HomeMy WebLinkAboutPermit Building 1999-03-05sPFINGFIELD
225 North Fifth Street
Springfield, OR 97477
LocaEion of Proposed Work: 1615 3OTH ST
Assessors lutap #: 17023000
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 990005
office
Inspection Line
726 -37s9
7 26 -37 69
Tax Lot #: 01935
SPruNGFIELT',
OwneT: EUGENE FARMERS CO-OP
Address: 2690 PRAIRIE ROAD
Phone #: 688-8210
City/State/zip: EUGENE, oREcON 9744o
ADDITION Value:Description Of Work: ADD TWO GAS DISPENSERS 0.00
Architect
Name
PACIFIC NORTHER
Address Phone
General:
ConUractor
PACIFIC NORTHER OO7814O
1OB1 COLUMBIA BLVD LONGV]EW WA 9863
Const.
ConEractor #Expires
12/os/ee
Phone
423 -2245
QUAD AREA: 3CNC
-- OFFICE USE
LAND USE: 5300
ftem
INSTALL PUMP ISLAND
TOTAL VALUE OF PRO.JECT
Square Feet x $/Square Feet Value
25, 000.00
25, 000 . 00
Plan Check Fee:113.75 Rec #: 3246L Date: 01,/05/99 Rec By: AL WARD
BUILDING
surcharge/edmin
MECHANICAL
Surcharge/admin
PLUMBING
Surcharge/admin
CITY SDC FEES
SUBTOTAL PERMITS
TOTAT PERMIT FEES EXCLUDING ELECTRICAL
0
0
0
9 ,98L
175.00
14.00
0.00
00
00
00
L0,1-70.12
LO,L7O.72
siPRIrlGFIELD
Job Number: 990005
CITY OF SPruNGFIEI^O,a
Page 2
REQUIRED INSPECTIONS
It is the responsibj-1ity of the permits holder to see that all inspections are
made at the proper ti-me. To request an inspection, call 726-3769
(recorder), state your City designated job number, job address, type of
inspection 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 306 of the State Specialty Code
a special inspector sha11 be employed by the owner/Contractor during
construction of any following r'*" work. A copy of the special testing reports
shall- be furnished to Building Safety.
In addition to the inspectj-ons specifi-ed, the Building Official may make or
require other inspections of any construction work Lo ensure complj-ance with
the Building, City or Development Code.
ROUGH ELECTRICAL - Prior to cover.
SLAB - To be made after all inslab building service eguipment, conduit
piping, and other equipment items are in place but prior to concrete
FINAL ELECTRICAL - When all electrical work is complete.
FrNAL FIRE - When all Fire Department requirements have been met.
been met.
FINAL BUILDING - When all required i-nspecEions have been approved and
the building is complete.
ADDITIONAL COMMENTS
Plans Reviewed By: LORNE PLEGER
Building SiLe Reviewed By: LISA HOPPER
Date: 02/04/99
By signature, I state and agree, that I have carefully examined the completed
application and do hereby certify that all informat.ion hereon is true and
correct, and I further certify that any and all work performed shall be done
in accordance with Lhe Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertalning to the work described herein, and that
NO OCCUPANCY will be made of any structure without permissi-on 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 thls project.
I further agree to ensure that all required i-nspections 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.
Dta 0--,-.5- 5-?7
Slgnature a*s Date
--- VALIDATION
Receipt Number ?7a22
Date Paid:
Amount Received:e 2
Recei-ved By
JoURNAL 0R JoB No. 7:o
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
[^,ORKSHEET
NAME OR COMPANY
LOCATiON ,/2,/4 A3a s/-
DEVELOPMENT TYPE
BUILDING SIZE OT SIZ F SQ. Ft
i. STORM DRAINAGE al,/o a-req-
X $0.227 PER SQ. FT s#
2
4. SANITARY SEI^JER-MI^JMC
A. REIMBURSEMENT COST:
R-^ a% /'tzt-rl rQ'r2arL.'e-5
,t/ l*-tfi?4..- s
NO. OF PFU'S
(See Reverse
X $47.14 PER PFU
Si de)
3. TRANSPORTATION
O )tS/4.1;o-,c-2/-/-/zL-/,
5,7///V e /a/ /2d €-'/z br-
NO OF UNiTS X TRIP RATE X COST PER TRIP ly
/ x.,fo x $475.32
x $475.32
s*
,
Ao
$X
NO. OF FEU'S X PER FEU
B. II'1PROVEMENT COST
NO. OF FEU'S X PER FEU
MI,JMC CREDIT IF APPLICABLE (SEE REVERSE)
M[^/MC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS i.2,3 & 4)
ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
<$
$ 10.00
TOTAL-I-,1I^JMC SDC $+
$+-
5@'
?o
$ ? €OG-------.,/+
5
ATTACH 'A. l^lPD
i nator
Date "!?TOTAL SDC
a
$ 7 78r_--_-__-
(/
iMPERVIOUS SQ. FT.
k"*l/"r-.^
Gl'i'y oiB OREGO'V
Zoning ll;
Date
Authorized Signature
225 FIFTE STREET
SPRINGFIEI,D, OREGON 97 477
INSPECTTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION y\
e
CE:
ERM|TSHALL EXP'RE,F THPMffi
SPFIi.GFIELt,
CAL PERHIT APPLICATION
?RIZED U q70/0iNDER IHIS PERMITq$NO/ob Nurnber
per dvelling unit.
uded:Items Cost
TNCT.'''r ?R ls
780 DA). PE ilND8dffiirm FEE scmDULE BELos
A. Nev Residential-Single or
PTION no?36 oo 6t9s5
4-v^eY'C"-
MuI t i -Fami
Service In
1y
c1I,EGAL
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. COI{I3ACTOR INSTALI.,ATION ONLY
Electrical Contracto ' TLJE Tr,.
PO
,"
L000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
One Circuit I
Each Additional
Circuit or vith Service
or Feeder Permit I
D. Branch Circuits
Nev, Alteration or Extension Per Panel
I 4v'S
$ 8s.00
s 1s.00
$ 40.00
$ 3s.00
$ 2.00
36.00
oo
Sum
on
a6ove-
Address
Ci ty
Constr Con
84 20
20
40
60
?2)
OA
cal
n
anc1
O
t
o
o
t r
5
Elec
o
o
t
t
t
0
1
1
1
amps
amps
amps
amps s
amps
amps
amp
Iess
400
600
1000
r
o
o
o
S
o
a
tI
$ s0.00
s 60.00
$100.00
$130.00
$300.00
s 40.00
$ 40.00
$ ss.00
$ 80.00's see rBil
ehonP 5o
Supervisor
Expiration
of
Expiration
Signature
c
t
1L
Da
r.
Da
r
6
mbe
C)
Nueens
e
t0gp6a40Q8,, zu+j?s/vo
*ftffipoeg tnSSE;-,-
J f Oq SlrrENro
follow rules
1
%lF ta,flU gt%#i qE*go ; : i,
i ryS? I eq$B-ututy4ltiol ib,rps
-tU+bl-8{b\3:&2660i amps
-Over 600 amps or 1000 voTt
F
onR
on
u
the
for
g
Those r
teNumb
eede
or
rs
Reloca t i
o
rt Yo
nti
et
Cen
0vners Name 7 n
Address 76? d
Ci ty Phone 6 tr&'f>la
OITNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
E. Miscellaneous (Service/feeder not included)
.t/ Ooz\e) J'
3.oa
-Each installation
Pump or irrigation
-
S
signZoutline Lightine- $Liilited Energy/Res
-
$
40.00
40.00
20.00
SUBTOTAL OF ABOVE
5% State Surcharge
3Z Administrative Fee
TOTAT
3
BRECEIVED
5
I
Lrr,w