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HomeMy WebLinkAboutPermit Building 1996-10-14 SPRINGFIELD Page 1 COMMERCIAL/INDUSTRIAL PBRMIT APPLICATION CITY OF SPRINGFIBLD Job Number: 961399 COMMUNITY SBRVICBS DIVISION BUILDING SAFBTY 225 North Fifth Street Springfield, OR 97477 Office, 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3842 MAIN ST Assessors Map #: 17023142 Tax Lot #: 00300 Owner: JIM DOBSON Address: 3842 MAIN STREET Phone #: City/State/Zip: SPRINGFIELD, OREGON 97478 Description Of Work: 2 BAY AUTO REPAIR & OFFIC ADDITION Value, 0.00 Contractor Const. Contractor # Expires Phone General, :SB ::....l~lf~ 0..0", 1 ).).;:) "1:::,1'7 ~""~~~_~_l_ ~.:.:.._~.._ U-_.J.':~.-_:","'-G."- .;,. r"'~ 0./87/3'1 ' ~776 1':'11 --- PLUMBING No. 6 Fee Charge 60.00 40.00 40.00 40.00 0.00 10.00 Single Fixture Sanitary Sewer Water Service Storm Sewer BACKFLOW DEVICE BACKFLOW DEVICE 120 120 105 ft. ft. ft. TOTAL PBRMIT 190.00 --- MBCHANICAL --- No. Fee Charge 6.00 6,00 10.00 2 Furnace/burner & vent < 1000,000 BTUs Vent Fan/Single Duct Permit Issuance TOTAL PBRMIT ~ 25.00 HANDICAP ACCESS: Y ZONING CODE: CC -- OFFICB USB QUAD AREA, 3CNC LAND USE: 5300 Item Sq. Ftg Main Square Feet 964.67 x $/Square Feet 49.47 Value 47,722,00 TOTAL VALUB OF PROJBCT 65,782.00 Plan Check Fee: 183,95 Rec #: 23474 Date: 10/14/96 Rec By, LORNE PLEGER BUILDING Surcharge/Admin 313.00 25,04 SPRINGFIELD Job Number: 961399 Page 2 MECHANICAL Surcharge/Admin PAVING VALUE PLUMBING Surcharge/Admin FENCE VALUE SIDEWALK CURBCUT DEMOLITION ADDIT. PLAN REVIEW 275.00 25.00 1. 20 92.50 190.00 15.20 5.00 21.10 19.30 lS.00 19,50 \ \ 12,000.00 SUBTOTAL PERMITS SYSTEMS DEVELOPMENT 744.S4 3,6S1.37 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 4,426.21 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. FOUNDATION - After forms are erected but prior to concrete placement. SLAB - To be made after all inslab building service equipment, conduit piping, and other equipment items are in place but prior to concrete WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. UNDERGROUND ELECTRICAL - Prior to Cover. ROUGH GRADING - After gravel is in place but prior to placing concrete MASONRY - Steel location, bond beams grouting or verticals in accordance with UBC 2415. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. STRUCTURAL MASONRY - To be done during constr by State Certified . Special Inspector. Provide results to City Building Inspector. CONC SLAB/SUB: PRIOR TO/FOLLOWING POUR INSUL-V,B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. SPRINGFIELD l:j I, ~.}{f .:zt.}J '41 Job Number: 961399 Page 3 FINAL ELECTRICAL - When all electrical work is complete. FINAL FIRE - When all Fire Department requirements have been met. been met. FINAL SITE PLAN - After all requirements have been met for Minimum Development Standards or from the Development Agreement. FINAL BUILDING - When all required inspections have been approved and the building is complete. --- ADDITIONAL COMMENTS --- DRC #96-06-133, PLANNER IS JIM DONOVAN Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 11/04/96 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. rIJ j) J~_ D<L. ? D \"'1 "tl, Signature Date ~L.J VALIDATION --- Receipt Number: :/q/':;J/ Date Paid: /~~--;".:=. Received By, 4" -st::>6: :::2 I"'" ?,.--- . Amount Received: #1J7~ ~t?# 69"~~ P?5' ~~Zv,?5'.g.-~r 'a~//~ ~~~_ I '!l/cr u-?L-L-- /J:tr ,M ./~~~ ,/7~r ~ ~:?: I ;;;~~ I c \ . . Permit #: 9.?:' /?3 99 Address: "3.ssy2 ~/ ~ . Issued by: ~~-~ _ Date:_ /::< ~~~ l-'n ~~ Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli. cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing pernlits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: o o I. I own, reside in, or will reside in the completed structure, 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion: D 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR IZI 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. Id!d l ( ~bLe>.J ) , (Signature of permit "applicant) Il-20-'16 (Date) ,. (White copy to issuing agency permit file, pink copy to applicant)