HomeMy WebLinkAboutPermit Plumbing 1998-5-7
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK'
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ASSESSORS MAP'
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DESCRIPTION OF WORK' "'elf ./J;"/j nr? erj,~-krl' 40001
NEW REMODEL V Adr);TION DEMOLISH
OWNER:
CITY'
I
STATF'
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
GENERA" r:
PLUMBING'
.
<7 ~~<fO
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726.3759
3 (,. <Y 0 Go:feuJ r...0
TAX LOT: 10 CJ 3 c'7n
PHONE: ...L12.t!I'QCf Lt. Jlb-#'Iey
97trU
oe
ZIP:
/hs-Ic.//d'.o..
o~ /?filA',; !lm"'f
VALUE!' '104'7 '" 0
OTHER
PHONE
ADDRESS
CONST.
CO NT RACTO R -
,.:,/ c.? 'Yo 3 0:>
PHONE
11,\
1
Cu<lvJ tlJ(~ Av
)
MECHANICA' .
ELECTRICAl'
PLUMBING
NO."
FEE I CHARGE
Nn
Single Fixture
Relocated Bldg.
(new Ilx. addU)
Water Service
ft.
Sanitary Sewer
It.
Storm Sewer
ft.
Backflow Device
EXPIRES
/,,)1'03.;)
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3 6'!. -d~'~ '/t-.
MECHANICAL
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Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unIt heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust // ),
hood and duct Ftl/ltk 1'fI!);p"
~.; -,H/'/ t/:7A
/)? /,d ,
..n? ~AJ '-
$10.00
/s:O# ,
TOTAL PERMIT
TOTAL PERMIT
Permit Issuance
- OFFICE USE -
QUAD AREA'
- OF BLDGS'
LAND USE:
- OF UNITF'
OCCY GROUP:
CONSTR. TYPF'
- DF,STORIES:
HEAT SOURC'"
sa FT, '
. :$/ SQ. FT.'.
" .
SQ. FTG MAIN
SQ. FTG ACCESS
SQ, FTG OTH ER
X
X
X
,
PLAN CHECK FE!'
RCPT-
DAT"
I BUILDING PERMIT
15% State
Surcharge
MECHANICAL
~
5% State C-:.dT
Surcharoe ,7 J-f,T,
I PAVING
" PLUMBING
'~
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
/ ""OlV
/ 0.0<:1
1.'),,0
FT.
CURBCUT
FT.
HANDICAP ACCESS:
FLOOD PLAIN'
ZONINf'.:.
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
TOTAL VALUE OF .PROJECT
BY
, DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
. EXCLUDINGELECTRICA'
% 2-0
.
,
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 /".... 'lO!Jlil:\ pLUMBING" PAVING: After gravel is In
made after excavation, but .....--r:'..'i'"'!'.-I:;)I~A~. place but prior to placing
prior to setup of forms. ~ECHANICA: 0 work Is t9 asphalt or concrete.
uo;; l..oVV~Itl'U until these
inspections have been made
and approved.
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.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall 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.
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 pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 a,1)
STRUCTURAL WELDS:
Performed on the Job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior 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.G,
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.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 UB,C,
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.
.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.
ROOF SHEATHING AND
. NAILING: Prior to Installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
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.
x.. ,-FINAL ELECTRICAL
":X:: FINAL MECHANICAL
r ........
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
FINAL FIRE DEPARTMENT and posted on the premises.
ADDITIONAL COMMENTS: &~"T j=i:'~ ,c..,/~.:;~ /'~I"
-1J.ljJ'3 Jb TDX/CL ,i:<t.l#'-; ..&~e.T A'~#.A'~W-
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PLANS REVIEWED BY
;Y/A
r
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 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 7re r quested at the proper time, that project address Is readable from the
street, that the permit card Is located at the front of th roperty, and the approved set of plans will remain on the site at all
:::; (Imes during constructi':.?! -./: {\ ~ _ _'
Signature ~/' 0 .~ "/L-I' ~ Date S .('. 9 F'
'j/
,
AMOUNT RECEIVED'
RECEiPT N'
'Z~ ?-o
~~9 7r'J4
,
DATE PAID: C;- 7- 'l<J>
RECEIVED BY: --#.;r5M_
VALIDATION: