HomeMy WebLinkAboutPermit Plumbing 1997-11-13CO M M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifin Street, Springfield, Oregon 97477
JoB NUMBE R ??/€?5-
INSPECTION LINE: 726-3769
OFFICE: 726-3759h,
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SPRINGFIELD
LOCATION OF PROPOSED WORK
ASSESSORS MAP;TAX LOT:
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4CITY:
ADDRESS
OWNER:
NEW
-
FIEMODEL ADDITION DEMOLISH OTHEFI VALUE:
DESCRIPTION OF WORK:
I
ADDRESSNAME PHONE
ADDRESS EXPIRES PHONE
ELECTRICAL:
ARCHITECT:
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
/2?Sanilary Sewer
ft /au
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NN F'FF EHARGF
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
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGEI
WATER HEATER
CONSTR. TYPE:
HEAT SOUBCE:
LAND USE:
# OF UNITS
OCCY GBOUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
VALUESO. FT,$/SQ. FT.
TOTAL VALUE OF PROJ
X
x
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
RCPT'PLAN CHECK FEE DATE BY
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BUILDING PERMIT PLUMBING /a.n DEMOLITION
5% State
Surcharge
5% State
Surcharqe re 7:.4,2D
MECHANICAL FENCE
VALUE $
5% State
Surcharge
SIDEWALK
FT,
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
>
ZONING:
REOUIRED INSPECTIONS
It is the responsibillty of the permit holder to see that all lnspections 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:O0 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the tollowing work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB PLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance
ELECTRICAL & and approved. section 306 of the state specialty code
MECHANICAL: To be made a special inspector shall be employed
before any work ls covered. ATTIC DRAFT STOPS & by the Ownei/ Contractor duringcuRTAlN WALLS cbnstruction of the following w6rk. A
FOOTINGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished io the Buildi-ng Division.
excavated and forms are facing materials and before
erected, all steel in place, but framing inspection' STRUCTURAL CoNCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 p.S.l. (306 a.1)
coNcRETE SLAB: To be the roof, all framing' fire
made after an rnsrab buirdins 3l::5 ::.':ff 3F:Ir";ffi;:r" F:Iy,fl"',X3.t,Y5ilTirrr, ,service equipment, conduit, and vents are.complete andpiping, accessories and other
incittary equipment items are :|i'fl::1"",1i""j[,X'JJ;[3:1: Bl?lf],?E]noT,l".?i,"tl$X"oin place but before any tightening operations. (306concrete is placed' lNsuLATloN & vApoR a.6)
\/ uNDERGRoUND: prumbino. BARRIER: To be made after all;,x;Hri'.'ffi Nil,Tiilitfl;:1x:{i!;'"' Eiffih".?i^;G:UBCstorm sewer,
dralnage llnes. To be made board interlor wallloverlng isprior to covering or filling applied.trenches. etsrllvv. SPECIAL GRADING,
,NDERFL..R: prumbins [lT:,S'.="'f;I'1'J3l:H]"' if,flt![l'-tli:,5Jb'i],"t
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of
floor insulation, decklng or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspectlon
floor sheathlng. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency' furnished to the City's
pOST & BEAM: To be made lnteriol and exierlor, Is in ' Building Division before
prlor to lnstallation of floor place but before any lgams are placed. (2501 U.BC.
insulation, decklng or floor flastering ls applie6 or before STDS' 25-10,11).
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY (306
FLOOR TNSULATTON & finished' a'7)
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.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof coverlng.
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 specified, the BuildingOfficial may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all informationherein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinancesof the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUpANCywill be made of any structure without permission of the Building Safety Divlsion. I further certify that only contractors and employeeswho are in compliance wlth ORS 701.055 will be used on this project.
Signal Date /3*7 )
ocdted
U nred S ect Son rearereqp U atested theq
at he ro nt o he and thpropertv,
L arc
that the perm
du
proper time, that project address is readable from the
e approved set of plans will remain on the site at all
I further agree to ensure that all
it card is I
rction.
VALIDATION q 3-?,AM NT RECEIVED
RECEIPT *:RECEIVED BY:
DATE PAID
FINAL PLUMBING
FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVTEW BOARD: Must be requested 2 days in advanceof the date you wish lnspection. All proJect condition's such aslandscaping, parking lot striping, etc. must be completed beforerequestlng thls inspection.
FINAL BUILDING: Requested after the final plumbing, electricat,mechanlcal and Fire Department inspections are made andapproved. No occupancy of the premises can be made until acertificate of occupancy has been issued by the Building Divisionand posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
FINAL MECHANICAL