HomeMy WebLinkAboutPermit Plumbing 1994-12-22COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
LOCATION OF PHOPOSED WORK
ASSESSORS MAP:
SPRIr.GFIELO
O
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:o cr-O
273L/ZIP:STATE:CITY:
ADDRESS
OWNER:
NEw y' REMoDEL VAI UE:ADDITION DEMOLISH OTHER
DESCRIPTION OF WORK
A A''LJ ITtrTiT.
coNsT.
CONTRACTOR'S NAME ADDRESS CONTRACTOB # EXPIRES PHONE
GENERAL:
[rtraU A t\llaA I
ELECTRICAL:
NAME ADDBESS PHONE
PLUM BI NG:
PLU MBIN G
NO FEE CHARGE
Single Fixture
Relocated Bldg
(new fix. addtl)
Water Service
ft.
Sanitary ""*", ?Orr.2se
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT 2s:'
MECHANICAL
NN trFF aHA Aetr
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cool er
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanlcal exhaust
hood and duct
Permit lssuance $.10.00
TOTAL PERMIT
- OFFICE USE -HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWEB BUDGET:
WATER HEATER
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GHOUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
SQ. FT.$/SQ. FT.VALUE
X
X
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
Fz-7":
BUILDING PERMIT PLUMBING ? (oo DEMOLITION
5% State
Su rcharg e 3",11"?5t"'" /vr+,ls
MECHANICAL FENCE
VALUE $
5% State
Surcharqe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCTUDING ELECTRICAL
/7-O3-z-L-ao
.y
PHoNE: ?7o-/, ^ z
ZONING:
TOTAL VALUE OF PROJECT-
REQUIRED INSPECTIONS V
It is the responsibility of the permit holder to see that all inspectlons 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 lnspection. Requests received before 7:00 a.m. will 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, PAVTNG: After gravet is inmade after excavation, but ELECTRICAL & place but priorlo ptacingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpEC;AL INSpECTIONS: ln accordance
ELECTRICAL & and approved. section 306 of the state specialty codeMECHANICAL: To be made a special inspector shall be empt-oyedbefore any work is covered. ATTIC DRAFT STOPS & by the Ownei/ Contractor duringcuRTAlN WALLS construction of the following w5rk. A
FOOTINGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prlor to placing be furnished io the Buildiig Division.
excavated and forms are facing materials and before
erected, all steel in place, but framing inspection' STRUCTURAL CONCRETE: tnprior 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 ail rnsrab buirdins 3i::5l:.":ff 3,'3:I?fi,x;:r" ;:Ry,.fl"'f3"t,Y5tT',rrr4
service equipment, conduit, and vents are complete andpiping, accessories and otherincir6ry equipment items are :i". H::Hlt"jru,X' jJ;[}:l: Bl?lf],?E|nol*L|,"'l]:".in place but before any tightening operations. (306concrete is placed. tNSULATtoN & vApoR a.6)
BARRIER: To be made after allUNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.BC.storm sewer, water and before any lath or gypsum standards 43-g.dralnage llnes. To be made board interior walllovering isprior to covering or filllng applied.trenches. SPEC|AL GRAD|NG,
,NDERFL..R: p,umbins [lx:,S"5'fm'J3[g]"' if,il1!il"^,:ii:,5Jb'i],"t
electrical, mechanlcal. To be according to plans. Chapter 29)
made prior to installation of
floor insulatlon, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
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 interiol and exierlor, ls in Building Division before
prior to lnstallation of floor place but before any Pqqrys are placed. (2501 U.BC.
lnsulation, decklng or floor plasterlng ls applied or before STDS' 25'10,11)'
sheathlng. - Sypsum board Jolnts and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR lNsuLATroN & finished' a'7)
VAPOR BARRIERS: To be
made prior to installation of SIDEWALK & DRIvEwAYt X' -clecklng or floor sheathing. Required for all concrete -7
paving within street right of
MASoNRy: steer rocation, Y,3;JL'??T:*"r'11:'.i'j ,o,.-bond beams grouting or work and sub-base material inverticals ln accordance with
uBc 2415'
ruuurudrruts wltll place'
RooF sHEATHING AND iylS^H?fi,tr::ff:,"
NAILING: Prlor to lnstalllng erected but prior to placing
____ayoo1.r"fg concrete.
*ln addition to the inspec-tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compllance with the Building,
Clty or Development Code.
FINAL PLUMBING
FINAL ELECTRICAL
FlNAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project condition! such aslandscaping, parking lot striping, etc. must be completed beforerequestlng thls 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 aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information
hereln is true and correct, and I further 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 OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project.
re that all required inspectlons are requested at the proper time, that project address is readable from thecard ls located at the front of the property, and the approved set of plans will remain on the site at all
Signature Date
I further agree to ensu
street, that the permlt
times durlng construc
AMOUNTRECEIVED: 2-OuVALIDATION:
RECEIPT #
2
1*RECEIVED BY:
DATE PAID:
/<62o.