HomeMy WebLinkAboutPermit Building 1998-5-14
l. ..'
SPAINOPIELD
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 971194
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5755 MAIN ST
Assessors Map #: 17023344
Tax Lot #. 00800
Owner: ALBERTSONS
Address: 5755 MAIN STREET
Phone #:
City/State/Zip: SPRINGFIELD, OREGON 97478
Description Of Work: IN STORE BANK
ADDITION Value:
Name
Architect. RAYMOND WAGNER
Address
Contractor
Canst.
Contractor #
Expires
General:
12/13/97
MARKET CONTRACT 0062833
3901 N Williams Ave Portland OR 972
--- PLUMBING ---
No.
Fee
CONDENSATE DRAIN
TOTAL PERMIT
-- - MECHANICAL ---
NO.
Fee
Furnace/burner & vent < 1000,000 BTUs
Permit Issuance
TOTAL PERMIT
QUAD AREA. 3CSC
-- OFFICE USE --
LAND USE: 5300
Item
INTERIOR REMODEL
Square Feet
392
$/Square Feet
x
TOTAL VALUE OF PROJECT
Phone
Phone
282-9133
0.00
Charge
15.00
15.00
Charge
15.00
10.00
25.00
= Value
40,000.00
Plan Check Fee.
154.70 Rec #: 26997 Date: 08/06/97 Rec By: DON MOORE
BUILDING
40,000.00
238.00
~
-~~
, .
SPRINQFIELD
Job Number; 971194
Page 2
Surcharge/Admin
MECHANICAL
surcharge/Admin
PLUMBING
Surcharge/Admin
19.04
25.00
1. 20
15.00
1.20
SUBTOTAL PERMITS
299.44
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
299.44
REQUIRED INSPECTIONS
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.
Special Inspections: In accordance with
a special inspector shall be employed by
construction of any following "*11 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.
FOOTING - After trenches are excavated.
BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special
Inspector. Provide inspection/test reports to City Building Inspector
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.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CEILING GRID
MECH/SUB: FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER
FINAL/SUB
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical 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 ---
Plans Reviewed By; LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date; 09/19/97
.
SPRINGFIELD
Job Number; 971194
Page 3
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
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.
-i~u~
~
r;/If-It:JB
Signature
Date
- -- VALIDATION
Date Paid:
~~g2./
5" /cy', 9}1!;
Receipt Number:
Received By:
~ 47'9. V~
4-~'
Amount Received: