HomeMy WebLinkAboutPermit Plumbing 1996-07-2733A1trf i?,fr! / | NrD u sr R I A L
225 Fitlh Street, Springfield, Oregon gT47l I N_SfECTTON Lt N E: 726.3769OFFICE: 726-3Z59
SPRINGFIELr,
JOB NUMBEB
LOCATION OF PROPOSED WORK:|4 o lrn r L r
ASSESSORS MAP:L
TAX LOI:n 2
1
PHONE:
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G->,L e ZIP:
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STATE:
'/vt I L Ll5
CITY;
ADDBESS:
OWNER
VALUE:
DEMOLISH OTHER
DESCRIPTION OF WORK
NEW =--- FEMODEL ./ ADDITION
NAME ADDRESS PHONE
ADDRESS
EXPI RES PHONE
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c*E bs? -4€,tr
-5
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
ELECTRICAL:
CONSI.
CONTBACToR #
GENERAL:
PLUMBING -l
NO.FEEISingle Fixture /oRelocated B
f ix.
er
ft
ce
ft.
n tary
rm
ft.
Backf low Device
TOTAL PERMIT / (oa
F urnace /Ub rn &ven
000 Us
rnacFU e rnerbu VE&nt
BTU
Floor furnace and vent
ormounted unit heater
n
separate
n
cool er
evap.
duct
n
em
or htg,f rom
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
HANDICAP ACCESS: ._
FLOOD PLAIN:
LIGHTING POWER BUDGEI
- OFFICE USE -
WATER HEATER
OCCY GROUP;
I OF STORIES:
QUAD AREA
# OF BLDGS
LAND USE:
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
SQ. FT,$/SQ. FT.VALUE
TOTAL VALUE OF PROJECT
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#BYDATE
2A.20
BUILDING PERMIT PLUM BI NG 15n DEMOLITION
State
rch e
5% State
-
Surcharge,/5f,f,I l2a
MECHANI L FENCE
$5% State
Su rch arg e
SIDEWALK
FT.
SU BTOTAL
PE RM ITSNGCURBCUT
FT.SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
t'n (r
2/rJ NN trtrtr CHA FIAtr
REOUIRED INSPECTIONS quest an insPection, call
d when You will be readY
It is the resP onsibilitY of the Permi t holder to see that all insPect ions are made at the Pro per time. To re
726-9769 (recorder),state Your CitY designated job number, iob add
..m. will be made the
ress, tYPe of insPection requested an
for insPection' Req uests received before 7:OO a same working daY, requ ests made afte r 7:00 a.m. will be made
the following work daY
ROUGH PLUMBING PAVING: After gravel is in
SIT E INSPECTION: To be place but Prior to Placing
asphalt or concrete'made after excavation' but
M icHaNtcnt-: No work is to
frior to setuP of forms'be covered until these
ections have been MAdE SPECIAL INSPECTI ONS: ln accordance
UNDERSLAB PLUMBING'
ELECTRICAL &
MECHANICAL:To be made
before anY work is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excava ted and forms are
erected,all steel in Place,but
prior to placing concrete.
co NCRETE SLAB: To be
made after all inslab building
service equiPm ent, conduit,
and other
approved
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREP
f acing
LACE: Prior to Placing be f u
materials and before
Section 306 of the State SPecialtY Code
a spe cial insPecto r shall be emPloyed
by the Owner/ Con tractor during
constr uction of the following work. A
copy of the sPecial testing rePorts shall
rnished to the Building Division.
-_-- STR UCTURAL CONCRETE: ln
excess of 25OO PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob.(2722 tl
HIGH STRENGTH BOLTING:
Du ring all bolt installation and
tighten ing 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: lnsPection
Certificate bY an aPProved
age ncy, furnished to the C itv's
Bui lding Division before
beams are Placed. (2501 U.BC.
srDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
"ln 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.
i nsp
and
f ramin g inspection'
trenches.
UNDERFLOOR: Plumbing,
electrical,mechanical. To be
made prior to installation of
f loor insulation, decking or
f loor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathi n g.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
plastering ls aPP
gypsu m board joints and
fasteners are taped and
f inished.
SIDEWALK & DRIVEWAY:
items are
in pl ace but before anY
concrete is placed
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
piping, accessories
ancillarY equiPment
drai nage lines. To be made
prior to covering or f illing
FRAM ING: To be made after
the roof,all framing, fire
blocking and bracing are in
place and all PiPes,chimneYs
and ven ts are comPl ete and
the rough electrical, Plu mbing
roved.and mechanical are aPP
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.
LATH AND'OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, is in
place but before any
lied or before
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.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th.at all information
herein is true and correct,"and I f urther 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 pertainlng to the work described herein, and that No oCcUPANCY
will be made of any struciure without permission of the Building 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 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
Date 1- 77-qL
ng construction
d-l-
.,,Y
Signature
VALIDATION 2-22- r L
./ Zo/ ttaAMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
+<FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaplng, parking lot stri ping, etc. must be completed before
requesting this insPection
FINAL BUILDING: Requested after the final 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.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE