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Home My WebLink AboutPermit Building 1999-05-03SFFINGFIELD 225 North Fi-fth Street Spr j-ngf ie1d, OR 9'7 477 Location of Proposed Work: 425 10TH ST. Assessors Map #: 17033514 COMMERCIAL/INDUSTRIAL PERMIT APPTICATION CITY OF SPRINGFIEI,D COMMI'NITY SERVICES DIVISION BUITDING SAFETY age 1 Job Nurnber: 990282 of f i-ce: Inspection Line: 726 -37 59 726 -37 69 Tax Lot #: 11200 SPilNGFIELD, Owner: SCHOOL DISTRICT AddrCSS: 525 MILL STREET Description Of Work: Phone #: 744-63'75 city/state/zip: SPRTNGFTELD, OR. 97477 REMODEL ValuE 0.00 PLI'UBING No 2 Fee Charge 20.00 20.00 Single Fixture TOTAI. PERMIT - - - MECHANICAI. No 1 Fee Charge 3.00 150.00 6.00 Vent Fan/Single Duct 25 FCU'S 1 UNIT HEATER 3 FAN UNITS 5 CONVECTORS Permit Issuance TOTAL PERMIT - - OFFICE USE -800-332-23441 FLOOD PLAIN: N Item HVAC MODIFICATIONS FRAMING TOTAL VALUE OF PRO.'ECT Square Feet x $/Square Feet Val-ue 0.00 1, 500 . oo 1,500.00 BUILDING Surcharge/admin MECHANICAL Surcharge/admin PLUMBING Surcharge/admin PLAN REVIEW 259-" ELECT. PERMIT SUBTOTAL PERMITS 25.00 2.OO 2t2 .50 1-6.21, 20.00 1.50 125.13 321, .84 724.28 TOTAT PERMIT FEES EXCLI'DING ELECTRICAL 724.28 ST'RINGF!ELE' Job Number: 990282 Page 2 REQUTRED TNSPECTIONS It is the responsibility of the permit hofder to see that all inspections are made at the proper time. To request an inspection, ca:..:.- 725-3769 (recorder), state your City designated job number, job address, type of inspecti-on 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 Inspections: In accordance with Secti-on 305 of the State Specialty Code a special inspector sha11 be empl-oyed by the Owner/Contractor during construction of any following "*" work. A copy of the special testing reports sha11 be furnished to Building Safety. In additi-on to the inspections specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Buildi-ng, City or Development Code. ROUGH cAS - after fine is i-nstall-ed and capped if not attached to an appliance ROUGH IIIECHAI{ICAL - Prior to cower. MECH/SUB: FOLLOWING ROUGH MECHAIiIICAI, APPROVAL, PRIOR TO COVER ROUGH PLt I'IBING - Prior Lo cover. ROUGH ELECTRICAL - PriOr IO COVET. FP-AITIING - Prior to cover. FINAL MECIIAI{ICAL - When af l- mechanicaf work is complete. FINAT ELECTRICAL - When all electrical work is complete. FINAL PLITMBING - when all plumbing work is complete. FINAL/SUB FINAL BUILDING - When all required inspections have been approved and the building is complete. ADDITIONAL COMMENTS Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: Date:03/25/99 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that al-f information hereon j-s true and correct, and I further certify that any and a1l- work performed shafl be done in accordance with the Ordj-nances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that 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 to 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 the property, and the approved set of plans will remain on the site at all times during construction. ure te ST R!NGFIELD Job Number: 990282 SPruNGFIELI', Page 3 --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received By: 7 =-'o>4-;nra-?- f^7'22 *'rs ;r4 (/'g SP- :FIELO t Zoning l/0 Date 225 FIPTE STREET SPRINGFIELD, oREGoy gfo$rprized Signature INSPECITON REQUESTz 726-3769 0FPICE: 726-3759 1. LOCATION OF INSTALLATION 2{ ity Job Nu-uber 3. COHPLETE FEE SCEEDTILE BELOV A Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included: I tems Cos t s 8s.00 s 1s.00 s 40.00 s s0.00 s 60.00 s100. 00 s130. 