HomeMy WebLinkAboutPermit Plumbing 2001-4-2
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I Job# 01-00316-01 I
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TRANS#:01-0004826
DATE:APR 02 2001
AMT RECD:2 $ 49.50
CHANGE:$ 11.00
CASHIER:003
SPRINGFIELD
~
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00316-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3033 Gateway St Spr
Assessors Map#: 17032220
Lot: Block: Addition:
Tax Lot #: 03600
Subdivision:
Owner:
KKMDH L1c1Pacific Village Apt
3033 Gateway Street
Phone Number: 541-726-8895
City/State/Zip: Springfield, OR 97477
New Value: $0
Address:
Scope Of Work: Backflow Device
Contractor Type
Plumbing Contr
Contractor
Richards Plumbing and Heating
83410 Nieblock, Creswell, OR 97426
Registration #
9170
Expiration Date
4/2/2001
Phone
541-895-4817
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use -
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Backflow Device
Required Inspections
I Plumbin!l I
-After device is installed but before backfilling trench.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
[Ar~a (Sq. Feet)
_ MaIO: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plumbin!l
04/02/2001 4823
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
$5.00
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Job# 01-00316-01
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Page 2 of 2
Value/Quantity Fee Amount
I
Fee
Paid On Receipt#
Plumbin!l
04/02/2001 4823
04/02/2001 4823
04/02/2001 4823
1
$1.05
$10.00
$.45
$16.50
$16.50
State Surcharge - Plumbing
Backflow Prevention Device
Administrative Fee - Plumbing
Total Plumbing
Grand Total
By signing this permiVapplication, I agree to call for an inspection once the backflow prevention
device has been installed and is visible for inspection (726-3769). I also state that all information on
this perI:(iC'i~rr~. y_ 2- j/
Signature j/ Date
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COMM ERCIALlIN DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
9t; OCa 5,.
225 Fifth Street, Springfield, Oregon 97477
..;3.q~3
,
LOCATION OF PROPOSED WORK' ,.,~ - -
INSPECTION LINE: 726.3769
OFFICE: 726.3759
ASSESSORS MAP' J7//'2,
G ~/t->t
:2. ..-:>
S ?/l.-;".scr,~/r.uL> o-z-d 7 &/ 7?
"7- <? _
TAX LOT:
I"":/~~,qo
OWNER'
ADDRESS'
12>136/ IZlLlt-t.--t'7 (D~,l, IvV,
totO N. C.u-z..,T1~ G<hTE2..70->
,'f3e;>1 G ^- 'STATE: ,I D_
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PHONE:
Izo~) '3 ZZC;~'&:--
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CITY'
ZIP:
t",::::S7CJ0
DESCRIPTION OF WORI<'
(Z../LVl-lOJ/i.. .q-
f!-.tZ-P~ Dh_<-;::.9
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NEW
REMODEL 0(
ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT:
PLUMBING'
CONST.
CONTRACTOR' EXPIRES PHONE
f<:6'6l, ()/lJ'IJiLtU/TLf ~ 977) 9 ~/9-V s<l/$<ld.. Z7?
1PV&rfL#U~O/l.-'NC[3 'c.etZ S2-/-0"l7<1
CONTRACTOR'S NAME ADDRESS
" \o3w~r:
GENERAl'
MECHANICAl'
ELECTRICA' .
NO
FEE
CHARGE
I
10 I
I I
I
I
Furnace/burner & vent
< 100.000 BTUs
Furnacel burner & vent
> 100.000 BTUs
MECHANICAL
I
I
J
eEL _CI:lARGi
I
I
I
I
I
I
I
I
I
$10.00 I
I
PLUMBING
Single Fixture
Relocated Bldg.
(new fix. addtl\
Water Service
It.
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duel
Vent System apart
from AC or htg.
MeChanical exhaust
hood and duel
Sanitary Sewer
II.
II.
Storm Sewer
Backflow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
OUAD AREA"
# OF BLDGS'
- OFFICE USE -
LAN D USE:
HANDICAP ACCESS'
FLOOD PLAIN'
# OF UNITf'
ZONING:
OCCY GROUP:
# OF STORIES:
CONSTR. TYPF'
HEAT SOURCF'
LIGHTING POWER BUDGET:
WATER HEATER:
SO. FT.
$/SO. FT.
VALUE
SQ. FTG MAIN
SO. FTG ACCESf
X
X
SO. FTG OTHER
X
TOTAL VALUE OF PRaJECT
449~
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PLAN CHECK FE~<< /Iftt'~~~~~ //# ~ .)
DATF
BY
I BUILDING PERMIT :299J ;'0
I ~:;c~~r~e I-I-.fo-f ~,?.f .z.. '2, .& 4-
I MECHANICAL'
15% State
SurcharQe'
I PAVING
, PLUMBING
. DEMallTlON
.-1' I
;s-~~ I
'--+-- -.
I
I
5% State
Surcharge
I FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
FT.
,;<74; .AY,cr.J
I
I SUBTOTAL
PERMITS
I SYSTEMS .
DEVELOPMENT
TOTAL PERMIT" FEES I
EXCLUDING ELECTRICAl
31/.$1
.
REQUIRED INSPECTIONS
.
,
It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an insp~ction, call
726.3769 (recorder), state y,?ur City designated job number, job address, type of inspection requested and when you w~lI be ready
for Inspection. Requests re,calved 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 excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
RaUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered untll.these
inspections have been made
and approved.
PAVING: After gravel is in
place but prior to pl~clng
asphalt or cOf)crrte.
x
FIREPLACE: Prior to placiQg
facing materials and before
framing In.spectlon. .
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.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector snail be employed
by the Ownerl 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
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (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.
STRUCTURAL WELDS:
Performed on the' job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prlbr to covering or filling
trenches.
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.
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.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
Chapter 29)
paST & BEAM:.To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
LATH ANDlaR GYPSUM
BaARD: 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.BC.
STDS. 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
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.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
.In addition to the inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Oeve~opment Code.
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FINAL ELECTRICAL
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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 unlll a
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
FINAL PLUMBING
FINAL MECHANICAL
.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY fl~r /'/;?/"'."/r:E
DATE ..,-/~-9~
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 of 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 furl her 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 c~
Signature (' '() \~ Date~P
VALIDATION: U AMOUNT ~ECEIVED' '?? 7'/!1? ~ DATE PAID: ?/Y.9.h"
RECI'JPT', --2./ 5'7'9 RECEIVED BY: - ~~J-'-
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