HomeMy WebLinkAboutPermit Building 1997-10-14
v.
.
SPAINOFIELD
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 971499
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 2590 MAIN ST
Assessors Map #: 17033641
Tax Lot #: 01000
Owner: INDUSTRIAL INSTALLAT
Address: 2590 MAIN STREET
Phone #: 726-0028
City/State/Zip: SPRINGFIELD, OREGON 97477
Description Of Work: MODULAR OFFICE
ADDITION Value:
0,00
Contractor
Const,
Contractor #
Expires
Phone
General:
OWNER
Electrical: ELITE ELECTRIC 0099768
38289 Courtney Creek Dr Brownsville
06/10/95
367-5346
PLUMBING
NO,
Fee
Charge
40,00
40,00
Sanitary Sewer
Water Service
90
120
ft,
ft,
TOTAL PERMIT
95,00
QUAD AREA: 2 CNW
ZONING CODE: CC
-- OFFICE USE --
LAND USE: 5300
# OF BLDGS: 1
Item
FDN, FOR MODULAR
Square Feet
x
$/Square Feet
Value
3,000,00
TOTAL VALUE OF PROJECT
3,000,00
Plan Check Fee:
44,53 Rec #: 27699 Date: 10/14/97 Rec By:
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PAVING VALUE
PLUMBING
Surcharge/Admin
.r
h(!)D~S'rABlll
c~~r ,,-
4,200,00
38,50
3,09
0,00
0,00
50,50
95,00
7.60
40,00
1,142,38
.;'.;) ,75(}'1)
SUBTOTAL PERMITS
1,377,07
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
1,377,07
'.
.
SPRINGFIELD
Job Number: 971499
Page 2
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are
made at the proper time. 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
a special inspector shall be employed by
construction of any following "*" work.
shall be furnished to Building Safety,
Section 306 of the State Specialty Code
the Owner/Contractor during
A copy of the special testing reports
In addition to the inspections specified, the Building Official may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code,
FOUNDATION - After forms are erected but prior to concrete placement,
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
MANUF HOME/MOBILE HOME SET UP - When all blocking is complete,
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
MANUF, HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
FINAL FIRE - When all Fire Department requirements have been met.
been met,
FINAL SITE PLAN - After all requirements have been met for Minimum
Development Standards or from the Development Agreement.
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
--- ADDITIONAL COMMENTS ---
MDS APPROVED BY KITTI GALE
SEPARATE ELECTRICAL PERMIT IS REQUIRED; SEPARATE SANITARY SEWER CONNECTION
PERMIT IS REQUIRED, NEW PAVING AREA SHALL DRAIN TO EXIST'G CATCH BASIN IN FRONT
OF SHOP, AND/OR TO THE UNPAVED GRAVEL AREA AT REAR OF LOT; TIE-DOWNS ARE REQ'D,
Plans Reviewed By: DON MOORE
Building Site Reviewed By: LISA HOPPER
Date: 11/14/97
.By signature, I state and agree, that I have carefully examined the completed
application and do hereby certify that all information hereon is true and
correct, and I further certify that any and all work performed shall be done
in accordance with the Ordinances 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 ORB 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.
",~tu /YI- ~
tJ g /q7
Date
.~"'. . .~,
" . . .JOB NO, 97/~9'7
ATrAC-i11ENT A . .'.
, :
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAI\IE OR COHPMIY :Z::dv,.fy>d -z:;"yf",/ b/';6.h '3
LOCATION ,~C /-1.0-1;' "i..-,f
DEVELOPMENT TYPE:
" 71 ""I-
..t _ -J. .
BUILD!~IG SiZE /2;-<-5'/0 f-{.J,,(,J I (,T SIL!"
. tOUO,
"STCRH QP';lfi'I~G;:- /U:"'~'.;1,-v'i7'
Q'~ ).'/1 .
-. pr-_- . -r I'" -,... -- ..., . f.' --I hl/ ./ ,,'" . '-f' "''''',-- ....c:--' ....,...
~j'l. :.r<'l :,.)L~ ')~l. i"" 1 . ..,Iv /2':':;" Il.::: _X~,-"' .< .)tj. 2~D r-',-,; '::0. ;- i .
. , }.,Cc,o'iF , .
. .
2-. S,0._NTT~R'( SF~'JF,C:-Cfl'f
so '_
,~
<; /-7.~-
_7. .7.,,/
'NO. oFPFU'S .~
. (~-o n'v=r-~ Si~cl
_c;~ r\c "" j"" '..,-,
X. 3~E. 86 PER PFlJ
--0
1....,..~
5_, ') 7"
3. TRANSPORTil.TTON
\.
.
NO OF' UN ITS X TR I P R.~TE X COST PER' TR I P
~ tv 7;). X r 75" X, $472.49
d.
$ ,;238
x
X $472.49
$
.---,
x
X $472.49
$
.--
4" SANiTARY SFwFR-MWMC
NO. OF FEU' 'i.&7:LY 4i) )08 J3. PER FEU + $10 MWMCI ADM FEE $ /.({9 <; ~.
" TOTAl -MWMC SlY -
$ -6-:-'
. . . 9'7
$ /~9":--.
. 98
$ 11?'i57 -
MWMC CREDIT IF APPLIC~SLE (SEE REVERSE)
SUBTOTAL (ADO ITEMS 1,2,3 & 4)
5. AOMINISTRATIVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X ,05
. yO
$ :70 ,--
/~;~lL"..;,~~
/( ,'(so~oor'dinator
Date: /7h~?
3:3
TOTAL sac $ /,/7/.2-
.
.
SPRINGFIELD
Job Number: 971499
-- - VALIDATION
Receipt Number: J. 8' ;J.. 0 1
Date Paid: <6 7)e.~Gn<-,J-u/, ICj '7 7
Amount Received: dJ / J )77.07
Received By: ~.J
./
Page 3