00 $300.00 $ 40.00 s 40.00 $ ss.00 s 80.00 the lollowino land use - PERHIT APPLICATION (?o >r > I.EGAI / 703 DESCRTPTION<€lq /r>ol Sum see l'Blt a 6ove JOB DESCRIPTION Permits are non-transferable and if vork is not started vithin 180 of issuance or if vork is susPend 180 days.Service or Feeder 2. CONTRACTOR INSTALI..ATION OM,Y B. SCTViCES OT FCCdCTS InstalIation, Alterations Ef ec t r i cal Con t rac t o rnhfTl{wtai- r+LK* ;G'-L Elecf(fo. o r Reloca t i on : Address 200 amps or less Ll 201 amps to 400 amps _ 401 amps to 600 amps - 601 amps to 1000 amPs- 0ver 1000 amps/volts Reconnect Only Phone 2zG-LcZZ rJA lr rr: u990. vcr ci = Supervisor License Number ffis/oZZS Expi ra t ion Date / C - al - cl Constr Contr. Numbe r //Obr Signature Ovners N, Address OVNER The installation is being made on property I ovn vhiih is not intended for sale, Iease or rent. Ovners Signature: DATE: c. Temporarv Selvices or Feeders Insiallailon'; afteration or Relocation Per Panel $ 3s.00 s 2. oo 4b_ n. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ Sign/Outline Lighting- Il,iili ted Energy/Res - $ 40.00 40.00 20.00 36.00 s5fSUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTALRECETVED I 1000 sq.ft. or less Each additional 500 'or Iessto 400 tne Expiration Date lO -a / - C> I 200 amps' ElectriciarAf TEN t follow rules 0ver ci ty?,{6f e U Phone ?9?-3331 b,;/,,,4"m'il.:.?'F"';l;"y'"rs/contractorsforthisproiect;wi11advise City of 225 Fifth Street, Springlield, qprin,gfield Oregorr 97427 - Devdiopment services FNIrlOFIllLO ah And Drai teration Permitna Date of Appllcatlon April 23, 1999 t6to! ORteve Barrett p Property Owner clt Sofattn Phone:Address : Tax Map No: 17-03-35-012 Site Address:tr ucB Tax Lot: 2600 & 300 , Springfield, Oregon to be determined.* , project Supervlsor 795 cu.yds, / ac4" ds. D cu A FILL, ouanrtt cRADING, Ouantity Sourco Locatlon Supplior to be determined't n ExcAVATtoN, ouantlty 79 Supplier: Address , Materlal crushed rock 12" P"rs"t'$'T8*s,#'{r#,isli*;!,"{ifl 1,.'J#,ihliB#ifiil{:fif,i-ffi thHr[.'&'"'Hvllsii{i"}ss$ii}r CROSS SECTIONS, DnAtNAGE, poLLUTtoN AND enost6rv coNTRoL pLAN ADDITIONAL INFONMATION, w SOILS & GEOLOGY PLAN, n tr V, n R'dglstration Numlrer: , Exltlration Date: , CITY: MOFILE PHONE:_, EMERGENCy pllONE: , PHONE 746-0637 STATE FAX OR0 Fi f I-h Srropr3 OFFICE PHON FztP COMPANY NAME Robertson S CITY Eueeae PHONEPROJECT SUPERVISOR: ADDRESS: COMPANY NAME: Branch Engineering, Inc. pROJECT SUpERVISORI Wayne Westfalt ADDRESS: pHONE 342-8071 6g1y Springf ield STATE ADDRESS: STATE: PnOlecf SUPERVISOR: Dave Guada 132 E. Broadway. Ste 540o o By signature, I state and agrss, thsl I have carelully examlnod tho complotod applicotlon and do horoby cortllv that Blllnlormrtlon hereln la true and cor,ecl, ond I lutthor cortlly that any ond oll work pcrlormod rhall be dono ln aicordanco witlrthe Ordlnancec ol tho Clty of.Sptlngfleld, appllcablo Clty Standard spoclllcatlons'and Drawlngl, and tho lewr ol the State ol o1e.go1^qoltgl-nl1g_to tle. work dogctlbed hotoln, I lurthor corllly that only aontraclorr ond om-ployoor who rro ln compllrncrwlth 0RS 701,066 wlll bc ueed on thls proloct, Tha Clty may lnspect tho work slte described ln thls permit at 6ny tlmo durlng a ono yaar perlod tollowing tho recolpt by the City of notlce of completlon of the described work and spoclfy, ct tho CitV's eole doe ecrutlon, any rdditlonrl reetoritlori work requlred to roturn tho elto to a ltandsrd accsptablo to lhs Clty, The permitloo wlll bo notlflod ln wrltlno ol cny work tcoulred and wlll have thlrty {301 dayr ltom the. drte ol th. notlo! lo compl.to lhc work, Work not oomplrtrd ar rh. .nd ot rhr ihlrty days wlll be perloimed by ths Clty and the costs wlll bs billed to llre permltloo. 0ro roquost€d al lhe propor tlmo, that proloct oddress ls readable lrom on tlro slto ot oll limes during conllrucllon. 