HomeMy WebLinkAboutPermit Plumbing 1994-12-1
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CO M M ERCIAL/lN DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
9'Y /7/k:
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSEO WORK.
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ASSESSORS MAP:
TAX LOT: ,07Jf5 e:.o
OWNER. ~~7=?r#~~ -:../ / ~~- PHONF. -:<' ~ 'C! -~~~6
ADDRESf'. . ty~/ .~ tE 2$6 ~Av~.
CITY- p~r4;~";,,Z:; - STATE: ~2f ZIP: 9~??__
DESCRIPTION OF WORK: /:' ~~LL 7-l- ..>/???:""~; ~ ~? ~~,.,.. .ij9~ '%j,'r~ ~._
NEW REMOOEL Jt ADDITION DEMOLISH OTHER VALUEC-:>- .- . ~
NAME
ADDRESS
PHONE
ARCHITEcT.
CONTRACTOR'S NAME
ADD RESS
CONST.
CONTRACTOR'
EXPIRES
PHONE
GENERAl.
""' ~ ~,-:~//:fVT~~_
PLUMBING. ?!~fYP~0~' - ~"'!y~q"?~
MECHANICA' .
~~~~7~g-;:-/y/y
ELECTRICA' .
I PLUMBING I MI'CHANIr.AL
I NO FEI' CHARGE I Nn I Fee 1""~.o.Dn.1=
I z.. Single Fixture /C>. c-.:. ' ~- .-1 Furnace/burner & vent 1 I
< 100.000 BTUs
I Relocated Bldg. I Furnace/burner & vent I 1
(new fix. addtll > 100.000 BTUs
I Water Service Floor furnace and vent I I
II.
I SanItary Sewer Suspended wall or floor I ..I
ft. mounted unit healer
I Storm Sewer I Appliance Vent I J'(
ft. separate
I / /c? /0.- Stationary evap. I~~
Backflow Device cooler
I , Vent Fan/Single I .
duct
I I Vent System apart
from AC or hlg_
I I Mechanical exhaust
hood and duct
I I
I I I Permit Issuance $10.00
I TOTAL PERMIT 1;3b. ~ TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN.
ZONING.
LIGHTING POWER BUDGET:
WATER HEATER.
QUAD AREA-
., OF BLDGf.
..OCCY GROUp.
, OF STORIES:
LAND USE:
, OF UNITS:
CONSTR. TYPF.
HEAT SOURCF.
so. FT.
$/SO. FT.
VALUE
so. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
X
X
X
TOTAL VALUE OF .PROJECT
PLAN CHECK FFe
RCPP
DATI'
BY
I BUILDING PERMIT
15% Stat,e
Surcharoe
I MECHANICAL
15% State
Surcharae
I PAVING
I PLUMBING
15% State ,...~~
Surcharoe -r :.,
I FENCE
VA.'_I)~ ~_
SIDEWALK
~~
/ -;;:>-
.~
. DEMOLITION
CURBCUT
FT.
FT.
SUBTOTAL
PERM ITS .
I SYSTEMS
DEVELOPMENT
"
(
TOTAL'PERMIT FEES I
EXCLUDING ELECTRICAl
3'2. 7""C>
.,
.
y
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel-In plac~e,- but
prior to placIng concrete.
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.
UNDERGROUND: Plumbing,
electrical, gas, sanitary 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 Installetlon of
floor Insulation, decking or
floor sheathing.
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.
MASONRY: Steel location,
bond beams grouting or
vertlcals In accordance with
U BC 2415.
ROOF SHEATHING AND
NAILING: Prior to Instafllng
any roof covering.
( FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS.
,
,
REQUIRED INSPECTIONS
x
ROUGHc6U~
ELECTRI~Al II<
MECHANICAL: No work Is to
be covered until these .
Inspections have been made
and approved.
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 ,?f forms.
UNDERSLA~UMBING,)
, ELECTRICAL 8,. . .
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
fra_mlng Inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and ell pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are In place bur -
before any lath or gypsum
board Interior wall covering is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
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.
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
.
.
PAVING: After gravel Is In
piece but prior to placing
_ asphalt or concrete.
SPECIAL INSPECTIONS: In eccordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner I Contractor during
construc:tion of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 PS.L (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 City's.
Building Division before
beams are pi aced. (2501 U.BG.
STOS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
'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.
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 efter the final pfumblng, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupency has been issued by the Building Division
and posted on the premises.
PLANS REVIEWED BY
DATe
By signature,' state and agree, that I have carefully examined the completed applicatIon and do hereby certify th?t alllnformatlon
herein Is true and correct, and I further certify that any and all work performed shalt 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 construction.
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S.lgnaturp ~
RECEIPT ':
AMOUNT RECEIVED. --:5 <_ '/6
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VALlOATION:
Date
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DATE PAID.
RECEIVED BY:
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