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Home My WebLink AboutPermit Plumbing 1993-3-5 -..J COMMERCIAL/INDUSTRIAL PERMIT APPLICATION "- , ..-- .,A 225 Fifth Street, Springfield, Oregon 97477 ~ JOB NUMBER 9~1YJ?1L INSPECTION LINE: 726.3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK: 3-1-:2. '2_~Af-;f ~-r; ~SSESSORS MAP: 17.(/ <. '? ~ '2,....? TAX LOT: /4120 OWNER: -1-HJ.2P CdtuC' PHONE: J3L~ 7~ - /,;,CJ,<",C:; ADDRESS: -;:;2 S- U. ~~-I-~-l ?~ CITY:~/./'C STATE: CA ZIP:_9LU'3 DESCRIPTION OF WORK: ---./2iu~/~~: .n?a!tt/ ~~~f,f' NEW REMODEL~ ADDITION DEMOLISH OTHER VALUE: _ NAME ADDRESS ---',--_. PHONE ARCHITECT: CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR' EXPIRES PHONE GENERAL: -IJ)~~ L~N PLUMBING:~{u~ML-'3'1~~~~-=ZU'i. , ' 1/Jt1W~ ,dl<. 17bi? MECHANICAl. 44 - ,', , '7t:z.... 10.2.1- f';1.~~.J ~4f!..3.::7t/.i' ( ~~Lt:Z6.7-/~Z."'I: ELECTRICA' ' I PLUMBING I MECHANICAL,' I NO, FEE CHARGE In ~~~ r.IIARGE- I !it Single Fixture ID ~ Furnace/burner & vent <100.000 BTUs I Relocated Bldg, I Furnace/burner & vent Inew fix, addtll > 100,000 BTUs I Water Service Floor furnace and vent fl. Sanitary Sewer Suspended wall or floor I II. mounted unit heater Storm Sewer I Appliance Vent I ft. separate I Statlonaryevap. I Backflow Device cooler I Vent Fan/Single I duct I I Vent System apart I from AC or htg, 1 I Mechanical exhaust I hood and duct 1 I 6/1"S" L,/p6 ~/Iti )5~1 1 I Permit Issuance $10.00 I TOTAL PERMIT -59.~1 I TOTAL PERMIT 1 - OFFICE USE - HANDICAP ACCESS' FLOOD'PCA.IN' ZONING' LIGHTING POWER BUDGET: WATER HEATER' OUAD AREA' LANO USF' . OF BLDGS' . OF UNIT~' OCCY GROUP' CONSTR. TYpo, ." . OF STORIES' HEAT SOURCF' SO, FT, $/SO, FT. VALUE SO, FTG OTHER x X X SO, FTG MAIN SO. FTG ACCES~ TOTAL VALUE OF PROJEC"T PLAN CHECK FEE RC PI' DATF BY , I BUILOING PERMIT 5% Slale Surcharge MECHANICAL I'~'<(~t? 15% Slate Surcharae I PAVING PLUMBING 5'o~ z :;"'<> . I DEMOLITION 1<6.- /1'> ee . }r 5% State SurcharQe FENCE VALUE $ SIDEWALK CURB CUT ;, I I I TOTAL PERMIT FEES I EXCLUDING ELECTRICA' 1G;" 2..)' 1 1 I FT, FT, SUBTOTAL PERMITS SYSTEMS I DEVELOPMENT .-.. ... " REQUIRED INSPECTIONS ,i' .. 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 deslgnaled job number. job address, type of Inspection requesled and when you will be ready for Inspection. Requests 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 excavation, but prior ~o' se~up' 9f f~rr~~... . ..' . . . UNDERSLAB PLUMBING, ELECTRICAL & , MECHANICAL: To be made before any work Is covered, 'I ROUGH.~LUMBI~ ~NoworklSlO ---m::-l..UVI,;,I;;\J"U'ntil 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 Secllon 306 of the Slale Specialty Code a special Inspector shall be employed by the Owner I Contractor during construction of the following work, A copy of the special tesllng reports shall be furnished to the Building Division. ATTIC DRAFT STOPS & CURTAIN WALLS CONCRETE SLAB: To be made after all inslab building service equipment, co~dult, 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 pipes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are .approved. STRUCTURAL CONCRETE: In excess of 2500 P,S,I. (306 a,1) STRUCTURAL WELDS: Performed on lhe job, (2722 f) UNDERGROUND: Plumbing. electrical, gas, sanitary sewer, storm sewer, water and d ral nage /I neg:. To. be made prior to covering or filling trenches. INSULATION' & VAPOR BARRIER: To be made aller 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 installatlon of floor Insul"tlon, decking or floor sheathing. FIRE & SEPARATION WALL: Located and constructed according to plans. 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 aller all lathing and gypsum board, interior and exterior, Is in place but before any plastering 15 applied or before gypsum board Joints and fasteners are taped and finished, GLU.LAM BEAMS: Inspecllon Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U,B.C, STDS, 25-10.11), FLOOR tNSULATION & 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 excavatlng complete and form work and sub-base material in place. -x STRUCTURAL MASONRY: (306 a,7) - &.>'\-'\ / /AY;:: MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Inslalllng any roof covering. 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. ------------------------------------------------------- X FINAL PLUMBING " ,FINAL ELECTR.ICAL SITE PLAN REVIEW BOARD: Musl 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 r.equestlng this inspection. t......1 'II.: FINAL BUilDING: Requested arter 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 MECHANIC~L", ..,. FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: PLANS REVIEWED BY ,,/~ , DATE~~ - \-5' ( By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformatlon 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 lhe Stale of Oregon pertaining to the work described herein. and lhat 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 lhls project. I further agree to ensure that all required inspections are requested at the proper time, lhat project address Is readable from the street, that the permit card Is located at the front of the property, and the approved sel of plans will remain on the site at all times durln'g ~tructlon. ., Slgnalure 1/;.01) It Y..e-P.f~. Date "? -<) -7 7 . ~ ~ AMOUNT RECEIVED' 7f!b, 2..-S" '77/1 RECEIPT .' DATE PAID: 'i: - 5" -'7 :!- RECEIVED BY: -4k~ VALIDATION: ~ .~ J1~ 20198~ "- BACKFlOW PREVENTION DEVICE TEST REPORT o NEW o REPLACEMENT fiRM NAME: T )./GP ~~yj~~SS' 3'12-1 atJ~/ (?r'/2/N~:~O ~~ STREE8L- CITY ZIP ~,~~'CE LLJ.~ ~~V~~E ,C,tl nA6'~ MODEL t.f..J.P, WATERSY$TIM ~t~~~R &'Il'l ,;1IQ!.?~,QJ I , , I ~6~~ON bA..lLJ$/Y y"'tC}..... ..D.;<?qg:,Ar-r:/VLjN W,..-rllle~s. S~ REDUCED PRESSURE DEVICE I' PRESSURE VACUUM DOUBLE CHECK VALVE I CHECK" ! BREAKER , CHECK" CHECK' 2 AIR INLET I CHECK f1. lit OPENED AT PRESS DROP INITlAl TIGHT TIGHT REUEFOPENEOAT TEST L5'1.~"" , ILU-UPSIO UJeUI'Slll LEAKED 0 lEAKED 0 RELIEF VALVE! PRESS DROP PASSED 'lZI DID NOT LEAKED LS.,>"" FAilED 0 OPEN 0 0 IN1TlAl TEST PASSED so. FAILED 0 I OATU:ll~- ~9JJ REPAIRS AND/OR PARTS o 1" PRESS DROP !I TIGHT 0 UJ-UPSCl I RELIEF OPEN UJ-UPSll ' AFTER REPAIR TEST AFTER 'TIGHT REPAIR OPENED AT PRESS DROP DATE. LlJ/LlJ/LlJ LJ...J.UPSIl LLJ.UPSIO 'I DETECTOR METER READING. IN COfvPLETtNG AND SUBMITTING THIS TEST REPORT. THE TESTER CERTIFIES THAT THE DEVICE HAS BEEN TESTED AND MAINTAINED IN AOCORDANCE WITH ALL APPLICABLE RULES AND REGULATIONS OF THE WATER SYSTEM ONNER AND THE STATE OF OREGON. -;:L " ..9' /' TESTERS SIGNATURE I~~ GAUGE # /J/'T37 CEIO'# REPORT RECEIVED BY: (REPRESENTATIVE OR FIRM) WATER SYSTEI';.'lS COPY . COM M ERCIALII N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 ~ .' JOB NUMBER 93CLJBI INSPECTION LINE: 726,3769 OFFICE: 726.3759 LOCATION OF PROPOSED WORK' "?42/1 ~-l.JAu -f I , ~r: ASSESSORS MAP' J7../J3 ? 2- / J+t? F> Cdiu<? . ADDRESS: ~2 S- 1Y . ~~~ . CITY: h.~6rY()k/./~ 2'-? TAX LOT' /4t:;t? OWNER' PHONE: ...B./~ ?~ - /-./l,<:'.< :<...e...l P~. STAT~' rA ZIP: 9'1?..,ns DESCRIPTION OF WORK: ~4/~//J~ NEW REMODEL ~ ADDITION I f .n?&!#, ~//'(7/a.u.!' DEMOLISH OTHER VALUE: NAME ADDRESS PHONE ARCHITECT' CONTRACTOR'S NAME ADDRESS CONST, CONTRACTOR # EXPIRES PHONE GENERAL: ),('lDe/i17rF L'>inv PLUMBING: }3C~,J?:Ml) ;O/b~-t);, MECHANICA" ~, - 1~'1~ .f.UI, ~)JI,,0~ ~ /2S8'i' .?JikP~~tI)(. ")7/J;S' 7.f?-/02-f <f2.'0.3 ,t;4~ -7~r (""CALi 7~7-/~z..-(- ELECTRICA' ' I PLUMBING I MECHANICAL I I NO. FEE CHARGE I ...n "~~ ""ARGE-I 1 'it Single Fixture It) ~ Furnace/burner & vent < 100.000 BTUs I , Relocated Bldg, Furnace/burner & vent (new fix, addU) > 100.000 BTUs I Water Service 1 Floor furnace and vent ft. I Sanitary Sewer 1 Suspended wall or floor It, mounted unit heater I Storm Sewer 1 Appliance Vent It. separate 1 1 Stationaryevap. Backflow Device cooler 1 1 Vent FanfSingle duct I 1 Vent System apart I from AC or htg, I 1 Mechanical exhaust 1 hood and duct 1 1 6/'tf' ~/p6 .$/~ /5~1 I I Permit Issuance $10,00 I I TOTAL PERMIT -59.~1 TOTAL PERMIT .1 - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN' QUAO AREA: LAN D USE: # OF BLDGC' . OF UNIT~' ZONING' OCCY GROUP' CONSTR, TYpo, . OF STORIES: HEAT SOURCE: LIGHTING POWER BUOGET: WATER HEATER' SQ, FT, $/SQ, FT, VALUE SQ, FTG MAIN SQ, FTG ACCESS X X SO, FTG OTHER X TOTAL VALUE OF PROJECT PLAN CHECK FEF RC PT' DAT" BY I BUILDING PERMIT 15% State Surcha~qe I'MECHANICAL IS{ lfIih"J<i 15% State SurcharQe 1 PAVI NG I~.- /e::> ee ).J I PLUMBING 15% State Surcharge I FENCE VALUE $ I SIDEWALK I CURBCUT 5'o,~ Z~<> . I DEMOLITION 1 I I SUBTOTAL PERMITS I SYSTEMS , OEVELOPMENT I 1 1 1 J FT, FT. ~OTAL PERM'IT FEES I EXCLUDING ELECTRICAl 7~, zS- ~ 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, Requests 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 excavation, but prior to setup of forms, UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. 'I ROUGH.~LUMBI~'- '~ <...:::. _. '''I'r'.- ~~ No work is to .:n:r ...U....I<;;U until these inspections have been made and approved. ATTIC DRAFT STOPS & CURTAIN WALLS FOOTINGS & FOUNDATIONS: To be made atter 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 inspe~tion, 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. 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 appiied, - UNDERGROUND: Plumbing. electrical, gas, sanitary sewer, storm sewer, water arid drainage lines, To be made prior to covering or filling trenches, UNDERFLOOR: Piumbing. electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing, FIRE & SEPARATION WALL: Located and constructed according to plans, 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. 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 atter 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. , PAVING: After gravel is in place 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 construction bf the following work, A copy of the ~peclal 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 Cify's Building Division before beams are placed, (2501 U.BC, STDS, 25.10,11). )( V ...... STRUCTURAL MASONRY: (306 a,7) 6*'\ !..u);:; -In addition to the inspec- tions specified, the Building Official may make or require other inspections of any construction work t'o ensure compliance with the Building, City or Development Code. X ;- - 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 ELECTRICAL 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 Buildir]g Division and posted on the premises. . FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTf" PLANS REViEWED BY ~f~ DATE 't - ,,- ~ "l 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 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 ~tructlon. Signature~'.P ~~. Date {-S--77 VALIDATION: AMOUNT RECEIVED: 7~,:z.-S- DATE PAID: ~ - 5" - '7 ~ RECEIPT N: '77/; RECEIVED BY: - 4~"""""'~