HomeMy WebLinkAboutPermit Building 2001-4-12
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I Job# 01-00144-01 I
Pag~ 1 of 4
TRANS#:01-0004916
DATE:APR 12 2001
AMT RECD:2 $ 6411.24
1 $ 60.00
CHANGE:
CASHIER: 061
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00144-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 4675. Main St Spr
Assessors Map#: 17023242
lot: Block: Addition:
Tax lot #: 01800
Subdivision:
~
Scope Of Work: Commercial
Shop building
Construct new shop building on adjacent parcel under same ownership for Auto Body
SnAr.i"ltiAs.
Contractor Type Contractor
Architect Eric Hall
302 Waite Street, Eugene, OR 97478
Rick Martinka
4675 Main Street, Springfield, OR 97478
Builders Electric Inc 4296
195 Madison St, Eugene, OR 97402-5030
Mechanical Contr Harvey & Price Co 77
Po Box 1910, Eugene, OR 97440-1910
Harvey & Price Co
Po Box 1910, Eugene, OR 97440-1910
Owner:
Address:
General Contr
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Rick Martinka
4675 Main Street
Phone Number: 541-747-4983
City/State/Zip:
Springfield, OR 97478
Value: $150,000
New
Registration # Expiration Date
Phone
541-688-5594
541-747-4983
12/10/2003
541-485-0922
77
10/31/2002 541-746-1621
i\lOl\CE: . IF1HEWORK
-rutS pE.l 0(31/20'02-L E)(PIR~4.1:;7,,46-1162i1>-;
'" ... ,HISP!:"lllI ",..
AUTHORIZED UND~~ ~. ..lnn\\\FO FOR
COMMENCl::U un I....' .-. ..
80["\~YPERIOD.
ANY 1 # Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
To request an inspection call the 24 hour recording at 726-3769. All inspections ~equ~sted.beforeq:OO'" ..._~ ':":l:~~Y
a.m. will be made the same working day, inspections requested after 7:00 ,aTrii;:"wiII be made the.following""Ol1I. ';1 .. ",
working day. lallow il.I,- -: '. 'r; l'I~>< ,ir: S3t ,') :.
,. - . . .... i". """ . .,-, ~r2-00 I-
. . M(\hh(.,~.~\,U' \.' "". ""'I'n\lnn\.1nn 0._ '_.'
ReqUired Inspections . 0,,0 i:l:,:';'-Uu "V~" '~. ~"n3IUi.,v-'
In r"\1l' 'r t...ir ....~~\' ,1 .\1
I Buildin!l I 0090. You 11",~1 ') \. ',.,... " J t3\9phO~e
-After trenches are excavated. c:;IIir.9 ~,l" ';JW'" ,,'~J.....:.,. :.\::>tilicatlon
- To be made after all inslab building service equ!J?!nent,\Cdridui!.pip~ng~ !"!~g~\!:1~r.eRuipment iter
-Prior to cover. CZ;1t...\ :.; t ... - '"
-Prior to taping.
- To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildir
Footing
Slab
Framing
Drywall
Bolts installed in
concrete
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
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..-
High Strength Bolting
SUB - InsulationNapor
Barrier
SUB - Final
Final Fire
Final Site Plan
Final Building
Rough Electrical
Electrical Service
SUB - Exterior Lighting
Final Electrical
Underfloor Plumbing
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Rough Gas
Rough Mechanical
Gas Service
SUB - Mechanical
Final Gas
Final Mechanical
SW-Curbside
CC-Close & Replace
Rough Grading
Final Paving
Fee
Commercial Plan Check
Total Plan Check
Building Permit
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I Job# 01-00144-01 I
Page 2 of 4
Required Inspections
I Buildin!l I
- To be done during construction by a State Certified Special Inspector. Provide inspection resul
- To be called for at the same time as the SUB framing inspection.
- When all Fire Department requirements have been met.
-After all requirements have been met for Minimum Development Standards or from the Develo~
- When all required inspections have been approved and the building is complete.
Electrical
- Prior to cover.
-Must be approved to obtain permanent power.
- When all electrical work is complete.
Plumbinq
- Prior to insulation or decking.
- Prior to cover.
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
- When all plumbing work is complete.
Mechanical
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure te~
- When all gas work is complete.
-When all mechanical work is complete.
I Public Works
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
I Permits w/o Srchq I
-After gravel is in place but prior to placing concete.
-After paving is complete.
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Plan Check
02/20/2001 0004493
Value/Quantity
Fee Amount
135,000
$332.64
$332.64
Buildin!l
04/12/2001 4916
135,000
$511.75
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Job# 01-00144-01 Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Buildin!l
State Surcharge For Building Permit 04/12/2001 4916 $35.82
Building Administrative Fee 04/12/2001 4916 $15.35
Total Building $562.92
Electrical
Permanent: 200 Amps or Less 04/12/2001 4916 2 $100.00
Branch Circuits With Feeder or Service 04/12/2001 4916 18 $36.00
State Surcharge - Electrical 04/12/2001 4916 $9.52
Administrative Fee - Electrical 04/12/2001 4916 $4.08
Total Electrical $149.60
Plumbin!l
Minimum Plumbing Permit Fee 04/12/2001 4916 $.00
Number of Fixtures 04/12/2001 4916 3 $30.00
State Surcharge - Plumbing 04/12/2001 4916 $10.50
Water Service Footage 04/12/2001 4916 54 $40.00
Sanitary Sewer Footage 04/12/2001 4916 54 $40.00
Storm Sewer Footage 04/12/2001 4916 150 $40.00
Administrative Fee - Plumbing 04/12/2001 4916 $4.50
Total Plumbing $165.00
Mechanical
One to Four Outlets 04/12/2001 4916 1 $2.00
Minimum Mechanical Permit 04/12/2001 4916 $.00
Administrative Fee - Mechanical 04/12/2001 4916 $1.41
less than 100,000 BTU 04/12/2001 4916 2 $12.00
Vent Fan to One Duct 04/12/2001 4916 6 $18.00
More than 100,000 BTU 04/12/2001 4916 2 $15.00
UniVHeater 04/12/2001 4916 $.00
Mechanical Issuance 04/12/2001 4916 $10.00
State Surcharge - Mechanical 04/12/2001 4916 $3.29
Total Mechanical $61.70
Public Works
New Sidewalk 04/12/2001 4916 35 $60.00
Curbcut Repair 04/12/2001 4916 $.00
Total Public Works $60.00
System Development
Auto Care - MWMC 04/12/2001 4916 5 $382.91
Impervious Surface Area - Storm 04/12/2001 4916 14,275 $2,313.67
Sanitary Sewer 04/12/2001 4916 7 $113.05
MWMC Administrative Fee 04/12/2001 4916 1 $10.00
Sanitary Sewer SDC Reimbursement 04/12/2001 4916 149 $148.75
SDC Administrative Fee 04/12/2001 4916 $252.45
General Office Building 04/12/2001 4916 $35.46
Transportation SDC Reimbursement 04/12/2001 4916 404 $403.69
Miscellaneous Transportation 04/12/2001 4916 1,642 $1,641.54
Total System Development $5,301.52
Permits w/o Srch!l
Paving 04/12/2001 4916 15,000 $110.50
Total Permits w/o Srchg $110.50
Grand Total $6,743.88
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Job# 01-00144-01 I Page 4 of4
Plan Check Type Checked By Date Completed Comment
Engineering-CII/P Pam Ownby 04/10/2001
Planning-CII/P Kay Bork 04/10/2001
Structural-CII/P Tom Marx 04/10/2001
Fire Marshal-CII/P AI Gerard 03/28/2001
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 employess who are in acompliance with ORS 701.055 will be used
on this project.
I further agree to ensur t all required inspections are requested at the proper time, that each
address is readab m the stret, that the permit card is Icoated at the front of the property, and the
aee':9~ _ ans will re~~1 ~ construction. 0- (\ ") I ~ \
Signa re Date
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SPECIAL
BUILDING
INSPECTION
SAFER,
. BETTER
PROGRAM
STRUCTURES
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. . UtKOUGH
TEAMWORK
City of Springfield, Development Services,
Community Services Division
CITY OF SPRINGFIELD
225 Fifth Street
Springfield; OR 97477
(541) 726-3759
8:00 am - 5:00 PM Monday - Friday
CO~SERVICES
DIVISION
CITY OF SPRINGFIELD
SPECIAL INSPECTION
SPECIAL INSPECTIONS AND WHEN
THEY ARE REQUIRED
A special inspection is the monitoring of the
materials and workmanship which are critical to the
integrity of the building structure. Many buildings
and structures use specialized materials or methods
of construction which require specially trained
inspectors to monitor the various phases of
construction. This is in addition to the standard
inspections perfonned by our City inspectors (Le.
foundations, framing, plumbing, mechanical,
electrical, insulation, sheetrock, fmal, etc.)
The use of special inspectors is not discretionary.
The Oregon Structural Specialty Code (OSSC)
Chapter 17, Section 170 I lists the conditions when
special inspectors must be used.
Generally speciallnspection include: Grading,
excavation, and fill; Pilings; Concrete and
reinforcing; Structural masonry, wood, or steel;
Welding; High strenth, slip critical, expansion, or
epoxy tension bolting; Single ply roofmg; Spray-
applied fITeproofmg; and Smoke control.
What is a special inspector and who is
qualified?
A special inspector is a person who has been
approved by the building official to perfonn certain
types of inspections. The special inspector is reserved
for complex installations that require highly
developed inspection skills. nonnally a person
employed by a private testing laboratory.
The special inspector shall be a qualified person who
shall demonstrate competence, to the satisfaction of
the building official, for inspection of the particular
type of construction or operation requiring special
inspection. The ICBO certification is recognized by
the building official as having met those
requirements. The holder of the certification will
have satisfactorily passed a written examination, an
oral interview, and having a review of their relevant
education and work experience. A list of individual
will be maintained by the City of Springfield of those
persons who have been accepted as special inspectors
and in what particular disciplines they have been
approved.
WHAT ARE THE RESPONSIBILITY
OF THE OWNER, ARCHITECT,
COMMUNITY SERVICES, SPECIAL
INSPECTOR, AND CONTRACTOR?
The Owner: The owner, or a person acting as the
owner's agent shall select a qualified special
inspector and employ them to conduct the required
speci~1 inspections.
The Architect: The architect or engineer of record
assists the owner with the selection of a special
inspector. The Architect or engineer shall specify
types of special inspections required in the
construction documents.
Community Service. Dlvi</on: The City reviews the
construction documents for compliance with special
inspection requirements. The division approves the
special inspector and monitors the special inspector
and the special inspection activities.
The Contractor: in addition to notifying Community
Services that the work is ready for regular
inspections, the contractor shall notify the special
inspector when work is ready for special inspection.
The Snec/al Tornector: The special inspectors
observes all work for which they are responsible for
compliance with the approved design drawings and
specifications; identifies non-confonning work
immediately; provides timely inspection reports on a
regular basis indicating the inspections conducted
and test perfonned, lists of any nonconfonnity and
how they were resolved, and any authorized changes
by the architect/engineer; submit discrepancy reports
listing unresolved items, parties notified, times and
methods; and submits a fmal signed summary report.
if you have further interest in the program or would
like additional infonnation about special inspections,
this office has a copy available of the ICBO Special
Inspector Program Booklet, which 'Outlines the
program requirements in more complete detail.
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It is the responsibility of the. applicant and their
designated representatives to understand when
special inspections are required. Before a penn it can
be issued, the owner shall complete, sign. and submit
to the City for review and approve the special
inspection and test agreement and schedule. We
encourage the design/contractor team and special
inspectors to refer to the Oregon Structural Specialty
Code Chapter 17 and review the "Special
Inspections" section. If there are any questions about
the program or the requirements of the special'
inspection contact the Development Services,
Community Services Division for clarifications.
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Building Penn it # Date
~~7ZJ ~~ ~-(~~e'/~ Ey.-z>#.#~/.d,y
.. .' . :JioJect ':';t:~ . .
~b7!7 ,M-1/.#' ?"T
/ Project Address
City of Springfield
Com:~u:1it), S'i'.':':~~ Oiv1:::0it
225 Fifth Street
Springfield, OR 97477
Telephone: {54 I) 726-3759
Fax: (54 I ) 726-3689
Special Inspection And Testing
To applicants of projects requiring special inspection or testing as per Section 1701.5 of the Oregon Structural Specialty Code. Please review.the infonnation below. When you
have finished, acknowledge an understanding of the infonnation by signing below, and return this fonn to the City.
.BEFORE A PERMIT CAN BE ISSUED: The o,:\,ner or owner's representative, on the advice of the responsible Project Engineer or Ardhitect, shall complete, sign, and submit
to the City for review and approval this foim completed on both the front and back. .
The Owner and General Contractor, where applicable, shall also acknowledge the following conditions applicable to Special Inspection and/or Testing.
I. Contractor is responsible for proper notification for the Inspection or Testing of items listed.
2. Testing laboratory shall take appropriate samples and transport them to their laboratory for proper evaluation or testing.
. Copies of all laboratory reports and inspections are to be sent to the City by the Testing Agency.
3. Specin' Inspection Agency is to submit names and qualifications of on-site Special Inspectors to the City for approval.
4. Special Inspector shall provide inspection reports to the building official of all inspection activities.
5. Contractor is responsible to review the City approved plans for additional inspection or testing requirements that may be noted.
BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED: The Special Inspection Agency shall submit to the Building Official a statement that all items requiring
. ~nspection have been fulfilled and reported and were to the best of the inspector's knowledge, in confonnance with the approved plans, specifications and applicable workmanship
wProvisions. Those items not tested and/or inspected shall be noted i:. the statement. The report is to be submitted to the City prior to a request for ftr.al inspections.
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ACKNOWLEDGMENTS
P\c.v, ~'t'.rvv(:f':;;;:.
Owner Name (Printed)
Engineer or Architect Finn (Printed)'
Testing laboratory Name (Printed)
I Owner )ature
~r Architect Signature
Gen. Contractor Finn Name (Printed)
General Contractor Signature
Special' Inspection Agency Name (Printed)
Special Insp: Agency'Rep Sign.
Testing laboratory Rep Signature
Building Official Name (Printed)
Building Official Signature
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SPECIAL INSPECTION AND TESTING SCHEDULE
Reinforced Concrete, Gunite,. Grout and Mortar:
~e nlln.ite (,rollt . M.Qr1a(.
A l!prp:cate Test of Mix Design
Reinforcing Tp:<::t
Mix'Desil?n-Weigh-rn<::tr r.P:rt .
R einfocini Placement
.Continuous Batch Plant Insn
lnc;np:r:t Pl~cin()
r.::I<::t ~::Imnle<::
q.mples (PickuplDelivered\
rnrnnre<::<::inn Tp:<::t.
GRADING, EXCAVATION, AND FILL
Acceptance tests' .PSF
Establish final grade
Fill placement inspection/continuous
Soil Density
PrecastlPre-stressed Concrete:
----E;Ie< Ipn"_~ Pre-Ten' C:J.rll!ing
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Ap"~tf":Tf':c;t<::
Reinforcinp Tf'<::t<::
Tpnt;inn Tp.<::t
Miy n.e..s..i&n<::*
Rp.infnrr.ini Placemef'lt
Tn<::p.rt PI,'Fl~p.~nt
rnnr.rete R::Itkhi,po
rnn~rp.tp. PI~r&mp:nt
I n<::t::lII..a1iQn..Tn<::np.r:tinn
c:." .s.amwe<
Pir.1r_Il:-~n'p:<::
rnrnpressiotl Tp:<::t<::
STRUCTURAL STEEL/WELDING:
Sample and test (list specific members below)
Shop material identification (mill cert)
Weld inspection Shop Field
Ultrasonic inspcclion Shop Field
X High strength bolting Shop ..K Field .
A325 X N X F
A490 N X F
Metal deck welding inspection
Reinforcing Steel welding inspection
Reinforcing steel mill certificate
Metal stud welding inspection
Concrete insert welding inspection
Moment resisting steel frames
SMOKE CONTROL:
Leakage testing
Control verification
FIREPROOFING:
Placement inspection
Density Tests
Thickness tests
Inspect batching
STRUCTURAL WOOD:
Shear wall nailing inspection
Shear wall anchors
Inspection ofGlu-lam fab. '
Inspection of truss joist fab.
Sample and test components
Fabrication welding of steel accessories
T/C psi
ROOFING
Insulation installation/R-value'
Test strips/seams
MASONRY:
Special inspection stresses used' fm .fg J
Preliminary acceptance tests (Inasonry units, wall prisms)
Subsequent tests (mortar, grout, field wall prisms)
Placement inspcction of lInits, flnd rcinrorccmclll
Mosonary, mortar, grout, and reinforcing steel certificines
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ADDITIONAL INSTRUCTIONS, OTHER TEST, & INSPECTIONS:
-&Lr~ /..&'~'7A.LI...ED /N ~A'~67c
Form completed by:
Date_/_22
· PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF V ALVES
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