HomeMy WebLinkAboutPermit Plumbing 1997-01-07CO M M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
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5P'I!NGFIELD JOB NUMBER 1
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT oL
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ASSESSORS MAP:
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PHON E:
CITY:ZIP:
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NZSTATE:
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NEW
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REMODEL ADDITION DEMOLISH OTHER VALUE
DESCRIPTICN OF lVCRK:
NAME ADDRESS PHONE
ADDRESS EXPI RES PHONE
ETECTRICAL:
ARCHITECT:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
G EN ERAL:
CONST.
CONTRACTOR #
PlU MBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl s
)
Water Service
f t.
Sanitary Sewer
ft.
Storm Sewer
it
Backflow Device
TOTAL PERMIT
NO FFF CHA RG FFurnace/burner & vent
< 100,000 BTUS
Furnace/burner & vent
>100,00Q BTUs
Floor furnace and vent
Suspended walT or f loor -mounted unit heater
-Stailon-ary evap.
cool er
Appliance Vent
separate
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhausl
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
ZONING
FLOOD PLAIN
LIGHTING POWER BUDGET:
LAND USE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
# OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
'I OF UNITS:
HANDICAP ACCESS:
-
WATER HEATER:
SQ. FT.$/SQ. FT.VALUE
X
X
TOTAL VALUE OF PROJ
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT,{DATE BY
BUILDING PERMIT PLUMBING DEMOLITION
5% State
Su rcharge 5% State
Surc e
a 7'MECHANICAL FENCE
VALUE S5% State
Su e SIDEWALK
FT.
SUBTOTAL
PERMITS Lb ZDPAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
I
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1I REQUIREDINSPECTIONS
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-g769 (recordeo, state your City designated job number, job address, type of inspection requested and when you will be ready
for inspection. 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
made after excavation, but
prior to setuP of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before anY work is covered.
FOOTINGS & FOUN DATIONS:
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 equiPment, conduit,
piping, accessories and other
ancillarY equiPment items are
in Place but before anY
concrete is Placed.
UNDERGROUN D: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
Prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made Prior to installation of
floor insulation, decking or
floor sheathing.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
facinO materials anC before
framing insPection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
PAVING: After gravel is in
place but prior to Placlng
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: IN
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 Il
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.'11 &
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.B.C.
STDS. 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'
place and all piPes, chimn
and vents are complete an
eys
d
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRTERS: To be
made Prior to installation of
decking or floor sheathing'
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
the rough electrical, Plumbing
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.
CURB AND APPROACH
APRONS: After forms are
erected but Prior to Placing
concrete.
ROOF SHEATHING AND
NAILING: Prior to installlng
anY roof covering.
Date
Signatu
plication and do hereby certify that all information
shall be done in accordance with the Ordinancesexamined the comPleted aPI state and agree, that I have carefullyBy signature,any and all work Performedand correct, and I f urther certify thatherein is true work described herein, and that NO OCCUPANCYof Oregon Pertaining to theand the Laws of the Stateof the CitY of SPringfield,I further certify that only contractors and employeesrmission of the Building Safety Divisionwill be made of any structure without pe
will be used on this Proiect.who are in compliance with ORS 701'055
time, that project address is readable from thections are requested at the Properree to ensure that all required inspeI further ag d set of plans will remain on the site at allront of the property, and the approvethe fstreet, that the Permit card is
times during uct i
VALIDATION 2 L(?2 qECEIVED
RECEIVED BY:
DATE PAID:AMOUNT R
BECEIPT *:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
slTEPLANREvlEwBoARDlMUSIberequested2daysinadvance
ofthedateyouwishinspection.AllproJectconditionssuchas
landscaping, parking lot Stri ping, etc. mUSt be completed before
requesti ng thls inspection'
FINALBUILDlNG:Requestedafte.rthefinalplumbing,electrical,
mechanical and Fire Department inspections are made and
approveO. No occupanci of the premises can be made until a
certificate oi o""rp.n"y has been issued by the Building Division
and Posted on the Premises'
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
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