HomeMy WebLinkAboutPermit Building 1997-06-02SPF!NGFIELD
225 North Fifth Street
Springfield, OR 97477
Location of Propoeed Work: 800 S 18TH ST
Assessors lrtap #: 18030100
a :o
COMMERCIAI,/INDUSTRIAT PERMTT APPLICATION
CITY OF SPRINGFTEI.D ilob Nrrrnber:
COMMI'NITY SERVTCES DIVISION
BUILDING SAFETY
Office:
Inspection Line:
Page 1
97 0373
726 -37 59
726 -37 69
Tax LoE #: 01100
OwNCr: CEMTERI,INE EXCAVATIO
Address: 800 SOUTH l-8TH STREET
Phone #: 747-92L5
ciEy/state/zip: SPRINGFIELD, OREGON 97478
DescripEion Of Work: SHOP ADDITION ADD]TION Value 0.00
Architect
Name
BRANCH ENGTNEER
Address Phone
Contractor
Const.
Contractor #Expires
04 /27 / e7
Phone
747 -L2L3General:CENTERLINE CONS 0098191
800 S 18th St Springfield OR 974770
PIJI'MBING - - -
No
3
Fee Charge
30.00
40.00
70.00
Single Fixture
Storm Sewer
TOTAL PERMIT
1s0 ft
--- IIECITA]IrCAI, ---
No
1
Fee Charge
15.00
10.00
25.00
Vent Fan/Sing]e Duct
Permit fssuance
TOTAL PERMIT
HANDICAP ACCESS: Y
ZONING CODE: QMO
-- OFFICE USE --
QUAD AREA: 3ISC LAIID USE z 3999
Item
Sq. Ftg Main
TOTAL VALUE OF PRO'IECT
Square Feet
2000
x $/Square Feet Value
40, 000 . 00
40, 000 . 00
PIan Check Fee:L54.70 Rec #: 24852 Date: o3/L3/97 Rec By: HEIDI KNIGHT
SPRI]tlGFIELD
Job Number: 970373
a I t
Page 2
BUILD]NG
Surcharge/Admin
MECHANICAL
Surcharge/eamin
PAVING VALUE
PLUMBING
Surcharge/eamin
ST'BTOTAL PERMITS
SYSTEMS DEVELOPMENT
TOTAL PERMIT FEES EXCI.I'DING ELECTRICAI.
2, 500.00
238.00
L9.04
25.00
1,.20
38.50
70.00
5.60
397.34
595 .52
1, 093 . 85
--- REQUTRED TNSPECTTONS ---
It is the responsibility of the permit hol-der to see that all inspections are
made at the proper time. To requesE an inspection, caLL 726-3769
(recorder), stat,e your City designated job number, job address, Eype of
inspection requested and when you will be ready for inspection. Requests
received before 7:00 a.m. wil-l- be made the same working day, requests made after
7:00 a.m will be made the fofLowing work day.
Special Inspections: In accordance with Section 306 of the State Specialty Code
a special inspector shall be employed by the Owner/Contractor during
consEruction of any following "*" work. A copy of the special testing reports
shall be furnished to Building Safety.
In addiEion to the inspections specified, the Building Official- may make or
require other inspections of any consLruction work t,o ensure compliance with
the Building, City or Development Code.
STORM SEWER LINE - Prior to fiLling trench.
FOOTfNG - After trenches are excavaEed.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special
InspecEor. Provide inspection/test reports Lo City Building Inspector
FINAL PLTMBING - When all plumbing work is complete.
ROUGH MECIIAI{ICAI, - PriOr TO COvCr.
ROUGH ELECTRICAL - Prior to cover.
FR.AIIING - Prior to cover.
INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior Lo cover
DRYI{ALL - Prior to taping.
STRUCTITRAL WELDS - To be done during consEr by State Cert Special
Inspector. Results of inspection/test to City Building Inspector.
ROUGH GRADING - After gravel is in place but prior to placing concreEe
FINAL PAVING - After paving is complete.
FINAL PLITMBING - When alI plumbing work is complete.
