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Home My WebLink AboutPermit Building 2000-2-10 "0 I Job# 99-01632-01 I Page 1 of 3 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01632-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection line: 726-3769 location Of Proposed Site: 223 Q St Spr Assessors Map#: 17032631 lot: Block: Addition: Tax lot #: 02103 Subdivision: Owner: QTS Investors PO Box 7455 Phone Number: 541-484-4623 City/State/Zip: Eugene, OR 97401 Remodel Value: $190,000 Address: Scope Of Work: Tenant Infill Contractor Type General Contr Contractor Mcintyre Construction Inc 85830 Pine Grove Rd, Eugene, OR 97405-9705 Registration #, Expiration Date 3550 10/8/99 Phone 541-687 -2841 Quad Area: 1 CNW # Of Units: Constr. Type: Water Heater: Office Use land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: 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. Footing Framing Drywall Ceiling Grid SUB - InsulationNapor Barrier SUB - Final Final Fire Final Building Required Inspections I Building , -After trenches are excavated, - Prior to cover. -Prior to taping. - To be called for at the same time as the SUB framing inspection. - When all Fire Department requirements have been met. -When all required inspections have been apprpved and the building is complete, Electrical low Voltage I Plumbing Underground Plumbing -Prior to filling the trench. Rough Plumbing -Prior to cover. I Job# 99-01632-01 I Required Inspections I Plumbing - When all plumbing work is complete. I Mechanical I -After line is installed and capped if not attached to an appliance. - Prior to cover. -'After line is installed and line has been connected to a minimum of one appliance. Pressure tes - When all gas work is complete. -When all mechanical work is complete. Page 2 of 3 Final Plumbing Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Plan Check 01/03/2000 144 Value/Quantity Hourly Plan Review' Total Plan Check, 3 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 01/03/2000 144 01/03/2000 '144 01/03/2000 144 190,000 Restricted Energy State Surcharge For Electrical Permit Electric Administrative Fee ' Total Electrical Electrical 02/10/2000 542 02/10/2000 ' 542 02/10/2000 542 Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Plumbing 01/03/2000 144 , 01/03/2000 144 01/03/2000 144 01/03/2000 144, --.. 24 One to Four Outlets Minimum Mechanical Permit , Mechanical Administrative Fee Vent Fan to One Duct More than 100,000 BTU Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 01/03/2000 144 01/03/2000' 144 01/03/2000 144 01/03/2000 144 01/03/2000 144 01/03/2000 144 01/03/2000 144 6 1 I 1 Fee Amount $120.00 $120.00 $635.50 $44.49 $19,07 $699.06 --- $.00 $240.00 $16.80 $7.20 $264.00 $2.00 $,00 $1,41 $18.00 $27.00 $10.00 $3.29 $61.70 . , '. Fee Job# 99-01632-01 I Paid On Receipt# System Development 01/03/2000 144 01/03/2000 144 01/03/2000 144 01/03/2000 144 01/03/2000 144 01/03/2000 144 Page 3 of 3 Value/Quantity Fee Amount Sanitary Sewer MWMC Administrative Fee SDC Administrative Fee Medical Office - Vetinarian Services Medical Office - Transportation Retail - Transportation Total System Development Grand Total 17 $820,59 1 $10,00 $222,79 5 $1,100.40 5 $8,636.37 5 $-6,111.54 $4,678.61 $5,862.97 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 property, and the approved set of plans will remain on the site at all times during construction. Signature Date DAT~:FEB 10 2000 AMT RECD:2 $ 39.60 CHANGE: CASHIER: 003 .lSLt.;CTRICAL PERMIT APPLICATION Cit; Job Number ~1-~/"J 2 - {} / The following project as submitted has the following ~oning and does not require speCific land use approval Zoning 225 FIFTH 'STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 CG 9747'b 726-ff69 Auttlonzeo Signature '"l - II') - 0-0 ~'I'.) 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION 21~ Q 57: 5frJrVqfi~(jJ ~K 97Q7'if f A. Ne'W Residential-Single or Multi-Family per d'Welling uni t. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home or Modular D'Welling Ser~i~e or Feeder ,$ 40.00 LEGAL DESCRIPTION 'J7t)3~?/ ~2.16.? , JOB DESCRIPTION / (') W Ill") Ifn 7 'f'" iJa t;; ,(" ^"".tV!. /;'J IV-I ~ui Permits are non-transferable and expire if vork is not started 'Within 180 days of issuance or if 'Work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY 'B. Electrical Contractor ~c,ca..r)p ell;" Address c;- 72 q Mo..,~ <;1: fft1f3# ~ris- Ci ty )' /Y I ~c, P, ~(".J Phone "7 2 ~ - /'1 h 3 / , Supervisor License NumberS ) ~t, f( 1:1 Expiration Date IV - (:) I - ;z..oo;z, Cons tr Con tr. Number /37r 2-CL.f Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date Signature of Supervising Electrician ~ /)/J ~,- .-r'--'^- Owners Name 12yu'> fct ~ k 'C Address S-~ (t')r/I{;'S )./), 'P-r City /~ c; . Phone <;; <?9r 089<;;- I OVNER INSTALLATION The installation is being~ made on property I ~wn whi~h is not intended for sale, lease or rent. , Owners Signature: --------------------------------------- , ' DATE: RECEIPT #: RECEIVED BY: ?.. - \ o,~ (j7) CV~'V' c~<lll 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits Ne'W, Alteratiorr or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 40.00 $ 55.00 $ 80.00 volts see "B" above ,. $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limi~ed Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fe~ TOTAL $ 40.00 $ 40 OQ"~'" 'II' ' ! 0 r"'" , .':.Jvc, ,..l,tl~" ''''.....', $ 20 00 ('I~HJI,""-l."c . : '"'I\l lie e' .. l$I'P6!'00\"I.~" '''I'''ll" ;to t~..Y ...,!L~-!Jt:11,i {rl , p !'Il.~l-n' .-y-,...."" '>'j ", uv,d,:ot.\:.t! ":U ;1V,~ !'!L'!/I'1"O^T fll"("...', ". f 1~l/t("..J.\ r' ~ -v,Ud: >;: '-/t', f../" 2'~ --" .~~ -;-, r~ , DUPU':ATE'RECEIPT DUPLICATE RECEIPT \ ------------------.--------------.-----.--- ----------------_._--~------------------- CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541 ) 726-3753 ----------------------------.------------ -----------------------------.----------- HAPPY HEW YEAR!!!!!!!! ---------------------------------------- ------------------------------------.---- REG-RECEIPT:Ol-0000542 C:FEB 10 2000 CASHIER 10:003 10:36 am A:FEB 10 2000 __________~___-___________'________W"______ ----------------------------------------- 1004 ELECTRICAL PERMIT JOB#:99-01632-01 1099 STATE SURCHARGE(7%) JOB#:99-01632-01 1098 ADMIN FEE(3%) JOB#:99-01632-01 $36.00 $2.52 $1.08 ' ------------~---- TOTAL DUE $39.60 RECEIVED FROM: CASCADE CABLING INC CHECK: $39;60 TOTAL TENDERED $39.60 CHANGE DUE , $0,00 ---~---------------~._-------_._-----~--_.- ---------------------------------------- *Pay Name :CASCADE CABLING INC *Mail Addr :661 SOUTH 70TH STREET *Cty/StjZ :SPRINGFIELD OR 97478 *Site Addr :223 Q STREET -----------------------.-----------.------ ---------------------...-----.-------------- -----.-----------------------------.------- _____ _.____ ____ _ _ _ _ OM ___ u. ___'_ _." _.__ ____ __ ___ ,HfMIK YOU!!!!!! ----_.._-------~-----------_.-----_.-._----- --------~-----_._------------------------ DUPLICATE RECEIPT DUPLICATE RECEIPT