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HomeMy WebLinkAboutPermit Building 2001-10-12 , -r I Job# 01-00399-01 I Page 1 of 4 TRANS#:Ol-0006971 DATE:OCT 12 20m AMT RECD:2 $ 27.50 CHANGE: CASHIER:003 225 North Fifth Street Springfield, OR 97477 PUBLIC PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00399-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3957 Hayden Bridge Rd Spr Assessors Map#: 17021900 Lot: Block: Addition: Owner: Address: Tax Lot #: 03300 Subdivision: EWEB 500 East 4th Ave Phone Number: 541-484-2411 City/State/Zip: Eugene, OR 97440-2148 Value: $5,812,595 Scope Of Work: Tank(s) EWEB Reservoir-Pumping Station Construct new reservoir and associated site improvements for EWEB Contractor Type General Contr Electrical Contr Engineer Engineer Engineer Plumbing Contr Quad Area: 3PNW # Of Units: Constr. Type: Water Heater: New Contractor Registration # Expiration Date Phone Slayden Construction Inc 45621 6/20/04 503-769-1969 Po Box 625, Stayton, OR 97383-0625 L H Morris Electric Inc 1838 6/8/05 541-747-0811 483 Shelley St, Springfield, OR 97477-1966 OBEC Consulting Engineers 541-683-6090 920 Country Club Road #1 OOB, Eugene, OR 97401 Peter Slocum 541-683-6090 c/o 920 Country Club Road #100, Eugene, OR 97401 Gary Rayor 541-683-6090 c/o 920 Country Club Road #100, Eugene, OR 97401 SlaydenConstruction Inc 45621 6/20/04 503-769-1969 Po Box 625, Stayton, OR 97383-0625 Office Use Land Use: Electric/Power Companie # Of Buildings: Zoning Code: PLOS Occupancy Group: Bedrooms: Heat Source: Range: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Zoning: PLOS FloodPlain? D Wetlands? D Journal numbers 1: 2000-06-0124 2: Comments: Site Footing Foundation Slab Framing Structural Masonry Structural Welds Structural Concrete Bolts installed in concrete High Strength Bolting Final Fire Final Site Plan Final Building Temporary Power Underground Electrical Verify Ground Rod Rough Electrical Electrical Service Final Electrical Rough Plumbing Sanitary Sewer Line Storm Sewer Line Backflow Device Final Plumbing Rough Mechanical Final Mechanical Rough Grading Final Paving I Job# 01-00399701 I Required Inspections I Building I - To be made after excavation but prior to setting forms. -After trenches are excavated. -After forms are erected but prior to concrete placement. - To be made after all inslab building service equipment, conduit piping, and other equipment iter - Prior to cover. - To be done during construction by a State Certified Special Inspector. Provide results to City B - To be done during construction by State Certified Special Inspector. Provide inspection test re~ -In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide r - To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildir Page 2 of 4 - To be done during construction by a State Certified Special Inspector. Provide inspection resul - When all Fire Department requirements have been met. -After all requirements have been met for Minimum Development Standards or from the Develo~ - When all required inspections have been approved and the building is complete. r Electrical I -Approval required prior to SUB energizing pole. - Prior to cover. -Install ground rod at footing, and call for inspectio,n in conjuction with footing and/or foundation i - Prior to cover. -Must be approved to obtain permanent power. - When all electrical work is complete. Plumbing - Prior to cover. -Prior to filling trench. - Prior to filling trench. -After device is installed but before backfilling trench. - When all plumbing work is complete. Mechanical - Prior to cover. - When all mechanical work is complete. I Permits w/o Srchg I -After gravel is in place but prior to placing concete. -After paving is complete. Overlay District: # of Street Trees: Land Use: Electric/Power Companie~ Pave Driveway? D 3: Additional Requirements: Required Attachments: Source Locn: Material: Planner: Sarah Summers Urban Growth Boundary?D Glenwood Area? D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Flood Plain FEMA: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq, Feet) Main: Accessory: Fee Public Plan Review Adjusted Public Plan