FINAIJ MECIIA IICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When aL} electrical work is complete.
FINAL FIRE - When alf Fire Department requirements have been meL.
been met.
FfNAL BUILDING - When all reguired inspecEions have been approved and
the building is complete.
--- ADDITIONAI, COM}TENTS
MDS NOT REQUIRED PER JULIA POWELL-H.]
Pl-ans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
DaEe: 05/27 /97
SPFINGFIELE,
a l o
Job Number: 970373 Page 3
By signature, I st,ate and agree, that I have carefully examined the completed
application and do hereby certify that all information hereon is true and
correct, and f further certify that any and all work performed sha1l be done
in accordance with the ordinances of the City of Springfield, and the Laws
of t,he State of Oregon pert,aining to the work described herein, and thag
NO OCCUPANCY will 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 Lo ensure that all required inspections are requested at the
proper time, that project address is readable from the street, that the
permit card is located at the front of Ehe property, and the approved set
of plans will remain on the site at all times during constructi-on.
/^/ fr-("/>/ot
Signature Date
SPruNGFIEI-O,
--. VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
67
,73ea././-lhaz-rlT
mco
Permi ts are transferable and expireif vork is started vithin 180 daysof issuance or if uork is suspended for
SPt.l,rGFl€LO
ELECTRTCAL PERHTT APPIICATION
City Job Number
3. COHPLETE FEE SCMDULE BELOV
A Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service fncluded:
ftems Cost
1000 sq.ft. or less
Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular 'DvelIing
Service or Feeder
s 8s.00
s 1s.00
s 40.00
.B.Services or Feeders
Ins tallation, Alterationsor Relocation:
or less p
400 amps
Th.e foilowing proiect * :y_bl_,tt"d..fns tho lollowingzontng, and cJ<, ru Loi requlre specilic f"nJ uiu-"."approval.
#F,
Zonin
225 FIF"IE STREET
SPRINGFIELD, OREGON
TNSPECTTON REQUEST:
OFFICE: 726-3759
1 OF
,ror)oh
726-3769
-E1
Sum
180 days.
2. CONTRACf,OR
tvo
TTON
Electrical Contract
Address
ci Phone
Supervisor Li e Number J4as
Expiration Date to \.qV
Constr Contr. Number
Expiration Date
s ture of Su pervising Electrician
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps''or less S 40.00
201 amps to 400 amps
-
S 55.00 -----
0ver 401 to 600 amps
-
S 80.00
Over 600 amps or 1000 vgfts see "B' a6l6E
D. Branch Circuits
Nev, Alteration or Extension Per Panel
/s
=
s 50.00
s 60.00
s100.00
C
0
Rec onnec t 0nIi
$130.00
$300.00s 40.00
$ 3s.00
s 2.oo lA_
Ovners
Address
Name
*{rl
ci pt on"-141
ALIATION
The installation is being made onproperty I ovn vhibh is not intendedfor sale, lease or rent
Osners Signature:
DATE:
One Circuit
Each Additional
Circuit or vith Service^or Feeder Permi, 4
E. Miscellaneous (Service/feeder not included)
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTA.L
s 40.00
s 40.00
$ 20.00
s 36.00
RECETVED
5 a)
amps _
ts
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res .Limited Energy/Comm
--
Job Number: 970373 Page 2
FTXTIIRE I'NIT CALCIIIJATION TABTE
Fixture Tlpe
Number of
New Fixture
Unit
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/SoIids/Btc
Inteceptors For Sand/Auto Wash,/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Stc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single StaII
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/WaII
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
MiscelLaneous
TOTAL FIXTI,'RE I,]NITS =
CREDIT CALCTLATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.(calculations are by $r-000)
Year Annexed:
Credit For Parcel Or Land OnIy If Applicable: O X 0.00 = O. OO
Improvement (if after annexation date): O X 0.00 = O.OO
CREDIT TOTAL = $0.00
(If land value is multiplied by L then the parcel/land credit is not accurate.)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
2
3
6
2
6
l_
3
2
2
2
1
6
4