HomeMy WebLinkAboutPermit Building 2001-7-16
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I Job# 01-00716-01 I
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00716-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3192 Gateway Lp Spr
Assessors Map#: 17032220
Lot: Block: Addition:
Tax Lot #: 02502
Subdivision:
Owner:
Mike Schwartz
2390 Lariate Dr.
Phone Number: 541-342-3311
Address:
City/StatelZip:
New
Eugene, OR 97401
Value: $0
Scope Of Work: Miscellaneous
Tent Sale
Contractor Type
General Contr
Contractor Registration # Expiration Date
Can 000 Mfg
1635 Silverton Road, Salem, OR 97303
Phone
Quad Area:
# 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.
Final Building
Required Inspections
I Buildina I
-When all required inspections have been approved and the building is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq, Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
I Building
07/16/2001 6148
Value/Quantity
Fee Amount
State Surcharge For Building Permit
$1.05
,
.
Job# 01-00716-01
Paid On Receipt#
Buildin~
07/16/2001 6148
07/16/2001 6148
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Page 2 of 2
Value/Quantity Fee Amount
,-
Fee
Building Administrative Fee
Inspection - No Fee Indicated
Total Building
Grand Total
1
$.45
$15.00
$16,50
$16,50
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 empioyees 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 readabie 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
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APPlICATION
(0NaIJf No.
rsSWD BY
001. .,._oJ or
","mAcrdtloerJ
I F419.01 r
CAl1FOJlNIA COI'lBINING (()JlP.
5607 $, SAAM FE AVE.
LOS I\HGEt [$, CA 90058
5/6/98
This is 10 cerlily thut the molMiols described on 'he reverse side hereof have been lIame.
retardan' treated (or are inhelenlly nonlJommable), '
FOR._..__~~~.Doo 'Joffg, , 1635 Sil.verton Rd,
---..,.. ,.. --, ',. '.---------,--..- -...__AOOiESS_____ __
OTY......$.a.leJll.____.__... _____.. <;TATE-._ f)regnn Q]...3..(l'l
Certificotion is hereby made Ihat: (Ched "a" or JlblJ)
(0) The a.ticles desc.ibed on lhe reye.se side of this C&rtificate hoye been IIeated with a Rame-nlo.dant
chemical approved olld r"11isklred by the Stote Fi.e Marshal and that the application of soid
chemical was done in conformonce with the lows of .he State of California and the Rule, and
Regulations of the State Fire Ma15ool,
Name 01 <:hernical used..........".................................,............,.......Chem. Reg, No............................,
Method of application,.... '.. '.....", .." "......'...__................................, ,......' , .._..,.....,.,.,......." ........,..........
(b) The article< described on the reyerse side hereol ar& mode from a Romlt-resistant laboic or mat...1ol
registe,e<i and approved by the StOle Fire Manhal fDf' such use.
Trade nome 0' flame.resistant fobric or material ~ecl......~.~~,T.E.X....,..... ,.....' ,Reg, No., f~.I~.:O.)..,..
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COMM ERCIAL/lN DUSTRIAL
PERMIT APPLICATION
.... .r'. ~
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK'
ASSESSORS MAP'
II
, ,
0'2,
DESCRIPTION OF WORK' ~ fr1...O
NEW
REMODEL
ADDITION
NAME
ARCHITECT:
CONTRACTOR'S NAM~ (
GENERA' . CO tJ1Av\, Prl
PLUMBING:
MECHANICAl'
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~M"'II~, I fYI{\
TAX LOc
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
{).J. ~O J,....---
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Lq<{J
PHONE: --=:L:II -01"2, l.c'
STATE: Dr-
ZIP:
~14l(
'7 ( }~.AA -t)
~ l'&k f
DEMOLISH
OTHER
VALUE:
ADDRESS
PHONE
\~L -@?ESS
IiA ::I, ~
CONST,
CONTRACTOR' EXPIRES PHONE
S1I U"'~ [2f), SIlG.J" ,6e 9i3r13
ELECTRICAl'
, PWMBING
NO, FEE I
Single Fixture I
Relocated Bldg. I
(new fix. addtll
Water Service I
ft,
Sanitary Sewer I
ft.
I Storm Sewer I
It.
I Backflow Device I
I I
I I
I I
I I
I I
TOTAL PERMIT I
OUAD AREA-
, OF BLOGS'
OCCY GROUP:
, OF STORIES:
SO. FT,
so. FTG MAIN
,SO, FTG ACCESS
SO, FTG OTHER
PLAN CHECK FEE
RCPT'
I BUILDING PERMIT I
1'%' Stale I
Surchar~.e
I MECHANICAL I.
17'X; State 1
Surcharoe
I PAVING 'I
CHAROF.:
Nn
MECHANICAL
I 1=1=1:
("'1-I6D(U=
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Furnace/burner & vent
<100,000 BTUs .
furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
I Suspended wall or floor
mounted unit heater
I Appliance Vent
separate
I Stationary evap.
cooler
I Vent Fan/Single
duct
I Vent System apart
from AC or htg.
I Mechanical exhaust
hood and duct
I
,:
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$10.00
Permit Issuance
TOTAL PERMIT
- OFFICE USE -
LAND USF'
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER'
, OF UNIT~'
CONSTR, TYPF'
HEAT SOURC"-
$/50, FT.
VALUE
X
'X
X
TOTAL VALUE OF PROJECT
DATF
BY
PWMBING
DEMOLITION
710 Slate
burcharQe'
I FENCE
VAI.lJF. $
I SfDEWALK
I CURBCUT
FT.
FT. ,
I SUBTOTAL
PE AM ITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
.
REQUIRED INSPECTIONS.
.. .' ....
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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.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms,
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these.
Inspections have been made
and approved.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
CONCRETE SLAB: To' be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection,
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
'a special Inspector shall be employed
by the Ownerl Contractor during
construction of the following work, A
copy of the special testing reports shall
be furnished to the Building Division,
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To' be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete:
STRUCTURAL CONCRETE: In
excess of 2500 PS,I. (306 a.l)
STRUCTURAL WELDS:
Performed on the Job, (2722 I)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
m"de prior to Installation of
floor insulation, decking or
floor sheathing,
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering Is
applied. .
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all boll Installalion and
tightening operations, (306
a,6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines, To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U,B.C,
Standards 43.8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a,ll &
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing,
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, 15 In
place but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished,
GLU,LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 UB.C.
STDS, 25,10,11),
POST & BEAM: To be made
prior to Installalion of floor
Insulation, decking or floor
sheathing,
STRUCTURAL MASONRY: (306
a,7)
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415,
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material In
place.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to plaCing
concrete.
.In addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaping, parking lot striping, etc, must be completed before
requesting this Inspection,
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and
approved. No occupancy of the premises can be made until a
, Certificate of Occupancy has been Issued by the BuildIng Division
and posted on the premises.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
ADDITIONAL COMMENTl"
PLANS REVIEWED BY
OAT"
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 pertaining to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Division, I further certify that only contractors and employees
who are In compliance with ORS 701.055 will be used on this project,
I further agree to e~ur~Jh~~~ILrequired.lnspecllons are requested at the proper t1me,-thal.pr.Qject address Is readable from the
street, thc1f'the ~ t ~ focated at the front of the property, and the approved set of plans W~II re aln the site at all
times durfllg'oon tr l()ri~ '\. ~.
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Slgnatur~ ' "'-- _/ , Date /
I
VALIDATION:
AMOUNT RECEIVED:
RECEIPT .'
DATE PAID'
RECEIVED BY'