HomeMy WebLinkAboutPermit Building 1999-3-1
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COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF ,SPRINGFIELD Job Number: 980052A
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3500 COMMERCIAL ST
Assessors Map #: 17023121
Tax Lot #: 02700
ownef:",n'~'~Or\1~~nJMW r~:rs:you to Phone #: 343 - 7744
~~~sr~l:e~J>dJiPl~d~the Oregon UtilityCity/State/Zip: EUG~I3rN~t.~GON 97402
1\1. tifjAAtion Center. Those rules are set forth D liS PERM "T' C' J ' "" _ 0_ /
ig~AR i'%~~861.~01 fN/1(&ugh OAR 952-001- NhlW, . ' 0 I vab~~l F.hJP,! 5 SdF, 000:. 'o/0)RK
_ _,: "_y ..."'.~in ""oio,,, nf thA fIJles bv AIITk()QI7l=n 11"'!"lJ::D. fU'{, Or.Or,.IIi' ;0 ~JOT
UUtlU.IIJUII'C4 "..,.-. ~-t'--- o. --' , .~,. -.,.,... ,~I'
calling the center. (Note: the tel~~ho~e- - - PLUMBING, COMiVd::I\1Cc:'O OR !~ Af.Ar\lDON!;!') !:(10
No. f t~ ore~n Utility Notification Fee " . .. ..Je,lia:r::ge
number or 1e . AhjV . ,r \- PE'"' 0
C torm -e.we;r;-,2344) 135 ft. I' H:;,;Uh'/ r.i U 40.00
enter IS 1- 'V.v..>&'- . .
TOTAL PERMIT
40.00
-- OFFICE USE --
Item
DESIGN CHANGES
Square Feet
x
$/Square Feet
=
Value
100,000.00
TOTAL VALUE OF PROJECT
,100,000.00
Plan Check Fee: 1,743.95 Rec #: 28468 Date: 01/14/98
Rec By: LORNE PLEGER
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
ADD. PLAN REVIEW FEE
150.00
12.00
0.00
0.00
40.00
3.20
97.50
SUBTOTAL PERMITS
302.70
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
302.70
Job Number: 980052A
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REQUIRED ,INSPECTIONS
It is the responsibili~y 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.
Special Inspections: In accordance with
a special inspector shall be employed by
construction of any following "*" work.
shall be furnished to Building Safety.
Section 306 of the State Specialty Code
the Owner/Contractor during
A copy of the special testing reports
In addition to the inspections specified, the Building Official may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
PILING, DRILLED PIERS/CAISSIONS - To be done during construction by
State Certified Special Inspector employeed by owner/contractor.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special
Inspector. Provide inspection/test reports to City Building Inspector
UNDERGROUND PLUMBING - Prior to filling trench.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
HIGH STRENGTH BOLTING - To be done during constr by State Certified
Special Inspector. Results provided to City Building Division.
STRUCTURAL WELDS - To be done during constr by State Cert Special
Inspector. Results of inspection/test to City Building Inspector.
FINAL PLUMBING - When all plumbing work is complete.
FINAL FIRE - When all Fire Department requirements have been met.
been met.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
--- ADDITIONAL COMMENTS ---
SUPPLEMENTAL PERMIT DUE TO CHANGES WHICH INCREASED VALUE
SPECIAL INSPECTION REQUIRED OF UNDERSLAB PIPING AND CONTAINMENT MEMBRANE
CONCRETE JOINT SEALANT AND CONCRETE SURFACE SEALER WHERE APPLIED
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By:
Date: 02/26/99
By signature, I state and agree, ~hat 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
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 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.
D~;l-ls-QJCJ~
j,
I - qg
Date
.
Job Number: 980052A
--- VALIDATION
Receipt Number:
(1 ?_~OI3
0-1- qq
Date Paid:
Amount Received: -/I 30(;2.. 70
Received By: fl. fY1.a... (',h ~cLo-
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