HomeMy WebLinkAboutPermit Plumbing 1995-04-25I
9g!4 !4! Rc rA L / I N D usrR tA LPERIIIIT APPLICAI'ON
225 Fitth Street, Springfietd, Oregon g74t7
SPF!^rGFtELc,
LOCATION OF PROPOSED WO
ASSESSORS MA
-;.JB NUMBER
INSPECION L|NE: 7 26-3769
OFFICE: 726-3759
TAX LOT:
OWNER:
ADDRESS:
CITY:
PHON
ztPSTATE:
DESCRIPTION OF WORK:
NEW- REMODEL DDITION DEMOLISH OTHER VALUE
NAME ADDRESS PHONE
ARCHITECT:
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
G EN ERAL:
PLUM BING:d
MECHANICAL:
ELECTRICAL:
NO.FEE CHARG F
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service /eD ft 40?o
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
TOTAL PERMIT 4o a^
M EC HAN ICAL
NO FFF EHA FIG F
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f Ioor
mounted unit heater
Appliance Vent
se parate
Stationary evap.
cooler
Vent Fan/Single
d uct
Vent Sys
from AC
tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- oFFrcE usE -
ZO NI NG
LAND USE
HANDICAP ACCESS
FLOOD PLAIN
OCCY GROUPT
# OF STORIES
OUAD AREA:
* OF BLDGS:
LIGHTING POWER BUDGET:
WATER HEATER:
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
SQ. FT.$/sQ. FT.VALUE
TOTAL VALUE OF PROJE
X
X
SQ. FTG MAIN
SQ, FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
fi,tu
BUILDING PERMIT PLU M BI NG _4:OD DEMOLITION
5% State
o
5% State
Su rcharge 2@*/,Lu 3,L'
I FENCE
VALUE $
5% State
Su rcharqe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ETECTRICAL
It is the resPonsibilitY of the Permit hold er to see that
REO UIRED INSPECTIONS
all insPections are made at the ProPer time. To request
a.m. will be made
726-3769 (record er), state your CitY desigt
received before
nated i
7:OO a.m
ob number'
will be mad
iob address,
e the same
type of ins
working daY,
pection re
requests
quested
made
and when
after 7:00
you will be ready
for insPe ction. Re quests
PAVTN G: After gravel is inthe follow ing work day
ROUGH PLUMBING,place but Prior to PlacingSITE IN SPECTION: To be ELECTRICAL &asphal t or concrete.made afte r excavation, but MECHANICAL:No work is to
prior to set up of forms.be covered unti I these
UNDERSLAB PLUMBING'inspections have
and aPProved.
been made SPECIA L INSPECTIO NS: ln accordance
Section 306 of the State SpecialtY Code
ELECTRICAL &a speci al insPector shall be em ployed
MECHANICAL:To be made by the Owner ractor during
an insPect.ion, call
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 placing concrete.
CONCRETE SLAB: To be
made after all inslab building
service equ ipment, cond uit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UNDERGROUND: Plumbing,
electrical, gas;s.qi tary sewer,
storm sewel @9! and
drainage lineslTo be made
prior to covering or f illing
t re nc hes.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
and mechanical are approved.
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 exterlor, is in
place but before any
plastering is applied or before
gypsum board joints and
fasteners are taped and
f inished.
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.
construction following work, A
copy of the special testing reports shall
be f urnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S,l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 t)
During all bolr installation and
ti ghtening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.1'l &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certif icate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.BC.
STDS. 25-1011).
STRUCTURAL MASON RY: (s06
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.
/ Cont
ot frre
V
the rough electrical, plumbing HIGH STRENGTH BOLTING:
UN DERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
f loor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
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
u3c 2415.
RooF sHEATHTNG AND iHffi^ilifi'T'oi""l'"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
re
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tl'rat all lnformation
herein is true and correct, and I further certify that any and allwork performed shall be done in accordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees
who are in compliance with ORS 701.055 will be used on this project.
DateSi gn
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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
landscaping, parking lot striping, 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 Dlvision
and posted on the premises.
PLANS REVIEWED BY DATE
AMO DATE PAIDloN
RECEIPT I:
EIVED:
RECEIVED BY:
ADDITIONAL COMMENTS: