HomeMy WebLinkAboutPermit Plumbing 1997-5-16
COM M ERCIALlI N DUSTRIAL'
PERMIT APPLICATION
SPRINGFiELD
JOB NUMBER 97c:>-?77
INSPECTION LINE: 726-3769
OFFICE: 726-3759
, ,
225 Fifth Street, Springfield, Oregon 97477.
LOCATION OF PROPOSED WORK: 6~1> ~~r ~~/Yr~#~~.#~
ASSESSORS MAP' /70~...:Z?... ~'"3 'TAX LOT:
3LVP ~
C'5""'S!#~
OWNER:rv/ /~L. pe~ J{<?~E ~'~,'~~PHONE:~:-f,t"~~&7p.
ADDRESS:J/4/.LJe::> ~C ~~~;Z~
CITY: t3Z? t.eY' PG STATE:
.~"ZIP: 9'g~?"
77~~~.~~ _~ ,~~~.~
DESCRIPTION OF WORK: ~AI(!;~~
NEW REMODEL ADDITION
, DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR #
EXPIRES
PHONE
GENERAl' ~.., , "
1/... ~ ' ~~i_ ~~~ V6~ ~y
. PLUMBING:M-4V~"'~~. ~ ~....... 9?Y"~~(_ ~7~" /~...~~':? ,?~,. /~::</
MECHANICA' .
ELECTRICAL:
PLUMBING I MECHANICAL
NO. ' FEE CHARGE I Nn 1=1=1= r.HARnl=
7 Single Fixture / i!!J ?~~' I Furnace/ burner & vent
< 100,000 BTUs
Relocated Bldg. I Furnace/ burner & vent
(new fix. addtll > 100.000 STUs '
Water Service I I Floor furnace and vent I
ft.
Sanitary Sewer I I Suspended wall or floor I'
ft. mounted unit heater
Storm Sewer I Appliance Vent I
ft. separate
I Stationary evap. I 1<
Backflow Device cooler '
I I, Vent Fan/Single I I I
duct
I I Vent System apart I "I I
from AC or htg.
: I Mechanical exhaust I I I
hood and duct
I I I I
I I Permit Issuance I $10.00 I
TOTAL PERMIT 17~~1 TOTAL PERMIT I I
- OFFICE USE - HANDICAP ACCESS:
QUAD AREA'
LAND USE:
FLOOD PLAIN:
ZONING: '
# OF BLDGS:
# OF UNITS:
CONSTA. TYPr=.
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP:
# OF STORIES:
SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
X
X
X
TOTAL VALUE OF ,PROJECT
PLAN CHECK FFI=
RCPT# .
DATE:
BY
I BUILDING PERMIT
'5% State
Surcharqe
MECHANICAL
. PLUMBING
15% State
Su rcharqe
, PAVING'
I
I
I
5% State
Surcharqe
I FENCE
VALUE $
I SIDEWALK
I CURBCUT
~
7~~' I D~iv10LlTION
~... 5!ttt:>
~./~
FT. I
FT. I
SUBTOTAL '
PERMITS . .
I SYSTEMS
DEVELOPMENT
)
I
I
I . I
1l'd'1'V744:J1ITW I
\ " ~.
".
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
7~ t6e>
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. Reql,lests 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. '
SITE INSPECTION: To be
made after e~cavatlon; but
prior to setup of forms.
x
ROUGH PLUMBING,
. ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
Inspections have been made
and approved.
UNDERSLAI(PLUMBING:)
ELECTRICAL &. ,
'MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS & .
CURTAIN WALLS
FIREPLAcE: Prior to placing
facing materials and before
framing: Inspection.
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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placl ng concrete.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
. ancillary equipment Items are
In place but before any
concrete is placed~
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and requlrea vapor
barriers are In place .but
before any lath or gypsum
board Interior wall covering Is
applied. .'
FIRE & SEPARATION WALL:
'Located a'nd constructed
according to plans.
UNDERGROUND: Plumbing,
electri"cal, gas, sanitary sewer,
storm sewer, wafer and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor insulation, decking or
floor sheathing.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is in
place but before any,
plastering Is applied or before
gypsum board joints and
fasteners are taped and
finished.
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.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub.base material in
place.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prlor'to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are'
erected but prior to placl ng
concrete.
PAVING: After gravel Is in
pla'ce but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the ,Ownerl Contractor during
consfructlon of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
*In addition to the Inspec.
tic;:ms 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 PLUMBING
-----------------------------~-----------------~-------
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 plumbing, electrical,
mechanical and Fire Department Inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
FINAL ELECTRICAL
FINAL MECHANICAL
\, ,
\
FINAL FIRE,DEPARTMENT
ADDITIONAL COMMENTS:
, ,
....--. '
PLANS REVIEWED B~~~
DATE ~/6...9?
By signature, I state and agreEl, that I have carefully examined the completed application and do hereby certify th~t all Information
herein Is true and correct, and I further certify that any and all work performed shall be done In ac,c:ordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described heteln, and that NO OCCUPANCY
will be made of any structure without permission of the BUilding Safety Division. I further certify that only contractors and employees
who are ih compliance with ORS 701.055 will be used~ on this pr.oject.
I further agree to ensure that all requlre,d Inspections are requested ~t 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 durln~tructlon. r
Slgnature~ -?~-V t Date5-1c., - C(7'
VALIDATION:
AMOUNT RECEIVED' 79: &:, 0
'2~R,/7
, RECEIPT #:
DATE PAID:
RECEIVED BY:
S-//(b/y ?
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