HomeMy WebLinkAboutPermit Building 2001-10-12
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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
.
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CITY OF SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD. OR 97477
(541)726-3753
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WELCOME TO DEUELOPMENT
SERUICES AND PUBLIC WORKS
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REG-RECEIPT:Ol-0006971 C:OCT 12 2001
CASHIER 10:003 11:01 am A:oCT 122001
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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
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*Pay Name :DLAYDEN CONST INC
*Mail Addr :PO BOX 65
*Cty/st/Z :STAYTON OR 97383
*Site Addr :3957 HAYDEN BRIDGE ROA
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THANK VOU!!! I!!
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