HomeMy WebLinkAboutPermit Plumbing 1999-10-15
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
'. SPRINGFIELD
JOB NUMBER 99/~~,
INSPECTION LINE: 726.3769
OFFICE: 726-3759
225 Fifth Street, Springfield, Oregon 97477,
~~
LOCATION OF PROPOSED WORK: ~4-r' ~~ Z(z ~~
T~XLOl:~~~~~
. --.-
PHONE: Tit~~,~~
ASSESSORS MAP:
!.7LJ'2 '3/~
OWNER: C~~~'~"'~"/~~~AY~~..
ADDRESS: $~~ ~~ ' .' .' .
CITY: P/~~~Lj/~ STATE: ~~ZIP: ~7Y~2.
DESCRIPTION OF WORK: ~~~~/~r~ 7 ~~~~ -~~~~~~~.;;; -
NEW REMODEL ADDITION DEMOLISH OTHER VALUE:
NOTICE: ,
aUAD~'SAPI:HIViITSHAii EXPIRE IFTHEWORK U~F='
# OF ~DUf\JUI:H IHlbt'I:RMlTISNBi-UNITS:
OCCY~IOO:NCCD on 10 AD-ANDONED FoFfONSTR. TypF=.
# OFmYlfJ80 DAY PERIOC. HEAT SOURCE:
NAME
ARCHITECT:
CONTRACTOR'S NAME
GENERAl'
PLUMBI~G: 2W/~ ~/V"-~_~,
MECHANICAl'
ELECTRICAl,' .
\
PLUMBING
NO,
'2../ Single Fixture'
Relo,cated Bldg.
(new fix. addtl)
Water Service L-
/7 ft.
Sanitary Sewer 7'
: . . / Z ft.
Storm Sewer ~ ,~
'J" ? ft.
I "2.. I Backflow Device
?/ ,'/ R~,~ Luff
-#-JP' ,"' . ~'
I I
I I
I I
I TOTAL PERMIT
sa FT.
sa. FTG MAIN
sa. FTG ACCESS
sa. FTG OTHER
PLAN CHECK FFI=
I B,UILDING PERMIT
I v%State
Surcharge
MECHANICAL
7% State
Surcharoe
I PAVING
ADDRESS
PHONE
ADDRESS
CONST.
CONTRACTOR #
PHONE
EXPIRES
b~p~7~.7i "
~_~).~. /.?~9...r. 3..y"~/_
- . F ,,'. .
~~./~~V
I MECHANICAL
FEE CHARGE I NO r:1=F=
/P :Vott? ~ Furnace/ burner & vent
< 100,000 BTUs
I Furnace/ burner & vent
> 100,000 BTUs
I ~~_-o Floor furnace and vent
I Suspended wall or,floor
~cr<<:. mounted unit heater
I I //?"':'~' Appliance Vent
separate
I/~ I ~.. c&l Stationary evap.
c.ooler
I I ~.~ Vent Fan/Single
duct
I I - I Vent System apart
from AC or htg.
I I I Mechanical ,exhaust
hood and d~ct
I I I
1 1 1 Permit Issuance
I 'i~.4 TOTAL PERMIT
I
'~~I
I
I
I
I
$10.00
I
I
I
I
I
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
$/sa. FT.
ZONING: ·
LIGHTING POWER BUDGET:
!........[MTlnl\l.Oreg. on~.&:Tv8f.IHF.li 18~1iSR\()U to .
1"'\'. i~. '''''I \i. L ..' .,
.. I -I - ..,./ ,- ... ..... &I..r "'....."'/"" I:IMntv
IUIIUVVIUIC~c;.UVj>iLv~~.1"'- ---.....'. "
Notification Center.vf\1r~se rules are set forth
in nA,R.952-001-001 0 through OAR 952-001-
0090. You may obtain copies ot me rules by
11'='1 '~-',-_. (",..,4~.+r,.,C'+.olephone
ca Ing 1I1t:\j1:i1l~'V'. '~VL"'" ,;ji_ "-' .
r.~UTlberforthe OreQon Utility Notification
Center. is 1-800-332-2344).
TOTAL VALUE OF .PROJECT
X
X
X
RCPT#'
DATE
BY
PLUMBING
~gt:P."-; DEMOLITION
~~..~
JU. <I'~
/ ' I
"I SUBTOTAL
. , PERMITS
I SYSTEMS
DEVELOPMENT
,
I
I
I
I
,
I
I
/101 State
::iu rcharQe
I FENCE
VALUE $
. \,,1 SIDE":"ALK
I CURBCUT
t~
I.
FT.I
. FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
-5":<8. ~
"
REQUIRED INSPECTIONS
It Is the responsibility of the permit holder to see thafalllnspectlons 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 m'ade the same working day, requests made after 7:00 a.m, will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms,
UNDERSLAB PLUMBING,
, ELECTRICAL &' ' ,
MECHANiCAL: To' be made
before any work Ii's covered.
,ROUGH PLUMBING,
ELECTRICAL & '
MECHANICAL: No work is to,
be covered until these '
inspections have been made
and approved.
PAVING: After gravel is In
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To "be made after trenches are
, , excavated and forms are
erected, all.steel In place, but
prior to placing concrete,
FIREPLACE: Prior to placing
facing materials and before,
framing InSPection,
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a speciai inspector shall be employed
by the Owner/ Contractor during
,construction of the following work. A
copy of the special testing' reports shall
be furnished to the,Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all Inslab building
ser,vlce equi pment,_ conduit,
piping, accessories and other
ancillary equipment Items are
In place but be,fore any
concrete Is placed.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the 'rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P,S,1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
x
ON DERGROUN DC" i,' m ':'l.Q.9;)
eleptrlcal, gas, sanltar\{ sewer.
!lQ.rm 'U'JI'ler, wat~l ::!cq.
d.L~in?lJP I~ To be made
prior to covering or filling
trenches,
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and' requlred,vapor
barriers are In place but
. before any'lath or gyps'um
board interior wall covering Is
applied. ,.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a,6)
SPRAYED ON
" FIREPROOFING: U,B.C.
Standards 43-8, '
UNDERFLOOR: Plumbing,
electrical, mechanicaL To be
,made prior to Installation of
floor insulation, decking or
floor sheathing,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
S~ECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
LATH AND/OR GYPSUM
BOARD: To be 'made after all
lathing and gypsum board,
Interior and exterior, Is In
place but befo~e any
plastering Is applied or before
gypsum board joints and
fasteners are taped and
finished.
SIDEWALK & DRIVEWAY:
Required for all co'ncrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material In
place.
GLU-LAM BEAMS: Inspection
Certificate by an approved,
agency, furnished to the' City's
Building Division before
beams are placed. (2501 U.B.G,
STDS. 25-10,11),
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
~TRUCTURAL MASONRY: (306
a.7)
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverl ng. '
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
.In addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
-------------------------------:-------------------------
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this Inspection.
FINAL BUILDING: Requested after. the final plumt?lng, electrical,
mechanical and Fire Department inspections are made and
approved. No occupanc'y of the premises, can be made:until a
Certificate of Occupancy has been issued by the Buiiding Division
and posted on the premises: , . , " '" ,',
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
........, ~
/ L A'-n~ / ~"., DATE ./4' v'5i"-~4-
~ /j/-~~rvy/
By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify thf-t all information
herein 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
wlll,be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees
who are In compliance with ORS 701,055 will be u'sed 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.
4b,~ ~/;-
V
Signature
~
//
~..-~,~~
Date
/~//s;J?q
/U /13'../1' 1
#tJ~
VALlDATIO~: '
AMOUNT RECEIVED: S-'b8' c8-
RECEIPT It: j'5 (110
DATE PAID'
RECEIVED ,BY: