HomeMy WebLinkAboutPermit Building 1996-02-22CffT OF SPilNGFIELD,
SPRINGFIELD
225 North Fi-fth Street
Springfield, OR 97477
Location of Proposed Work: 1475 MOHAWK BLVD
Assessors ttap #: L7032534
COMMERCIAL/IIIDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD rTob Nurnber:
COM!,II'NITY SERVICES DIVISION
BUITDING SAFETY
Office:
Inspection Line:
Page 1
9 50003
726 -37 59
726 -37 69
Tax LoE #: 03900
OwneT: RICK STEPINA
Address a475 MOIIAWK BLVD
Description of Work: REMODEL BAR/CooLER
Phone #: 744-08L1-
City/SLate/zip: SPRINGFIELD, OR 97477
REMODEL Value:1, 000 . 00
General:
Contractor
MARPET 0067032
361 Shelley SE Springfield OR 97477
Conat.
Contractor #E:<pires
05/3t/e6
Phone
726 -3834
HANDICAP ACCESS: Y
-- OFFICE USE
QUAD AREA: 2CNW LAND USE: 5300
Item
REMODEL
TOTAL VALUE OF PROiTECT
Square Feet
r_000
x $/Sguare FeeE Value
L4, 000.00
14, 000 .00
BU]LDING
Surcharge/admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/admin
PL.AN REVIEW FEE
STIBTOTAL PERMITS
TOTAL PERITTIT FEES EXCI,I,DING ELECTRICAL
104
I
0
0
0
0
57
.50
.37
.00
.00
.00
.00
.93
180.80
180.80
SPRINGFIELD
Job Number: 960003
CITY OF SPilNGFIEA,
Page 2
--- REQUIRBD INSPECTIONS ---
It, j-s the responsibility of the permit holder Eo 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, request,s made after
7:00 a.m will be made the following work day.
Special Inspections: In accordance wiEh Section 305 of the State Specialty Code
a special inspecLor shall be employed by the owner/Contractor during
construction of any following "*" work. A copy of the special testing reports
shaLl- be furnished to Building Safety.
In addition Eo the inspections specified, Ehe Building official may make or
require other inspections of any construction work to ensure compliance wit,h
the Building, City or Development Code.
ROUGH PLUIIBING - Prior to cover.
ROUGH DIECIIAIiIICAL - Prior to cover.
ROUGH ELECTRICAT - Prior to cover.
FRAMING - Prior Eo cover.
DRY!'IALL - Prior to taping.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECIIANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL FIRE - When all Fire Department requiremenEs have been met '
been met.
FINAL BUILDING - When all required inspections have been approved and
the buifding is complete.
--- ADDITIONAI, COMMEIiI1TS ---
THE FOLLOWING INSPECTIONS MAY NOT ALL BE REQUIRED, DEPENDING ON THE SCOPE OF
THE WORK REQUIRED. PLEASE COORDINATE WITH THIS OFFICE.
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 02/2L/96
By signature, I state and agree, that I have carefully examined the completed
application and do hereby certify tshat all information hereon is true and
correct, and I further certify thaE any and al-I work performed sha11 be done
in accordance with t,he ordinances of the City of Springfield, and the Laws
of the StaLe of Oregon pertaining to Ehe work described herein, and that
NO OCCUPANCY wiLl be made of any strucEure without permission of the
Community Services Division, Building Safety. f 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 ensure that a]I required inspectsions are requested at the
proper time, that project address is readable from the street, that the
permit card is focated at the fronE of the property, and the approved set
of plans wiLl- remain on the site at all Eimes during construction.
J-'J*l * 7 -(
tSigna Date
SPRINGFIELD
.Tob Number: 960003
dTT OF SPruNGFIELI',
Page 3
--- VALIDATTON ---
Receipt Number, ?a/69
Date Paid, 2-22-%
Amount Received' /?f FA
Received By .4*---77-
RICK STEPINA
1475 MOHAWK
SPRINGFIELD, OR
JOB# 960003
MARCH 29,1996
TEMPORARY OCCUPANCY IS ISSUED BASED ON THE FOLLOWING:
PERMITS FOR THE SECOND RESTROOM WILL BE OBTAINED WITHIN TWO
WEEKS FROM THE DATE OF OCCUPANCY.
FRAMING APPROVAL WILL BE OBTAINED 20 DAYS THERE AFTER.
FINAL INSPECTON SHALL BE OBTAINED WITHIN 20 DAYS AFTER FRAMING
APPROVAL.
MOHAWK VIDEO SHALL REMAIN OPEN AS LONG AS THE LOUNGE IS OPEN
FOR BUSINESS.
IT IS AGREED THAT IF ANY OF THESE CONDITIONS ARE NOT MET,
BUSINESS OPERATIONS WILL TERMIINATE.
zuCK
cc
S) .NGFIELO
E
5. SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
ELECTRICAI PERHIT APPLICATTON
ob Nunber
C0MPI.JTTE FEE SCmDULE BELOV
Nev Residential-Single orMulti-Family per dvelling unit.
Service fncluded:
I tems Cos t
225 FIFIB STRXET -1 _( r ^cr I .
SPRTNGFTELD, OREGoN 97 477''':'r._._L--L!{--
INSPECTION REQT EST z 726-81.6&r'.,*.":
OFFICE: 726-3759
3
A
nff*2Tg{r62U a?\Sunr
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
JOB ON
2. CONTRACTOR INSTALLATTON ONLY
Electrical Contractor 5Rp0S e
Address ?,0, BOX t k6
ciry (YXT3€- 11\71 nrror" 7 4t -bo4 7
Supervisor License Number 4Ot q - 9
Expiration Date to -r- qs
Constr contr. Number l AZZO
Expiration Date _\
1OO0 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular 'Dvelling
Sertice or Feeder
$ 8s.00
s 1s.00
s 40.00
B Services or FeedersInstallation, Alterationsor 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
C. Temporary Services or Feeders
fnstallation, Alteration or Relocation
200 amps''or less
201 amps to 400 a,np"
-0ver 401 to 600 amps
-Over 600 amps or 1000-vo-ITs ee (Bt" alove
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit ( S 35.00 3{
s s0.00
s 60.00
s100. 00
s130.00
$300.00s 40.00
40.00
55.00
80.00
s
$
$
s
Signat of
0vners Name
Address q
Electrician
l<_ 6 V
Phone 7L/ L/ -0< ICi ty \l
OVNER ON
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE: /-?'?
Each Additional
Circuit or vith Service-or Feeder Permi t 1
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation S
Sign/OutIine Lighting- S
Limited Energy/Res
-
$Limited Energy/Comm $
g 2.oo lg
not included)
40. 00
40. 00
20.00
36.00
53,ao
,- a{
1.51
5z, z.t
n
RECETVED
1. LOCATTON OF INSTAII,ATION ,
t L(?E /(Ol\Mph_ btu d
9t-
CO M M ERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fitth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK
ASSESSORS MAP
SPRI'{GFIELO JOB NUMBER %ru7
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:
PHON E:
ZIPSTATE:
OWNER:
ADDRESS
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE:
DESCBIPTION OF WORK:
ARCHITECT:
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR ' EXPIRES PHONE
MECHANICALT
-
PHON EADDRESSNAME
GENEBAL:
PLUMBING
M ECHANICAL
NO trFF EHA FIG F
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separale
Stationary evap
cooler
Vent Fan/Single
duct
Vent Sys
from AC
tem apart
or htg.
Mechanical ,exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
PLU MBING
NO.FEE CHARGE
3 Single Fixture ./2.c ZD.4
Relocated Bld
(new fix. addtl
s
)
Water Service
ft.
Sanitary Sewer
tt
Storm Sewer
ft
Backf low Device
TOTAL PERMIT Va,o
_ OFFICE USE -
LAND USE:
ZONING* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP:
# OF STORIES
QUAD AREA:
S OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
VALUE$/SQ. FT.SQ. FT.
TOTAL VALUE OF PROJECT
X
X
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHEB
RCPT#DATEPLAN CHECK FEE BY
Vaa.at
BUILDING PERMIT PLU M BI NG 7r2, o'-DEMOLITION
5% State
Surcharge
5% State
Su rcharoe ra /.+, %
MECHANICAL FENCE
VALUE $
5% State
Surcharge i SIDEWALK
FT.
SUBTOTAL
PERMITS 2./e
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT 2re.6/
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
27re
?Ylez
REOUIRED INSPECTIONS -It is the responsibility of the permit holderto see that all inspections are made at the proper time. To request an inspection, call726'3769 (recorder), state your City designated job number, iob address, type of inspection requested and when you will 'be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be madethe following work day.
SITE INSPECTTON: To be
made after excavation, butprior to setup of forms.
U N DERSLA
ELECTRICAL
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUN DATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, butprior to placing concrete.
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,piping, accessories and other
ancillary equipment items arein place but before any
concrete is placed.
UN DERGROUN D: ptumbing,, electrical, gas, sanitary sewer,
storm sewer, water and
drainage llnes. To be madeprior to covering or filling
trenches.
UNDERFLOOR: Ptumbing,
electrical, mechanical. To be
made prior to installation offloor insulation, decking or
floor sheathing.
POST & BEAMr To be madeprior to installation of floor
ihsulatlon, decking or floor
s heath i ng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance withuBc 2415.
ROUG
ELECT
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
t-PAVING: After gravel is inplace but prior to placing
asphalt or concrete.
STRUCTURAL CONCRETE: Inexcess of 2500 p.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 l)
HIGH STRENGTH BOLTING:
During all bolt installation andtightening operations. (306
a.6)
SPRAYED ON
FTREpROOFING: U.B.C.
Standards 43-8.
SPECIAL INSPECTTONS: tn accordance
Section 306 of the State Speciatty Codea special inspector shall be employed
by the Owner/ Contractor during
construction of the following work. Acopy of the special testing reports shallbe furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are inplace and all pipes, chimneys
and vents are complete and
the rough electrical, plumblng
and mechanical are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and requlred vapor
barrlers are In place but
before any lath or gypsum
board interlor wall covering is
applied.
"ln addition to the inspec-
tions specified, the BuildingOfficial may make or requlre
other inspections of anyconstruction work to ensureROOF SHEATHING AND
NAILING: Prior to installing
any roof coverlng.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND/OR GYPSUM
BOARD: To be made after alllathing and gypsum board,
lnterior and exterior, is inplace but before anyplastering is applied or beforegypsum board joints and
fasteners are taped and
f inished.
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
____"g:'"ti__
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.1.1 &Chapter 29)
GLU.LAM BEAMS: lnspection
Certificate by an approved
agency, furnlshed to the City,sBuilding Division before
beams are placed. (2501 U.B.C.
STDS. 2s-10J1).
STRUCTURAL MASONRy: (306
a.Zl
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
srrE PLAN REvrEw BoARD: Must be requested 2 days in advanceof the date you wish inspection. Ail project
"onoition'"-"uch aslandscaping, parking lot stri ping, etc. must ue compreteo beforereguesting this inspection.
of Occupancy has be
on the premises.
compliance with the Bullding,City or Development Code.
en issued by the Building Division
FINAL BUILDING: Requested af ter the final plumbing, electrical,mechanical and Fire Department ins pections are made andapproved. No occupancy of the premises can be made until aCertif icate
an posted
PLANS REVIEWED BY DATE
MBI
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatlonherein is true and correct, and I further certify that any and all work performed shall be done in accordance with the ordinancesof the city of springfield, and the Laws of the state of oregon pertaining to the work described herein, and that No occupANcywill be made of any structure wlthout permission of the Bullding safety Division. I further certify that only contractors and employeeswho are in compllance with oRS 7oi.o55 wilr be used on this project.
ll required inspections are requested at the proper time, that project address is readable from thelocated at the front of the property, and the approved set of plans wlll remain on the site at all
Si gna Date -1
I further agree to ensure that al
street, that t
times during
he permit IS
VALIDATION:AMOUNT RECEIVED:
RECEIPT #RECEIVED BY:
-l-
DATE PAID:
JOB NO.1A coc= :
CIW OF SPRINGFIELD SYSTEMS DEVTLOPMENT CHARGE
I^JORKSHEET
NAME OR COMPA'TIY {tCR sr{flt A
LOCATiON:r+iS /4o/-iLwq p!-,i {-',
DEVELOPMENT TYPE i.:"r' t*i a$'€,* ADD.NG FLWIB //$ G
BUiLDING SIZI:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
OT SI
X $0.2i PER SQ. FT
.Ft
2. SANITARY SEI^JER-CiTY
N0. 0F PFU'S (a X $43.43 PER PFU
(See Reverse)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x x $437.93
x _ x $437.93
x $437.93
4. SANITARY SEI^/ER-MI^JMC
NO. OF PFU'S $18.75 PER PFU + $10 l'4l^/l"1c ADMIN.FEE s
(Use PFU Total Fr^om Item 2 Above)
l'4t^JMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MI^IMC SDC
SUBTOTAL (ADD ITEMS 1.2,3 & 4)s ZQo
5. ADMiNISTATIVE FFES
BASE CHARGE (SUBTOTAL ABOVE) X .05
s
$
{eo5 t4,frL!rylE&*/qp
Troy l',lcAllister
SDC Coordi nator
L{.Dl
Date
TOTAI SDC $ZlzL
t'
FIXTURE UNIT CALC| ATION TABLE: Number of New ures X Unit Equivatent : Fixrure Lr,rits
(NOTE: For remodels, calculate oiily the NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS .
Bathtub......
Drinking Fountain....
Fioor Drain.,
lnterceptors For Gr easelOillSolids/Etc............-... -
lnrerceptors For Sand/Auto Was[/Etc
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More.--.
Mobile Home Park Trap (1 Per Trailer).
Receptor For RefrigeratorAVater Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc-.
Shower, Single Sta11................
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen....nt-----a
Urinal, Stalli}Vatl...
Wash Basin /Lavatory, Single.......
Toilet, Public lnstallation.
foilet , Private
Miscellaneous:
TOTAL FIXTURE UNITS
CREDTT CALCULA''IION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits separates.
o
ad/He
2
1
2
,)
6
2
6
6
1
J
2
1
')
2
'l
6
4
Year
Annexed
Rate per $ 1,OOO
Assessed Value
Year
Annexed
Rate per $'l ,O0O
Assessed Value
1979 or before
1 9BO
1 981
1982
1 983
1 984
1 985
1 986
$3.47
3.39
I 1.7
3-21
3.06
) a')
2.74
2-46
1987
1 988
1 989
1 990
1 991
1 992
1 002
1 994
$2.13
1.76
1.35
o.95
o.58
o.41
o.29
o.14
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation datel
X$
(Rate X Assessed Value)
X$
{Rate X Assessed Value)
CREDIT TOTAL - $
6
CO M M ERCIAL/IN DUSTRIAL
PERM!T APPLICATION
225 Fitth Street, Springfietd, Oregon 97477
SPN!i|OFiELO
JOB NUMBEH -%+=
-
INSPECTTON LtNE: 726.3769
OFFICE: 726-AZ5!
LOCATION OF PBOPOSED WOBK:7'
ASSESSORS MAP:
(%-2-'--
rAx Lor: F?-14
ADDRESS:
CITY:STATE ztP
7PHON Er
OT FlE R vALUr:/44?c'b
NEW-- RE MODEL
DESCRIPTION OF WORK:
TION __- DEMOLISH
NAME AODRESS PHON E
ADDRESS
EXPI RES Pl-rONE
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
CONST
CONTRACTOR,
GENERAL;
PLUM B I NG
)
Single Flxture
Btdocate
new fi
ce
ft
n eweraty
,t.
ft.
rm
Eackflow Devlce
TOTAL PERMIT
F U ACn bu rne &VC nt
BT SU
FEE
F U rn ac e bu rn I ntVe
0
Floor furnace anci vent
ooruspenwaormounted unit heat
ntp
S ra le
p
e
ance
ro nary evap.
er
tat
cool
ant'l n e
e atn par
ro o ht s
ducl
hood and duct
ec e San
Perm il lssuance
TOTAL PERMIT
cHA
s 1 0,00
- OFFICE USE -
LAND USE:
# OF UNITS:
HANDICAP ACCESS: -
FLOOO PLATN:--
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GHOUpT
A OF STORIES:
QUAD AREA:
A OF BLDGS:
CONSTR. TYPE;
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJE
X
X
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT,
BYDATE
BUILDI PERMIT PtUM ING
D EMOLITION(State
Surcha e urch e
State
ANM L F CE
5% State SID K
ITS
SU
PPAVINGRBCUT
DEVE PMENT
SYSTEMS
TOTAL PERMIT FFF'C
EXCLUotNG elr6iircn./8.?r
_4
I
REQUIRED INSPECTIONS
It is the responsrbility of the permit holder to sce that all inspections are made at the proper time' To request an inspection' call
726.3769(recorder), state your city designated iob number,,iob address, type of lnspection requested and when you will be ready
for inspccrion. Fequests ieceived be(ore 7:oo a..r. will be made the same working day, requests made af ter 7:00 a'm' will be made
the (ollowing work daY.
SITE INSPECTION: To be
rnacje after excavation, but
prior to setuP of lorms'
UNDERSLAB PLUMBING'
ELECTRICAL &
MECHANICAL: To be made
before any work is covered'ATTIC DRAFT STOPS &
CURTAIN WALLS
ROUgH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
FIREPLACE: Prior to Placing
{acing materlals and before
framing insPection'
FRAMING: To be made after
the roof, all (ramlng, f ire
blocki ng and braclng are ln
place and all PlPes, chlmneYS
and vents are complete and
the rough electrlcal, Plumblng
and mechanical are aPProved.
INSULATION & VAPOR
BARRIER: To be made after all
insulatlon and requlred vaPor
barriers are ln Place but
before any lath or gYPSum
board lnterlor wall covering is
appl I ed.
FIRE & SEPARATION WALL:
Located and constructed
according to plans'
LATH AND/OR GYPSUM
BOARD: To be made atter all
lathlng and gYPsum board,
lnterlor and exterlor, ls ln
olace but before anY
plasterlng ls aPPlled or before
gypsum board lolnts and
iasteners are taPed and
fi ni shed.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
paving withln street right ol
way, to be made after all
excavatlng comPlete and form
work andlub'base materlal in
p I ace.
PAVING: After gravel is in
Place but Prior to Placing
asPhalt or concrete,
SPECIAL INSPECTIONS: ln accordance
Section 3OO of the State Specialty Code
a special inspector shall be employed
bv the Owner/ Contractor during
construction of the following work A
coov of the speclal testlng reports shall
be'furnished to the Building DivislonFOOTINGS & FOUNDATIONS:
'l-o be tlacie a{ter trenches are
excavated and forms are
erected, all steel in Place, but
prior to placing concrete.
CONCRETE SLAB: To be
rnacle after all inslab building
service equiPment, conduit,
prping, accessories and other
ancillary equiPment items are
in place but before anY
concrete is Placed,
UN DERGROUND: Plumbing,
electrical, gas, sanitarY sewer,
storm sewer, water and
drainage lines, To be made
prior to covering or (illing
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to lnstallation of
iloor insulation, decking or
{loor sheathlng.
POST & BEAM: TO bC MAdE
prior to installatlon of f loor
insulation, decklng or lloor
sheathing.
FLOOR INSULATION &
VA.POR BARRIERS: TO bC
ma<le Prior to installation of
dccking or lloor sheathing,
M,ASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
STRUCTURAL CONCRETE: IN
excess of 2500 P.S.l. (306 a1)
STRUCTURAL WELDS:
Performed on the jab (2722 l)
HIGH STBENGTH BOLTING:
During all bolt lnstallation and
tightenlng oPerations' (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43'8.
SPECIAL GRADING'
EXCAVATION AN D FILLING:
Durlng earthworl(. (306 a.11 &
Chapter 29)
GLU'LAM BEAMS: lnsPection
Certltlcate bY an approved
agency, furnlshed to the CitY's
Bullding Divislon before
beams are Placed. (2501 U'BC'
STDS. 25'10J1).
STRUCTU RAL MASONRY: (306
a.7)
ROOF SHEATHING AND
NAILING: Prior to instal ling
any roo{ coverl ng,
CURB AND APPROACH
APRONS: After forms are
erected but Prlor to Placlng
concrete.
'ln addltion to the insPec'
tlons sPeclfled, the Building
Officlal may mak6 or requlre
other lnspections of anY r
constructlon work to ensure
compllance with the Bullding,
Clty or DeveloPment Code.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIBE DEPARTMENT
ADDITIONAL COMMENTSi
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SITEPLANREvIEwBoARD:Mustbereques.ted2daysinadvance
Ji'tnd Jit" you wtsh r,i"puciion. A, prolect,ionditlons such as
i""i"-"ipi"g1 parklng loi'stnl plng, etc' must be completed before
requestlng thls lnsPection'
FINAL BUILDING: Requested a{ter the flnal plumbing' electrical'
;;;h;"I;aano rtr" Department inspectlons are made and
appioveO. No occupancy of the premises can be made until a
Certlflcate of Occupanty has been issued by the Building Division
and posted on the Premises'
PLANS REVIEWED BY DATE
I f urther certriy that any and all work perform
appllcation and do hereby certify tl
ed shall be done in accordance wiBy sigrrature, I stlrte and agree,
hereir'r rs true and correct' and
that I have cl.rre(ully examined the completed hat all information
th the ordinances
of the CitY of Springlield, and the Law s of tire State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY
will be tnad e of any structure without Pe rmission of the Buildlng Safety Dlvlsion' I further certify that only contractors and employees
who are in compliance with OBS 701 0 55 will be used on this Prolect
lfurthc'r agree to ensure that all required tnsp ections are requested at the ProPe r time, that proiect address ls readable f rom the
is located at thc f ront of the property, and the approve d set of plans wlll remain on the site at all
street, that th
times cl uring
SiSn.
AMOUNT RECEIVED
Date
DATE PAID
VALIDAT IO N
epe
on
BECEIPT '
.2r
RECEIVED BY:
^?