work to ensure compliance withthe Building, City or Development, Code.
ROUGH PLI,MBING - Prior Lo cover.
ROUGH IIECIIAIIICAL - Prior to cover.
ROUGH ELECTRfCAL - Prior to cover.
FRAMING - Prior Eo cover.
DRYIiIALL - Prj-or to taping.
FINAL PLIIIBING - When aII plumbing work j-s complete.
FfNAL DIECIIAIIICAL - When al_I mechanical- work is complete.
FINAL ELECTRICAL - When all el_ectrical work is complete.
FrNAL BurLDrNc - when a1l required inspections have been approved and
t,he building is complete.
--- ADDITIONAIJ COM}IEMTS
Plans Revj-ewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOppER
Date:09/tO/95
By signature, I state and agree, that I have carefully examined the completedapplication and do hereby certify that all- information hereon is true andcorrect, and I further certify that any and all work performed sha1l be donein accordance wit,h the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work described herein, and that
NO OCCUPANCY will be made of any strucEure wj-thouE permission of the
Community Services Division, Building Safety. I further certify that, onlycontractors and employees who are in compliance with ORS 701.055 will be
used on this project.
f further agree to ensure that alL reguired inspections are requested at ghe
proper time, that project. address is readable from the street, that thepermit card is located at the front of t,he property, and the approved setof plans will remain on t.he site at all times dur ing construction.
Date
-7C
SPFINGFIELD
Job Number: 96LL29
SPilNGFIEIT',
Page 3
Receipt Number:
Date Paid:
Amount Received
Received By:
--- VAI.IDATION ---
2q/</2
/z-27.?4
LL/LE/S| l5:{0 S50,3 ,728 3680 SPTD DEV. SER.@002
CITY OF D,OREG
INSPECf,I0N REQIIEST: lOFfiICE: 726-3759
,w.
rcuA.rnt3
1 OF I[oN '' -'
0.
DESCRT PTIONR*zaaa'LRt r-hz
2. COIITBAGTOR INSTALI.ATION OIILY
Signat irf Supervisi EIe trician
grnrrorreio
EI,ECIRTCAL APPTJCATION
City Job Nuuber
MrW*,"PEE SCEEDI'I.E BELOV
Cost
$ 85.cc
$ 15.00
$ 40.00
ee nB* aEEF
allEt^ia? 4n a6ArFourrrv^.au va au)vurJ
5Z Statc Surcharge
3Z Adminlstratlvc Fee
TOTAL
225 EIPTg SM,EET
SPRINGFIBTD OREGON 974 77,,u*rfil (
Permits are non-transferable and'expirelf work is not srarted'vithln 180 dlysof issuance or if.vork is suspen-deA ior180 days.
+. Nev Resldentlal-Slncle or4) I!l,li;xTlll,5:;,avEllrng unit.
I tems
1000 sq.ft. or !.ess
Each addltlonal 500sg. ft or portlon
thereof
Each Manufrd tsome or
-Hodular DveIItng
Servlce or Feeder
Services or Feedersfnstallatlon, Alterattonsor Relocation:
200 amps or less
201 amps to lgg amps T401 amps to 600 anps
501 amps to 1000 arnps-0ver 1000 amps/volts
-
Reconnect Only H
Sum
*trtt
Electrieal Contrac torLP 4Z*/ir*t -4/c-
Address 6f /d, ,'shL -
citv 5p p/Phone 76 63I lI-
superris# License Number /4rus
Expiration Date 7
Pump or lrrlgatlon SSlgn/0utllne Llghtfne- SLtoltcd Energy/Rr SLlolted Energy/Como
-
S
B.
c
D
E.
$ 50.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
constr conrr. Number CSbq?Temporary Servlces or FeedersInstallation, Alteration or Relocation
Expirati.on Date / dlfkb zuu amps or less
201 amps to 400 amps
-
Over 401 to 600 amps
-over 600 amps or l000ETIs
Braneh Clrcults
$
s
$
!ir
40.00
55.00
90.00
40.00
40.00
20.00
36.00
,00
Owners
Address
ctt
/zroau*Sn*s A
o ,Box
, 4 ru17 pnone -l
Nev, Alteratlon or Extenslon per panel
one clrcutt J $ 35.00 JS,0oEach Addtttonil a -'
Clreult or vlth Scrvlceor Pceder Pernl r -/ $2,oo 4d' o0
Hlscellancous (Servlce/feeder not lncluded)-Each lnstallatlon
"{nt
DATE: I
RBCEIYED
-t
c
I
I
I
i
(
OIINER INSTAILITTION
The lnstallation ls being nade onproperty I ovn vhlch ls not intendedfor sale, lease or rent.
Osners Signature: