HomeMy WebLinkAboutPermit Plumbing 1993-07-08COM M ERClAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fi(fi Street, Springfield, Oregon 97477 ffi "fu77DJOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:,//5? ,//u./o-?
TAX LOT:,/6 94)
7//- fa7 ePHONEOWNER
ZIP:STATE:CITY:
ADDRESS:
&fus y'ea ,4n-, *
,//t2 sL/e./ q ",- ,,1
2.2
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
.<?124. 'z-
VALUE:
r'DESCFIIPTION OF WORK:
.//SeaJeZ lrre.-7
A RCH ITFCT.
CONST,
CONTRACTOR'S NAME ADDRESS CONTRACTOR ' EXPIRES PHONE
et EffiotnAl
NAME ADDRESS PHONE
4ffi-72t7^Z/":&/a.7//4j, /-zs-z t,fr5 t E-'u .lun
MECHANICAL
GENERAL:
I PLUMBING
PLU MBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new f ix. addtl)
Water Service
ft
sanitary ""*ur75o ,r.zf@
Storm Sewer
ft.
Backtlow Device
I
TOTAL PERMIT oZeO.riJ.
MECHANICAL
NN
-CHARGE-Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan / Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PEBMIT
- OFFICE USE -
ZONING
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
* OF STORIES:
QUAD ABEA:
I OF BLDGS:
$/so. FT,VALUESQ. FT.
TOTAL VALUE OF PROJ
X
x
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHEH
RCPT''PLAN CHECK FEE BYDATE
BUILDING PERMIT PLUMBING 254 DEMOLITION
5% State
Surcharoe
5% State
Surcharoe /.ts
MECHANICAL FENCE
VALUE $
5% State
Surcharge
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
-r, L{244e,TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
ASSESSoRSM^P, /7O3 L{ 33
trtrE
REOUIRED INSPECTIONS
rt rs the responsibirity of the permit horder to see that ail inspections are made at the proper time. To request an inSpection' call
726.g76g(recorder), State your City designatediob number, iob address, type of inspection requeSted and when you will be ready
for inspectlon. nequests received-befor.7,OO a.m. will be made the same working day, requests made after 7:o0 a rn' will be made
the following work daY'
SITE INSPECTION: To be
made alter excavation, but
Prior to setuP of forms'
ELECTRICAL & place but prior to placing
MECHANICAL: No work is to asphalt or concrele'
be covered until these
inspections have been made sPEclAL INSPEcrloNS: ln accordance
and approved. section 306 ot the state specialty code
a special inspector shall be employed
ATTIC DRAFT STOPS & by the owner/ contractor during
CURTAIN WALLS construction of the following work' A ..
copy of the special testing reports shall
FIREPLACE: Prior to placing be furnished to the Building Division'
facing materials and before
framing inspection. STRUCTURAL CoNCRETE: ln
eicess of 2500 P.S.l. (306 a'1)
FRAMING: To be made after
the rool, all framing, fire STRUCTURAL WELDS:blocking and bracing are in performed
"n tn" i"O. 12722 f\
Place and all PiPes, chimneYS
and vents are complete and
the rough electrical, plumbing HIGH STRENGTH BOLTING:
and mechani"ai ire'dpproreo. During all bolt installation and
tightening oPerations. (306
INSULATION & VAPOR A.6)
BARRIER: To be made after all
insulation and required vapor SPRAYED ON
barriers are in place but FIREPROOFING: U'BC'
before any lath or gypsum Standards 43-8.
board interlor wall covering is
applied. SPECIAL GRADING,
FrRE & sEpARAfloN wALL: =rl:llTi:I-tll',5Jbtj["L
Located and constructed ChapGr 29)
according to Plans.
LA'H AND'oR GypsuM 3".11;htI""fi*t;JHj;1'""BOARD: To be made after all
rathins ano svpsum board, B?i,iil;'H,i1il'"",1J3r$3 "'t''"interior dnd exterior, is in
prace but before anv 3?'#:g:Jiifed'
(2501 u'Bc'
Plastering ls aPPlied or before
gYPSUm board ioints and
fasteners iielipeO anO STRUCTURAL MASONRY: (306
f inished. a'71
MECHANICAL: To be made
before anY work is covered'
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in Place, but
Prior to Placlng concrete'
CONCRETE SLAB: To be
made after all inslab building
service equiPment, conduit,
PlPing, accessories and other
ancillarY equiPment items are
in Place but before anY
concrete is Placed.
UN DERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
dralnage llnes. To be made
Prlor to covering or f illing
trenches.
UNDERFLOOR: Plumbing'
etectrical, mechanical' To be
made Prior to installation of
lloor insulatlon, decking or
floor sheathlng.
POST & BEAM: To be made
Prlor to lnstallation of floor
insulation, decklng or f loor
sheathlng.
FLOOR TNSULATION &
VAPOR BARRIERS: To be
made Prlor to installation of
decking or floor sheathing'
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prlor to lnstalling
any roof coverlng
FINAL PLUMBING
FlNAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
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.
'ln addition to the insPec'
tions specifled, the Building
Official maY make or require
other inspections of anY
construction work to ensure
compliance with the Building,
_c!Y_"' D=:r:t:at cr*. _
SITEPLANREvtEwBoARD:MUstberequested2daysinadvance
of tne Oate you wish inspection. All prolect conditions such as
ianOsiapf ng, parking lot striping, etc. must be completed before
requestlng this insPection.
FINALBUILDING:Requestedafterthefinalplumbing,electrical,
mechanlcal and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
certtficate of occupancy has been issued by the Building Division
and posted on the Premises.
ADDITIONAL COMMENTS:
DERS LAB PLUMBIN
By signature, lstate and agree, that I have carefulry examlned the completed application and do hereby certify that all information
hereln is true ano correct,-anj lfurther certify tnat any and all work performed shall be done in accordance with the ordinances
of the city of Springtield, and the Laws of tne state of oregon pertaining to the work described herein, and that No occuPANCY
will be made of any structure wlthout permission of the Builaing Safety Divlsion. I further certify that only contractors and employees
who are in compliance with oBS 701.055 will be used on this proiect.
I further agree to ensure that all required inspections are requested at the proper time, that proiect address ls readable f rom the
street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all
tlmes durlng constructlon.
DateSignatu
V8-7r
-7
VALIDATION
>r
RECEIVED BY:
DATE PAID:AMOUNT RECEIVED:
RECEIPT T:
PLANS REVIEWED BY DATE