414'L '. l#4.T lzq 4q nd o dlnI furthor agre the 8tre8t, I Slgnature '''Dato c,lrtz =o p 2lll =U E al-z E :1tlzoU .uo E ulrzou urc:f hzg ul BT]rIvt zo Eu, H az rl CONTRACTOR NAME: ro be derermiired:r ,:il 't. I " '' "i'"l'-:f' '' tr ETc DRAINAGE, WETLANDS, UP TO IOO CUBIC YANDS IOI TO I.OOO CUBIC YARDS t,o0l To 10,000 cuBtc YAnos 10,000 To 100,000 cuBlc Y^nos 100,001 To 200,000 2OO,OOI CUBIC YARDS OR MONE GRADING PERMIT FEES: UP TO 1OO CUBIC YARDS 101 TO 1,000 cuBlc YAnDs '1,001 To 10,000 cuBrc YARDS r 0,000 To 100,000 cuBtc YAnDs $ 20.00 330.00 $ 40.oo $40.00 For tho tirst 10,000 cubic yords, plus 920,00 fot ooclr odditlonol lO,O00 cublc yords or frocliorr thorool l220.OO For tlro llrst 100,00 I cublc yotdt, plur t20.00 lor ooclr oddltlonol l0.0OO cubic yorde or Iroctlon lltoreol 0340 For tho llrsi 2O0,001 cublc yards, plus S6,00 lor oaclr odditionol 'l O,000 cubic yards or ltoclion lhorool, s30.00 S30.00 For tlro lirst 100 cublc yords, plus 9'l 4.00 [or oach edditlonol 100 cublc yords or fraction tlroreol, 9 l66.00 For tho f lrst 1,000 cublc yotds, plus S I 2.00 lor ooch odditlonol 1,0O0 cublc yards or frocliott therool. S264.0O For tho lirst 10,000 cublc yards, plus 954.00 lor oaclr sdditlonal 10,O00 cublc yards or lraction lltorool 375O.0O For tlro lirst l0O,O0l cublc yotds, plus 93O.00 lor oach odditional 10,000 cubic Yards or lroclion therool E stor., C Dltch, O culvert, D Natural Descrlp tron Non A-'e FEMA,Comnluniry Panet No,t 45fr2 ry?AFLOOD PLAIN, Zone; trFLooDWAY,FEMACommunityPgnelNo,l-,D8toi- PLAN cHECr iErdlr' j i.t. :, 100.00r ro 200,000 Estimated Volume: Plan Check Feo: 795 cubic yards $30.00 oa* t,\r,A- t,. r Recoipt:rl w%w rotal = $l2B 0345 3'7 Date:Receip Daro: blzl q? Date: Grading Permlt fee: Beceived By: Fleceived by: u 1X30=30 7v'll.=QR &-/ FITT E d,III o- Zc -t- c IJ'It-J oZ III U z - flno oZ J !f, Englneering ,42L u Plannin Planning: Englneering: Building: Date: Date:A /./f/n n Buitding:Date: Pernrit Number Final lnspections: Ds te Dato Date lssued by:Date: a ulu 2I 4o luUJlL utzI EazI JH r,* C'TY OF OREGON 225 FIFTE STREET SPRINGFIELD OREGON 974, SPIIINGFIELD CAL PBRHIT APPLICATION INSPECTION REQIIESTT 726-3769 0FFICE: 726-3759 Date 1. LOCATION OF Authorized INSTALLATION IJGAL DESCRTFTION FEE SCEEDT'LE BELOS Nev Residential-Single or Multi-Family Per dvelling unit. Service Included:Items Cost L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Hodular Dvelling Sertice or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: A Sum ee *Br a566 s 3s.00 $ 2.00 l% JOB DESCRIPTIONf z ftrz?? i7 }i- Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COI.ITRACf,OR INSTALT,ATION ONLY Electrical Con tot rac 5[, B C 00 00 00 00 00 00 50 60 100 130 300 40 $ $ $ $ s $ $ $ $ s P24_Address te- cit phone 7d6-6AAa- Supervisor nunber f6 775cense Expiration Date Constr Contr. Nurnber Exp iration Date Signature of Supervising Electrician 0vners Name eddcess ?27r,9/ZA nl Ci ty . Phone' -t?Z;'^=% OVNER 200 amps or less I 20L amps to 400 amPs / 401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amPs/volts - Reconnect 0n1Y TemporarY Services or Feeders rnstallaiion, Alteration or Relocation 200 amps'"or less 201 amps to 400 amPs -Over 401 to 600 amPs Over 600 amPs or 1OOO vilfs D. Branch Circuits Nev, Alteration or Extension Per Panel 40.00 55.00 80.00 E. Hiscellaneous (Service/feeder not included) One Circuit Each Additional Circuit or vith Service or Feeder Permit 6a -Each installation Pump or irrigation Sign/Outline Lighting- Limi ted EnergY/Res - Limited EnergY/Comm The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: $ 40.00 $ 40.00 $ 20.00 $ 36.00 DATE: SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTALRBCEIVED7 5 OD Job Nunber fl228 2 Signature