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
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VALIDATION ---
Receipt Number:
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Date Paid:
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Received By,
4" -st::>6: :::2 I"'"
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Amount Received:
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Permit #: 9.?:' /?3 99
Address: "3.ssy2 ~/ ~ .
Issued by: ~~-~ _ Date:_ /::< ~~~
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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)