HomeMy WebLinkAboutPermit Plumbing 1995-3-30
~OMM ERCIALlI N DUSTRIAL-
PERMIT APPLICATION
SPRINGFIELD e r '~r'\~
~ JOB NUMBER '-1 '-.JJI \ \
INSPECTION LINE: 726.3769
225 Fifth Street, Springfield, Oregon 97477 ~ OFFICE: 726.3759
LOCATION OF PROPOS'lI<..'CIR~K: ffi)~l"N'\-\-i.0f'('\ Q
ASSESSORS MAP' \IU,~\NJC) , TAX LOT:D:~\()I
OWNER:~ 'J~\1~
ADDRESS'
CITY'
\Hl'r o..c:J f\"
PHONE'
STATF'
ZIP'
DESCRI~TlON OF WORK~J'i\~\ +V(ti I A CLf.:)
'NEW V' REMODEL ~DDITION -\Dt)L1SH OTHER
NAME ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
VALUE:
PHONE
ADDRESS
CONST,
CONTRACTOR'
PHONE
EXPI RES
GENERAl' (\
PLUMBING~1.")\'(\ ~\\~ \'\ffih
MECHANICAl'
ELECTRICA' .
PLUMBING
_ Nnp]
11 \.
I
I
Single Fixture
Relocated Bldg,
(new fix, addlll
Water Service
It.
Sanitary Sewer
Storm Sewer
It.
ft,
Backflow Device
TOTAL PERMIT
QUAD AREA: ..l.Tt\) 1 ~
"
· OF BLDGS'
OCCY GROUP:
. OF STORIE'"
SO, FT.
SQ. FTG MAIN
SO, FTG ACCES"
SO, FTG OTHER
PLAN CHECK FF~
I BUILDING PERMIT
15% State
SurcharQe
I MECHANICAL
15% State
Surcharoe
I PAVING,
n loQ c:; 31[ \ }ti 10 lLPP>.I~<<t-
. ' ,
J I MECHANICAL ,
I FEE i rftnfA I NO ~~~ ('HARGj
Furnace/burner & vent
< 100,000 BTUs
I I I Furnace/burner & vent I
> 100,000 BTUs
I 1 I Floor furnace and vent I
I I I Suspended wall or floor I
mounted unit heater
I I I Appliance Vent I
separate
I I I Stationary evap. I
cooler
I I I Vent Fan/SIngle I
duct
I I I Vent System apart I
from AC or htg.
I I I MeChanical exhaust I
hood and duct
I I I
I I Permit Issuance $10,00 I
I 71{l~ I TOTAL PERMIT I
- OFFICE USE -
LAND USE: ~QqC(
HANDICAP ACCESS'
FLOOD PLAIN:
ZONING:..sLr ./
...-
LIGHTING POWER BUDGET:
WATER HEATER'
. OF UNIT~'
CONSTR. TYPF'
HEAT SOURCE:
$ISQ, FT,
VALUE
X
X
X
TOTAL VALUE OF PROJECT
RCPT'
DAT~
BY
I PLUMBING
I 5% State
SurcharQe
I~. $1)
I SIDEWALK
I CURBCUT
''l\~
3'5~
& I. 3D
DEMOLITION
FT.
I SUBTOTAL
PE RM ITS
I SYSTEMS
DEVELOPMENT
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
~ln()cgj
- ~
" REQUIRED INSPECTIONS
.
It Is the responsibility of the permit holder to see that all Inspections are made at the preper 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 3'\])' be made the same working day. requests made after 7:00 a.m. will be made
the following work day,
SITE INSPECTION: To be ROUGH PLUMBING. PAVING: After gravel Is In
made after excavation, but J ELECTRICAL & place but prior to p,laclng
DPrlor to setup of forms. MECHANICAL: No work Is to asphalt or concrete. "
\ be covered until these
\ UNDERSLAB PLUMBING, Inspections have been made SPECIAL INSPECTIONS: In accordance
l ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special Inspector shall be employed
before any work Is covered, ATTIC DRAFT STOPS & by the Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division,
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,
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
applied,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
Uf:jDERGROUND: Plumbing.
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
rlor to covering or filling
renches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation 01
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.
POST & BEAM: To be made
prior to Installation ot floor
Insulation, decking or floor
sheathing,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior 10 Installation of
decking or floor sheathing.
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,
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.I, (306 a.1)
STRUCTURAL WELDS:
Perlormed 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 placed. (2501 U.B.C.
STDS. 25-10,11),
STRUCTURAL MASONRY: (306
a,7)
'In addition to the Inspec.
lions specified, the Building
Official may make or require
CURB AND APPROACH other Inspections of any
ROOF SHEATHING AND APRONS: Alter forms are construction work to ensure
NAILING: Prior to Installing erected but prior to placing compliance with the Building,
r::~:O::~:~II~~ ___________c~n~:::~ -;LAN ~E.V~W ~OARD: M:;-beC:::~~s~::e~o:a::~: ::::~c~
of the date you wish Inspection. All proJect conditions such as
, landscaping, parking lot striping, etc, must be completed belore
FINAL ELECTRICAL requesting this Inspection.
,
FINAL BUILDING: Requested alter the IInal 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.
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' OrsUnances
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. 1 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 s re that all required Inspections are requested at the proper time, that project address Is readable from the
street, that Ih per It card Is located at the front of the property, and the approved set of plans will remain on the site at all
limes durl con ructl . ',X ~
Slgnatur - ''-7::t.:---
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
AMOUNT RECEIVED: I\\P.~ 0_ .91')
\\jt;D~)
VALIDATION:
FlECEI PT N:
DATF
Dato
"'-
M" "" ~,({Kt,
RECEIVED BY, '---")