HomeMy WebLinkAboutPermit Plumbing 1995-1-27
COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORI<" \ \A,D
ASSESSORS MAP: ~f)()~Qr"13\
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JOB NUMBER
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INSPECTION LINE: 726.3769
OFFICE: 726.3759
TAX LOT:
rf1 ern
OWNER:~\\C\'\\L~: (~,Q 't~1~~MtrY\ PHONE: \?\n-\()~{'")~
ADDRES;;:tJfJ \\ Q Jj ~ 2>, ~ I J\ \ ") \ I-b ~
CITY:t\ f)~lI. 9 n~kJLO ~ STATE: llllu ~ r'"'T'(l_ ZIP: GOff, 1
DESCRIPTION OF WORK~~~UQ (_f'<\.l\r _~ 0)(1") t111 ill' -D .J(aJ_
. NEW, / REMODEL
~
ADDITION
DEMOLISH
OTHER
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERAl'
PLUMBING: uns" \\1A ffi~
MECHANICAL'
ELECTRICA' .
ADORESS
CONST.
CONTRACTOR'
EXPI RES
PHONE
\)D&:lV&l~Y'I~ 41m) 4"4.<15 ~'"),a;s\
PLUMBING
I I MECHANICAL
CHARGE r toIn ~~~
I Furnace/burner & vent
< 100.000 BTUs
I 1 Furnace/burner & vent
> 100.000 BTUs
I I Floor furnace and vent
I 1 Suspended wall or floor
mounted unit heater
I I Appliance Vent
separate
I 1 Stationary evap.
cooler
I I Vent Fan/Single
ducl
I I Vent System apart
from AC or hlg.
I Mechanical exhaust
hood and duct
I
I Permit Issuance
I TOTAL PERMIT
$10.00
NO. FEE
Single Fixture
Relocaled Bldg.
lnew fix. addu)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Oevlce
TOTAL PERMIT
aUAO AREA'
- OFFICE USE -
LANO USE:
HANOI CAP ACCESS:
FLOOO PLAIN'
, OF BLOG~'
, OF UNITf"
ZONINC""
OCCY GROUP'
, OF STORIEF'
CONSTR. TYP~'
HEAT SOURCE:
LIGHTING POWER BUOGET:
WATER HEATER'
Sa. FT.
$/sa. FT.
VALUE
sa. FTG MAIN
x
sa. FTG ACCF~~
x
sa. FTG OTHER
x
TOTAL VALUE OF ,PROJECT
PLAN CHECK FEF
RCPT'
OAT~
BY
I BUILOING PERMIT '
15% State
Surcharg.e
I MECHANICAL
15% State
Surcharoe
I PAVING
, PLUMBING
;~e
~CE.
SIOEWALK
CURBCUT
1~.O-J
.15
.45
, OEMOLlTlON
TOTAL PERMIT FEES I
EXCLUOING ELECTRICA'
l\o,'LQ
j
I
)
j
I
FT.
FT.
SUBTOTAL
PE RM ITS
SYSTEMS
OEVELOPMENT
.
.
REQUIRED INSPECTIONS
It 15 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. wi!! 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 excavation, but
prior to. setup of forms.
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.
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 of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission ot the Building Safety Division. 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 at all required Inspect are requested at the proper time, that project address Is readable from the
reel, that n of the property, and the approved set of plans will remain on the site at all
Imes dur g
0/
atu
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
Inspections have been made
and-approved.
,'.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOl1NDATIONS:
To be made after trenches Bre
excavated and forms Bre
erected, all steel In place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
fra",!lng Inspection.
FRAMING: To be made after
the roof, all framing; fire
blocking and bracing are In
place and all pipes, chimneys
and vents Bre complete and
the rough electrical, plumbing
and mechanical are approved.
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 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.
UNDERGROUND: Plumbing,
electrical, gasisanltary sewer,
storm sewer, water 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 \exterlor, 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: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
,/ VALIDATlO~
~
AMOUNT RECEIVED: 1(0 ' J r)
1l;(Z?
~
RECEIPT ..
PAVING: After gravel Is In
place but prIor to placing
asph~1t or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a s'pecial 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.
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.G.
Standards 43.8.
SPECIAL GRADING, ,.
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
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).
J!-
STRUCTURAL MA~06
a.~X g(')),A )
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Oln 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.
OAT"
Dat~.
DATE PAID: J ~CJ./7.q/') \
RECEIVED BY~ /\LA' )
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