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HomeMy WebLinkAboutPermit Building 2000-2-11 ,. Job# 99-01568-01 Page 1 of 3 TRANS#=Ol-0000579 DATE:FEB 11 2000 AMT RECD:2 $ 14987.54 CHANGE: CASHIER: 059 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01568-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 860 Beltline Rd Spr Assessors Map#: 17031500 Lot: Block: Addition: Tax Lot #: 02400 Subdivision: Owner: Advance Imaging Center Address: 1200 Hilyard Street Scope Of Work: Office Phone Number: 541-687-7134 City/State/Zip: Eugene, OR New Value: $398,000 Tenant Improvement Contractor Dorman Construction Inc 32986 Roberts Ct, Coburg, OR 97408-9495 L.A. Kersh X,X,X Electrical Contr Jb Electric Inc 104929 4065 West 11 th Avenue, #18, Eugene, OR 97402 Contractor Type General Contr Registration # 68801 Expiration Date 8/31/00 Phone 541-984-0012 Designer 3/14/00 541-687 -5770 Mechanical Contr Atr Air Inc 121444 3762 W 11th Ave #250, Eugene, OR 97402 Plumbing Contr Harvey & Price Co 77 Po Box 1910, Eugene, OR 97440-1910 3/26/01 541-935-5414 10/31/00 541-746-1621 Quad Area: # Of Units: , Constr. Type: Water Heater: Office Us'e 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. Required Inspections Building Framing Drywall Ceiling Grid SUB - Final - Prior to cover. - Prior to taping. Final Fire Final Building Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Rough Plumbing Backflow Device Final Plumbing Rough Gas Rough Mechanical SUB - Mechanical Final Gas Final Mechanical Fee Plan Check Fee Total Transfered Records Additional Plan Check Total Plan Check I Job# 99-01568-01 I Page 2 of 3 Required Inspections I Building I - When all Fire Department requirements have been met. - When all required inspections have been approved and the building is complete. Electrical - Prior to cover. - Must be approved to obtain permanent power. -When all electrical work is complete. I Plumbing -Prior to insulation or decking. - Prior to cover. -After device is installed but before backfilling trench. - When all plumbing work is complete. I Mechanical I -After line is installed and capped if not attached to an appliance. - Prior to cover. -Following City Rough Mechanical inspection approval and prior to cover: - When all gas work is complete. - When all mechanical work is complete. # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: Total: Paid On Receipt# Transfered Records 11/16/1999 36199 Value/Quantity Plan Check 02/11/2000 579 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 02/11/2000 579 02/11/2000 579 02/11/2000 579 Permanent: 200 Amps or Less Permanent: 401 to 600 Amps Branch Circuits With Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical E'lectrical 02/11/2000 579 02/11/2000 579 02/11/2000 579 02/11/2000 579 02/11/2000 579 457 260 398,000 5 1 135 Fee Amount $456.95 $456.95 $260.33 $260.33 $1,103.50 $77.25 ' $33.11 $1,213.86 $250.00 $100.00 $270.00 $43.40 $18.60 $682.00 Job# 99-01568-01 I , Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing Minimum Plumbing Permit Fee 02/11/2000 579 $.00 Number of Fixtures 02/11/2000 579 14 $140.00 State Surcharge For Plumbing Permit 02/11/2000 579 $10.50 Backflow Prevention Device 02/11/2000 579 $10.00 , Plumbing Administrative Fee . 02/11/2000 579 $4.50 Total Plumbing $165.00 Mechanical One to Four Outlets 02/11/2000 579 $2.00 Minimum Mechanical Permit 02/11/2000 579 $.00 Mechanical Administrative Fee 02/11/2000 579 $2.36 Less than 100,000 BTU 02/11/2000 579 8 $48.00 Evaporative Cooler/Fan 02/11/2000 579 4 . $18.00 Miscellaneous Mechanical', 02/11/2000 579 11 $10.50 Mechanical Issuance 02/11/2000 579 $10.00 State Surcharge For Mechanical Permit 02/11/2000 579 $5.50 Total Mechanical $96.36 I System Development Sanitary Sewer 02/11/2000 579 25 $1,206.75 MWMC Administrative Fee- 02/11/2000 579 1 $10.00 SDC Administrative Fee 02/11/2000 579 $598.57 Property Annexed 1979 or Before 02/11/2000 579 135 $-601 .44 Medical Office - Vetinarian Services 02/11/2000 579 5 $1,649.09 Medical Office - Transportation 02/11/2000 579 5 $9,707.02 Total System Development $12,569.99 , Grand Total $15,444.49 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 contracto~s 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 each , ,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. --r;::: ~~. ' Z ' /J '00 Signature .>v Date