HomeMy WebLinkAboutPermit Plumbing 1995-01-2799!t M ERCTAL/ r N D USTRTALPEBMIT APPLICATION
225 Fifth Street, Springfietd, Oregon g7477 INSPECTTON LtNE: 726.3769
OFFICE: ?26-gtig
SP'II}IGFIELO
LOCATION OF PROPOSED WORK:
ASSESSOFIS MAP:
JOB NUMBEB
TAX LOT
OWNER:
ADDR
CITY STATE:
PHONE:
ZIP:
ADDITION DEMOLISH OTHER
DESCRIPTION OF WOR
'NEW ,:/"nvloDEL
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONE
ELECIRICAL:
MECHANICAL:
PLUMBING:
GENERAL:
CONTRACTOR'S NAME
ARCHITECT;
CONST.
CONTRACTOR #
NO.FEE CHARGE
Slngle Flxture
Relocated Bldo.
(new fix. addtti
ce
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Devlce
TOTAL PERMIT
N..t FFF CHARGFFurnace/burner & vent
F urnace/burner & vent
Floor furnace and vent
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/SingJe
duct
Vent
trom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -HANDICAP ACCESS:
QUAD AREA:
* OF BLDGS:
FLOOD PLAIN:
* OF UNITS:ZONING
OCCY GROUP:
-
CONSTR. TYPE:
HEAT SOURCE:
LIGHTING POWER BUDGET
I OF STORIES:WATER HEATER:
SQ. FT.$/so. FT.VALUE
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
X
X
x
TOTAL VALUE OF PROJ
PLAN CHECK FEE RCPT#DATE BY i
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL 2i)
BUILDING PERMIT PLUMBING t5.ct-,DEMOLITION
5% State
Surcharoe
644r€ta*esffie -1-S
MECHANICAL EEl,lCEVEE*€---4s
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
Suspended wall oiiloor
mounted unit heater
LAND USE:
REOUIRED INSPECTIONS
It is the responsibillty of the permit holder to see that all lnspectlons are made at the proper time' To req.uest an lnspectlon' call
726.g769(recorder), state your city designat;Jj"b ;;;oer, iou "ooiuss, type of inspection requested and when you will be ready
for lnspectlon. nequesG ieceived-beforu Z,OO *.n' will be made the same worklng day' requests made af ter 7:OO a'm' wlll be made
the following work day.
SITE INSPECTION: To be
made after excavatlon, but
Prlor to setuP of forms'
UNDERSLAB PLUMBING'
ELECTRICAL &
MECHANICAL: To be made
before anY work is covered'
FOOTINGS & FOUN DATIONS:
To be made after trenches are
excavated and forms are
erected, all steel ln Place, but
Prlor to Placlng concrete'
CONCRETE SLAB: To be
made alter all inslab bullding
servlce equlPment, condult,
plPing, accessories and other
anclllarY equiPment items are
ln place but before anY
concrete ls Placed.
UNDERGROUND: Plumbi ng,
electrlcal, gas, sanitary sewer,
storm sewer, water and
dralnage llnes' To be made
prlor to coverlng or f illlng
trenches.
UNDERFLOOR: Plumbing,
electrlcal, mechanlcal. To be
made prlor to lnstallation of
floor lnsulallon, decking or
floor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
lnsulatlon, decklng or floor
sheathlng.
FLOOR INSULATION &
VAPOR BARBIERS: To be
made prlor to lnstallatlon of
decklng or floor sheathlng.
MASONRY Steel location,
bond beams groutlng or
vertlcals ln accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalllng
any roof coverlng.
ROUGH PLUMBING,
ELECTR]CAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prlor to Placing
faclng materials and before
framing InsPection.
FRAMING: To be made after
the roof, all framlng, fire
blocking and bracing are ln
place and all PlPes, chimneYs
and vents are comPlete and
the rough electrical, Plumbing
and mechanlcal are approved'
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vaPor
barriers are ln Place but
before any lath or gYPSum
board lnterior 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,
lnterlor and\exterlor, ls ln
place but before any
plasterlng ls applied or before
gypsum board joints and
fasteners are taped and
f lnlshed.
SIDEWALK & DRIVEWAY:
Requlred for all concrete
pavlng withln 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 prlor to placing
concrete.
PAVING: After gravel is in
Place but Prior to Placlng
asPhalt or concrete'
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special lnspector shall be employed
bv the Owner/ Contractor durlng
construction of the following work. A
copy of the speclal testing reports shall
be'furnlshed to the Bullding Divlslon.
STBUCTURAL CONCRETE: ]N
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the lob. (2722 ll
HIGH STRENGTH BOLTING:
During all bolt installatlon and
tightenlng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC'
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
Durlng earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnspectlon
Certificate by an approved
agency, furnished to the Clty's
Bulldlng Dlvision before
beams are placed. (2501 U.BC.
srDs. 25-10J1).
STRUCTUBAL
a.'
'ln addltion to the lnspec-
tlons speclfied, the Bulldlng
Officlal may make or requlre
other lnspectlons of any
constructlon work to ensure
compllance wlth the Bulldlng,
Clty or Development Code.
(306
permlt c
V
DATE PAID:
RECEIVED
VALIDATION;AMOUNT RECEIVED:
RECEIPT *:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPABTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days ln advance
of the date you wlsh lnspection. All project condltlons such as
landscaping, parking lot striping, etc. must be completed before
requesting thl.s lnspection.
F]NAL BUILDING: Requested after the final plumblng, electrlcal,
mechanlcal and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certlflcate of Occupancy has been issued by the Bullding Dlvlslon
and posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
By slgnature, I state and agree, that I have caref ully examlned the completed applicatlon and do hereby certlfy that all lnformailon
hereln is true and correct, and I further certify that any and all work performed shall be done in accordance wlth the Ordlnances
of the Clty of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY
will be made of any structure without permlssion of the Bulldlng Safety Division, I further certify that only contractors and employees
who are in compllance with ORS 701.055 will be used on this project.
I further all required ins
Date
are requested at the proper time, that project address is readable from the
the property, and the approved set of plans wlll remaln on the site at all
mes
ls located at the