Review Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Permanent: 200 Amps or Less Permanent: 201 to 400 Amps Perm: Over 1000 AmpsNolts Temporary: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge - Electrical State Surcharge - Electrical Administrative Fee - Electrical Administrative Fee,- Electrical Total Electrical Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing State Surcharge - Plumbing Sanitary Sewer Footage Sanitary Sewer Footage Storm Sewer Footage Backflow Prevention Device Administrative Fee - Plumbing Administrative Fee - Plumbing Total Plumbing Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Mechanical Issuance State Surcharge - Mechanical Total Mechanical I Job# 01-003~~-01 I Page 3 of 4 # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Paid On Receipt# Plan Check 04/20/2001 0005008 07/05/2001 6066 Value/Quantity 7,838,517 -1,976 Building 07/05/2001 6066 07/05/2001 6066 07/05/2001 6066 4,409,595 Electrical 07/05/2001 6066 07/05/2001 6066 07/05/2001 6066 07/19/2001 6195 07/05/2001 6066 07/05/2001 6066 07/19/2001 6195 07/05/2001 6066 07/19/2001 6195 3 2 1 1 61 Plumbing 07/05/2001 6066 10/12/2001 6971 07/05/2001 6066 07/05/2001 6066 10/12/2001 6971 07/05/2001 6066 10/12/2001 6971 07/05/2001 6066 07/05/2001 6066 07/05/2001 6066 10/12/2001 6971 2 1,451 30 9,518 1 Mechanical 07/05/2001 6066 07/05/2001 6066 07/05/2001 6066 \ 07/05/2001 6066 07/05/2001 6066 07/05/2001 6066 3 3 Fee Amount $8,021.98 $-1,975.75 $6,046,23 $7,198.00 $503.86 $215.94 $7,917,80 $150.00 $120.00 $300.00 $40.00 $122.00 $48.44 $2.80 $20.76 $1.20 $805,20 $.00 $.00 $20.00 $121.10 $1.75 $250.00 $25.00 $1,450.00 $10.00 $51.90 . $.75 $1,930.50 $.00 $.81 $18.00 $9.00 $10.00 $1.89 $39,70 Development Agreement signed 2-18-01. Fee Job# 01-0039~-01 Paid On Receipt# System Development 07/05/2001 6066 07/05/2001 6066 07/05/2001 6066 07/05/2001 6066 07/05/2001 6066 07/05/2001 6Q66 07/05/2001 6066 195 57 Page 4 of 4 Value/Quantity Impervious Surface Area - Storm Sanitary Sewer MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Property Annexed 1979 or Before Utilities - MWMC Total System Development 60,000 57 1 57 Paving Total Permits w/o Srchg Grand Total Plan Check Type Permits w/o Srchg 07/05/2001 6066 1,403,000 Checked By Date Completed Comment Initial Review-C/I/P Engineering-C/I/P Planning-C/IIP Structural-C/I/P Fire Marshal-C/I/P Lisa Hopper 04/20/2001 Sarah Summers 06/28/2001 06/28/2001 06/28/2001 Lome Pleger AI Gerard Fee Amount $8,130.00 $920.55 $10.00 $1,211.25 $721.87 $-922.34 $5,087.94 $15,159,27 , $2,687.50 $2,687.50 $34,586,20 By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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. I further state 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 the project address is readable from the street, that the permit card is located at the front of the prop;;y, an~ approved set of plans will remain on the site at all times during CO~~,J L4 c?~ /()- /2'~0'1 Signature tf - Date . ---------------------------------------- ---------------------------------------- CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD. OR 97477 (541)726-3753 ---------------------------------------- ---------------------------------------- WELCOME TO DEUELOPMENT SERUICES AND PUBLIC WORKS ---------------------------------------- ---------------------------------------- REG-RECEIPT:Ol-0006971 C:OCT 12 2001 CASHIER 10:003 11:01 am A:oCT 122001 ---------------------------------------- ---------------------------------------- 1005 PLUMBING PERMIT $25.00 JoB#:01-00399-01 1098 ADMIN FEE(8%) $0.75 JOB#:01-00399-01 1099 STATE SURCHARGE(7%) $1.75 JOB#:01-00399-01 TOTAL DUE $27.50 RECEIVED FROM: SLAYDEN CONST INC CHECK: $27.50 TOTAL TENDERED $27.50 CHANGE DUE $0.00 ---------------------------------------- ---------------------------------------- *Pay Name :DLAYDEN CONST INC *Mail Addr :PO BOX 65 *Cty/st/Z :STAYTON OR 97383 *Site Addr :3957 HAYDEN BRIDGE ROA ---------------------------------------- ---------------------------------------- ---------------------------------------- -----------------------------.----------- THANK VOU!!! 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