HomeMy WebLinkAboutPermit Plumbing 1995-01-04COMM ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fitth Street, Springfield, Qregon 97471
LOCATION OF PROPOSED WORK:
SPRINGFIELE,
JOB NUMBER ?#a
=INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:ASSESSORS MAP:/?e7-?^2O
CITY: STATE:
PHONE:
ZIP:
(
ADDBESS:
OWNER:
DD toN _OLISH ER VALUE: a+'a' +NEW- REMODEL
DESCRIPTION OF WORK:
NAN,4 E ADDFIESS PHONE
ADD RESS EXPIRES PHON E
ELECTRICAL:
ARCHITECT:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
NO.FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft
Sanitary Sewer
ft 2U"
Storm Sewer
I t.
Backflow Device
TOTAL PERMIT
NO FFtr EHA EIGtr
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
d uct
Vent Sys
from AC
tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE -
ZONING,T OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWEB BUDGET:OCCY GROUP:
* OF STORIES:
QUAD ABEA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:WATER HEATER:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
n ns 4=o-< ./.
BUILDING PERMIT PLUMBI NG --?zf ae
'< /'t -
DEMOLITION
5% State
Surcharoe
5% State
Surch
MECHANICAL FENCE
VALUE $
5% State
Surcharge
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT A/Z ?
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
LAND USE:
(.-1 )_24
REQUIRED INSPECTIONS
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 iob number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:00 a.m. wlll 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, 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 0f the state specialty code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: FrhF^, aAF.. copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, ail steel in ptace, but f raming inspection' srRUcruRAL CoNCRETE: ln
prior to placlng 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 a, insrab buirdins 3U:5::.':R 3ffi:::t;,nl:r" E:I3,."JJX3I HStT',rrr, ,
service equipment, conduit, and vents are complete and
:i?[,?;""",",];H:? ?i:i:'i:J *?'fi::[f,ligi:,1'fJ;i:?:l: Bl?:f],?E]?l*Bi"'IH?".. in place but before any tighteiing operations. (306concrete is placed. TNSULATTON & VApOR a.6)
A/ BARRIER: To be made after all.4 UNDERGRoUND: Plumbino. insulation and required vapor spRAyED oNelectrical,sa@barriersarelnplacebutFlREPRooFlNG:U'BC.
storm sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall covering is
l"tl::L:."t'"rins or fillins applied' spEcrAL GRADTNG,
,NDERFL.oR: prumbins [;|:,S'"'"?^m'J3[Hl"' El;flt'iiil-tii:,5Jb'i],"a
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathtng. 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 exierior, is ln Building Division before
prior to lnstallation of floor place but before any beams are placed' (2501 U'BC'
insulation, decking or floor plastering is applied or before STDS' 25-10'11)'
sheathing. gypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR rNsuLATroN & 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 sHEArHrNc AND iHRS^il?tf'"t:'of""l'.
NAILING: Prior to installing erected but prior to placing
any roof coverlng. concrete.
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.
*ln addition to the inspec-
tions specified, the Building
Officlal may make or requlre
other inspections of any
constructlon 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 information
herein 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 o{ 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 permission of the Bullding Safety Dlvlsion. I further certify that only contractors and employees
who are in compliance with OFIS 701.055 will be used on this project.
I furtheragree to ensure that all required inspections are requested at the propertime, that project address ls readable from the
street, that the permit card ls located at the front of the property, and the approved set of plans wlll remain on the site at all
Sign atu re
times during tru ct i
22"oVALIDATIONAMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
F]NAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All pro.lect conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requesting thls lnspection.
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
o^r. /- /-7{
FINAL MECHANICAL