HomeMy WebLinkAboutPermit Plumbing 1999-7-1
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COMM ERCIALIIN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORi<' 1 r 5
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ASSESSORS MAP'
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ADDRESS' C(qC;
CITY: ~O{rJ!
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OWNER'
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DESCRIPTION OF WORK'
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DEMOLISH
NEW REMODEL
ADDITION
NAME
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
GENERA' .
PLUMBING: -rl"lv0\!_-rer 66
MECHANICA' .
ELECTRICAl'
I
PLUMBING
NO.
FEE CHARGE
I)' I{" GO
I
,
Single Fixture
Relocated Bldg.
(new fix. addU)
Water Service
It.
Sanitary Sewer
It.
I
Storm Sewer 57J
2-) ~
25)
It.
Backflow Device
, ar.
. 1j(2 ,
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TOTAL PERMIT
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JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726.3759
TAX LOT: 60/00
PHON.f:-S '-1/) 7 ;:}f,- <jo~ I
STATF'
oft
77vn
ZIP:
OTHER
VALUE:
ADDRESS
PHONE
CONST.
CO NT RACTO R .
EXPIRES
PHONE
S'~q{D
S''fr-LJ 10. ;:)(.~! )~F'C;-60Sc.
I MECHANICAL
In FFF ""1-I,ARn~
Furnacel burner & vent
< 100.000 BTUs
I Furnace/burner & vent
>100.000 BTUs
I Floor furnace and vent
I Suspended wall or floor
mounted unit heater
I Appliance Vent
separate
I Stationaryevap.
cooler
I Vent Fan/Single
duct
I Vent System apart
from AC or htg.
I Mechanical exhaust
hood and duct
I
I Permit Issuance $10.00
I TOTAL PERMIT "
QUAD AREA'
. OF BLDGS:
LAND USE:
- OFFICE USE -
HANDICAP ACCESS:
. OF UNIT'"
OCCY GROUP'
CONSTR. TypF'
HEAT SOUI!CF'
. OF STORIES:
SQ. FT.
$/sa. FT.
SQ. FTG MAIN
x
X
SQ. FTG ACCES"
SO. FTG OTHER
x
PLAN CHECK FF"
RCPP
I BUIL.CING PERMIT
15% State
Surcha~,e
I MECHANICAL
15% State .
Surcharae
I PAVING
, PL.UMBING
11% State
~urcharge
FENCE
VALUE $
1 SIDEWALK
I CURBCUT
~~
"
FLOOD PLAIN:
ZONING'
L1G HTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT
DATF
BY
7"~. -
'" ' rc:::.
/ . ..24:>
, CEMOL.ITION
"
FT.
SUBTOTAL
PERM ITS
SYSTEMS
DEVEL.OPMENT
FT.
" '.~., . ',' .'; I
TOTAL PERMIT FEES
EXCLUDING ELECTRICP'
OJ. - L/d.~ I
t,f,,-i'J 7";:.
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REQUIRED INSPECTIONS
.
It is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an inspecti~n, call
726.3769 (recorder), state your City designated jo~number.Job address, type of Inspection requested and when you will be ready
for inspectlon. 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. u)
SITE INSPECTION: To be ROUGH PLUMBING, . PAVING: After gravel is in
made after excavation, but' EL,ECTRICAL '&. place but prior to placing
prior to setup of forms. MECHANICAL: No work is to 'asphalt or concrete.
be covered until these
UNDERSLAB PLUMBING, inspections have been made
ELECTRICAL & and approved.
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordanca
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
oopy of the spoolal tc!1.tlng raport. ahall
be furnished to the Building Olvislon.
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POOTINQS . I'OUNDATIONS:
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 matarlals and bafore
framing Inspection.
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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 PS.1. (306 a.1)
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
I n pi ace but before any
concrete is placed.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
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UNDERGROUND: Plumbing,
~triC:;:lr ~' sanitary sewer,
arm sewer water and
dralnag~ IIn~S. 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.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.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: . ~t~
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).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
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STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
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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 covering.
CURB AND APPROACH
APRONS: After forms are
erected but prf()r to placIng
concrete. . , ~
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FINAL PLUMBING
SITE PLAN REVIE~ 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,
FINAL MECHANICAL 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 DEPARTMEN!,4 / ,/ and posted, on the premises. ~
ADDITIONAL COMMENTS: ~~ I~ ~ b ~&;I/ZL.J
PLANS REVIEWED BY
OAT"
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 us~d <:~ this project.
I further agree to ensure that all required inspections.are requested at the proper ~Ime, that project address Is readable from the
street, that the permit card is located at the frcl'n~ of th~ property, arid the approved set of plans will remain on the site at all
times during /1struction. A .#
Signature -L,/t....l.4A JI"'~ Date 7- / - <7,/
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VALIDATION:
AMOUNT RECEIVED: ~4t./ . ---
RECEIPT': ~~y
DATE PAID:
RECEiVED BY:
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