HomeMy WebLinkAboutPermit Plumbing 1999-9-16
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
~
JOB NUMBER '11(2 7 ()
INSPEGrION L1N'!.726 376:)
OFFICE 72637Si}:
---
225 F,fth Street, $pnngf,eld, Oregon 97477
ASSESSORS MAP
LOCATION OF PROPOSED WORK / '7/'1
/76'3)53'-1
lb.,1&MU c.-t. 73 [ud _ Jt, if
TAX LOT
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let'-s".-- blLv:,~ ~2S.
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PHON"
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OWNER
ADDRESS
I 1/7
~n /'/ cI
i
STAT"
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ZIP
fll.j 7?
CITY
DESCRIPTION OF WORK
NEW REMODEL
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ADDITION
DEMOLISH
OTHER
VALUE
QrtJ,
NAME
ADDRESS
PHONE
ARCHITECT
CONTRACTOR'S NAME
ADDRESS
CONST
CO NT RACTO R #
EXPIRES
PHONE
GENERA'
PLUMBING "'Ko.,rV\ es -\..h'f The>>... --:P~\"'i'vc'b \ '^-~ -
MECHANICA'
ELECTRICAl
Single Fixture
Relocated Bldg
(new fox addtl)
Water Service
CHARGE
to
I "'n
I
I I Furnace/burner & vent
ATTEllJljljQO,OOQ:BWs,a" -'1" ,--" "
IJf~I~OW ,'U'~~6l.~~~~~ft~~~~~~~eJ,~ ~~:.;;~:' .
~\IVU"UL<'rVSUS'p'ended wall~or floor.
Ih OAR 951OOuhle\lllinitlheat\!fln OAR' 152-00 I
~OqO..YTU~"}~~~~~!:le.:~~~?~,.~u~~~ L
I n~;=;;;b;rr ~~V.;;.~affi~'ffo~ UtilIty NOI" Icatlon
I CVeRI,F,anislng'e.'3'\~ ~ ~-44) I
auct' . - - - .
I Vent System apart I
from AC or htg
I Mechanical exhaust I
hood and duct
I
MECHANICAL
PLUMBING
NO
FEE I
"""
"'~6Qr.:1=
Z-
Furnace/burner & vent
< 100,000 BTUs
It
Sanitary Sewer
It
Storm Sewer
It
Backflow DeVIce
TOTAL PERMIT
1- e ()
;t-2 , 01J
Permit Issuance
$10 00
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS
SO FT
LANa USE N nIlC 1=. FLOOD PLAIN
. OF UNITS THIS PERMITSl:fALL EXPIRE!lFrffiSW0AI':
CONSTR TYPE AUTHORIZED UNDER THIs'RfiAMlii IiS::lIKali BUDGET
HEAT SOURCE COMMENCEDORISABAN~~R
ANY 1 RO nAY pl=Plnn
$fSQ FT VALUE
OUAD AREA
# OF BLDGS
OCCY GROUP
# OF STORIES
SO FTG MAl N
SO FTG ACCES~
X
SO FTG OTHER
X
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEr
RCPP
DATF
BY
I BUILDING PERMIT
I ...:OState
Surcharge
MECHANICAL
7 ~ Slate
Surcharae
I PAVING
I PLUMBING
11"1" State
~urcharQe
I FENCE
VALUE ~
I SIDEWALK
I CURBCUT
DEMOLITION
FT
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
FT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
REQUIRED INSPECTIONS
It Is the responsibility of the permit holder to see that atllnspectlons are made at the proper time To request an InspectIon, call
7263769 (recorder), state your City designated nurnber,Job address, type of Inspection requested and when you will be ready
for Inspection Requests received before 7 0 will be madi the same working day. requests made after 7 00 a m will be made
the following work day
SITE INSPECTION To be ROUGH!'LUMBING, PAVING After gravel IS In
made after excavation, but ELECT ICAL & place but prior to placing
prior to setup of forms MEC ANICAL No work Is to asphalt or concrete
covered until these #'
Inspections have been made SPECIAL INSPECTIONS In accordance
and approved Section 306 of the State Specialty Code
a special Inspectot 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
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL To be made
before any work Is covered
ATTIC DRAFT STOPS &
CURTAIN WALLS
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
STRUCTURAL CONCRETE In
excess of 2500 PS I (306 a 1)
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
FRAMING To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved
STRUCTURAL WELDS
Performed on the Job (2722 f)
UNDERFLOOR Plumbing,
electrical, mechanical To be
made prior to Installation of
floor Insulation, decking or
floor sheathing
INSULATION & VAPOR
BARRIER To be made after all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall coverIng Is
applied
FIRE & SEPARATION WALL
Located and constructed
according to plans
HIGH STRENGTH BOLTING
During all bolt Installatlon and
tightening operations (306
a6)
UNDERGROUND Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines To be made
prIor to covering or f1lllng
trenches
SPRAYED ON
FIREPROOFING
Standards 438
U BC
SPECIAL GRADING,
EXCAVATION AND FILLING
DurIng earthwork (306 a 11 &
Chapter 29)
POST & BEAM 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
GLU LAM BEAMS Inspection
Certificate by an approved
agency, furnIshed to the City's
Building Division before
beams are placed (2501 U Be
STDS 2510,11)
FLOOR INSULATION &
VAPOR BARRIERS To be
made prior to Installation of
decking or floor sheathing
STRUCTURAL MASONRY (306
a 7)
*In additIon to the Inspec
tlons specified, the Building
Official may make or require
CURB AND APPROACH other Inspections of any
ROOF SHEATHING AND APRONS After forms are construction work to ensure
NAILING Prior to Installing erected but prIor to placing compliance with the BuildIng,
UI y ~:o::::e~ll:gG __________~oncr:::E -;LAN -;EVIEW ~OA;; Mus;-beC::::~s~::e~o:a:~: ::nc:-
of the date you wIsh Inspection All project conditions such as
landscaping, parking lot stripIng, etc must be completed before
FINAL ELECTRICAL requesting this Inspection
MASONRY Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415
SIDEWALK & DRIVEWAY
ReqUIred for all concrete
paving within street rrght of
way, to be made after all
excavating complete and form
work and sub base materral In
place
FINAL FIRE DEPARTMENT
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 untll a
Certificate of Occupancy has been Issued by the BUilding Division
and posted on the premises
FINAL MECHANICAL
ADDITIONAL COMMENTS
PLANS REVIEWED BY
DAT~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that 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 01 Oregon pertaining to the work described herein, 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 In compliance with ORS 701055 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
/'0/1) t
Slgnaturo ~o~
Date
'l/IC/Q9
I (
, ,
VALIDATION
AMOUNT RECEIVED 2-2
()3~>f/
(}7
DATE PAID '1/ It/ 7 /' /7
RECEIVED BY . 4 jl tJvJ/
RECEIPT'