HomeMy WebLinkAboutPermit Building 2001-01-29SPRINGFIELD
Job# 01-00076-01
COMMERCIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Pagel of2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1660 Mohawk Blvd Spr
AssessorsMap#: 17032531
Lot: BIock: Addition:
Job Number: 01-00076-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 05600
Subdivision:
crTY oF SPRTNGFIELD, OREGO^
Owner: Twin Rivers Baptist Church
Address: 1660 Mohawk Blvd
Scope Of Work: Miscellaneous
partition to enclose interior walkway
Phone Number:
City/State/Zip:
Alteration
541-746-4734
Springfield, OR97477
Value: $700
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 callthe 24hour recording at726-3769. 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 lnspections
Building l
Framing
Drywall
FinalBuilding
Area (Sq
Main:
Fee
Accessory:
- Prior to cover.
- Prior to taping.
-When all required inspections have been approved and the building is complete
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Paid On Receipt# Value/Quantity Fee Amount
Buildi
Building Permit
State Surcharge For Building Permit
0112912001
01t2912001
4326
4326
$15.00
$1.05
700
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? !
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)A'1952-001-
rf the rules by
telephoneIrii
Job# 01 -00076-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Building Administrative Fee
Total Building
Building
0112912001 4326 $.+s
$16.50
Structural-C/l/P
Grand Total
Plan Gheck Type Checked By Date Completed Comment
Lorne Pleger 0112912001
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 of the property, and the approved set of plans will remain on the site at all times
sig re
$16.50
1-&9 o/
Date
COM M ERCIAL/I N DUSTRTAL
PERMIT APPLICATION
225 Fitth Street, Springfietd, Oregon g1477
SPFINGFlELO
JOB NUMBER o,-o{Jij..z6^ol
INSPECTION LINE: 726-3769
OFFICE: 726.3759
LOCATION OF PROPOSED WOBK /4Lo /lJouk R /rJ
ASSESSOBS MAP:t'70s zs3 t o tLoo TAX LOT
7 PHONE:5/ /-7%-r'73/
qrqT?STATE: 0 ( ztp:
OWNER
ADDRESS:
CITY:
t f
VALUE:loo "YADDITION DEMOLISH OTHEB
DESCRIPTION OF WORK:
ARCHITECT
CONST,
MECHANICALi
ELECIRICAL:
NAME ADDRESS PHONE
EXPIRES PHONE
lesJ ilCORACTOR #CONTRACTOR'S NAME AODRESS
GENERAL:
PLUMBING
lu-
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
NO trFF CHA RGF
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
separate
Stationary evap.
cooler
Vent Fan/Slngle
duct
Vent System apart
AC or htg.from
Mechanical exhaust
hood and duct
Permlt lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
ZONING
LAND USE
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
# OF UNITS:
OCCY GROUP:
Y OF STORIES:
QUAD AREA:
* OF BLDGS:
FLOOD PLAIN:
WATER HEATER:--
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJECT-
X
x
x
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
PLAN CHECK FEE
BUILDING PEFIMIT PLUMBING DEMOLITIONtt
RCPT'DATE BY
I7d State
Su rcharoe
'l "k State
surcharoe
MECHANICAL FENCE
VALUE $
I>3{
l/o State
Su rcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS 7)
PAVING CURBCUT
FT.
lr-OF{f lb'- H
SYSTEMS
OEVELOPMENT
'.4Pcl.r.J F'TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
r.J
mtr'l E
.. ++c4 .,
REQUIRED INSPECTIONS
It ls the responslblllty of the permlt no]Eer to see that all lnspectlons are made at thelroper tlme. To request an inspection, call
726-3769 (recorder), state your Clty deslgnated lob number, Job address, type of lnspection requested and when you will be ready
for inspection. Reguests recelved before 7:00 a.m. will be made the same worklng day, requests made after 7:00 a.m. will be made
the following work day.
S|TE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered untll these
UNDERSLAB PLUMBING, inspectlons have been made SpEctAL lNSPEcrloNS: ln accordance
ELECTRTCAL & and approved. section 306 0f the state specialty code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by ine Owner/ contractor during
CURTAIN WALLS construction of the following work. A
FOOTTNGS & FOUNDATIONS: Fr.Ehr A E. F copy of the Special testing reports shall
To be made after trenches are FIREPLACE: Prlor to placing be furnished to the Building Division.
excavated and forms are facing materlals and before
erected, all steel in place, but framlng lnspectlon' srRUcruRAL CoNCRETE: ln
prior to placlng concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE sLAB: To be the roof' all framing' fire
made after ar rnsrab burdrns Bn::r::.;:l !,;il:r,;*r" BIR:'TyX3"tH5tT',rrrl
service equipment, condult, and vents are complete and
:H[,?;""",",];il:? ?#.:'::i :1".;::mt"il:,X'JJ;[l:?: Bl?lf],?=o]uoll",1o,]l51"oin place but before any tightenlng operations. (306
concrete is placed. TNSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumblng, insulation and required vapor SPRAYED ONelectrical, gas, sanitary Sewer, barriers are ln place but FIREpROOFING: U.B.C.storm sewer, water and before any lath or gypsum Standards 43-g.dralnage llnes. To be made board lnterlor wall covering ls
prior to coverlng or filling applied.
trenches.
'r,r' vi rrrrrrrv aPPrrsv' SPECIAL GRADING'
,NDERFL..R: prumbins [||:,s""="'f;sflJ3l:Hl"' Elitufiil'-:ii:,5Jb'j],"t
electrlcal, mechanlcal. To be accordlng to plans. chapter 29)
made prior to lnstallation of
floor insulatlon, decklng or LATH ANDTOR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathlng. BOARDI To be made after all Certificate by an approved
lathlng and gypsum board, agency' furnlshed to the city's
posT & BEAM: To be made lnterlol and exierlor, is ln Building Division before
prlor to lnstallaflon of floor place but before any beams are placed' (2501 u'Bc'
lnsulatlon, decklng or floor plasterlng ls applle6 or before STDS' 25-10J1)'
sheathlng. gypsum board Jolnts and
lasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATToN & flnlshed' a'7)
VAPOR BARRIERS: To be
made prior to lnstallation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams groutlng or
vertlcals ln accordance wlth
UBC 2415.
RooF sHEATHTNG AND iHlS^ilifJ'T'o#""||'"
NAILING: Prlor to lnstalllng erected but prlor to placing
any roof coverlng. concrete.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
pavlng within street rlght of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
'ln addition to the lnspec-
tions speclfled, the Building
Official may make or require
other inspections of any
constructlon work to ensure
compllance with the Bullding,
Clty or Development Code.
ADDITIONAL COMMENTS:
FINAL PLUMBING SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish lnspectlon. All project conditions such as
landscaping, parklng lot striping, etc. must be completed before
requestlng thls lnspectlon.FINAL ELECTRICAL
FINAL MECHANICAL
FINAL BUILDING: Requested after the flnal plumbing, electrical,
mechanlcal and Flre Department lnspectlons are made and
approved. No occupancy of the premises can be made until a
. Certificate of Occupancy has been lssued by the Building Division
and posted on the premlses.FINAL FIRE DEPARTMENT
PLANS REVIEWED BY DATE
By slgnature, I state and agree, that I have carefully examined the completed applicatlon and do hereby certify that all informailon
herein is true and correct, and I further certify that any and all work performed shall be done ln accordance wlth the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertalnlng to the work described hereln, and that NO OCCUPANCY
will be made of any structure wlthout permlssion of the Bullding Safety Division. I furthercertify that only contractors and employees
who are in compliance with OFIS 701.055 will be used on this proJect.
I further agree to ensure that all requlred inspections are requested at the proper time, that project address ls readable from the
at the front of the property, and the approved set of plans will remain on the site at all
-o/Signat
street, that the permit card is
times during
VALIDATION AMOUNT RECEIVED:
RECEIPT *:
DATE PAID:
RECEIVED BY:
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TWIN BIVEBS BAPTIST CHURCH
1660 MOHAWK BLVD
SPRINGFIELD, OR 97477
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