The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 1993-08-27COMM ERCIAL/I N DUSTRIAL PERMIT APPLICATION 225 Fiflh Street, Spring{ield, Oregon 97477 JoB NUMBE ^ a7 -A I NSPECTION LINE: 726-3769 OFFICE: 726-3759 SPrlII\lGFIELO 72 rAX Lor: e=ilz=s-ALOCATION OF PROPOSED WORK: ASSESSORS MAP ONE: ztPSTATE: Z 2/4 '€?d> €2 OWNER: ADDRESS: CITY: NEW -- REMODEL K ADDITION DEMOLISH OTHER VALUE:- DESCRIPTION OF WORK: MECHANICALi PHONEADDRESSNAME EXPIRES PHON EADDRESSCONTRACTOR'S NAME ARCHITECI ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING FEE CHARGENO.:22-+,/2Single Fixturez Relocated Bl f ix. cer ft.- Sanitary Sewer ft. Storrn Sewer ft Backflow DeVice I TOTAL PERMIT FFF EHARGENO Furnace/burner & vent <100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent I Suspended wall or f loori mounted unit heater ---l-ApFilance VentI seParate Stationary evaP. cooler lentTanTSingfe duct l Mechanical exhaust hood and duct $10.00Permit lssuance TOTAL PERMIT ZONING _ OFFICE USE _LTANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: LAND USE: OCCY GROUP: I OF STORIES: QUAD AREA: r OF BLDGS: WATEB HEATER: CONSTR. TYPE: HEAT SOURCE: * OF UNITS: VALUE$/SQ. FT.SQ. FT. TOTAL VALUE OF PROJECT x X SQ. FTG MAIN SO, FTG ACCESS SO. FTG OTHER RCPT/DATEPLAN CHECK FEE BY BUILDING PERMIT PLUMBING zi^e DEMOLITIOI'l 5% State Surch 5% State Su rch EC NIAE VALUE $ /,* MECHANICAL 5% State Su SIDE\^/AI-K FT. SUBTOTAL PERI\,1ITS PAVI NG CURBCU I FT. SYSTEMS DEVE LO PMENT EXCLUD I I'IC I. LECT RICAL 4'a TCTAL PERMIT FEES =/. /Z,I Vent System aPart from AC or htg. REQUIRED INSPECTIONS It is the responsibi[ity of the permit holder to see that all in$pections 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 7:00 a.m. will be made the same working day, requests made af ter 7:O0 a.m. will be made the following work day. SITE INSPECTIoN: To be X RoucH PLUMBING, pAVtNG: After gravet 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: tn accordance ELECTRICAL & anc approved. section 306 of the state speciatty code MECHI\NICAL: To be made a special inspector shatl be employed before any work is covered. ATTIC DRAFT STOPS & by the owner/ Contractor duringCURTAIN WALLS construction of the following work. A FOOTINGS & FOUNDATIONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be'furnished io the Building 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 25OO PS.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing, fire made arter ail insrab buirdins 3iff5::.":fl 3,';:::t";,H;:r" ;#:,T"'f3,t,Y5f3ol',rr2 uservice equipment, conduit, and vents are'complete and'piping, accessories and other inciuary equipment items are :H';:g"L:li'jl':fl'JJ;[3;?: 3l?Xf],lE]uol,l",?i,"tlHX"oin place but before any tightening operations. (306concrete is placed. |NSULATIoN & 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 43-8.drainage lines. To be made board interior walliovering isprior to covering or f illing applied.trenches. SPEC|AL GRADING, 'NDERFL..R: p,umbing l:::,fl".="? m'13[H]"' ilii.Ul-ir:l'-tii:,5Jb'i],"t 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 f loor sheathing. - 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 exierior, is in ' Building Division before prior to installation 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. - 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: Prlor to installing any roof covering. 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 BuildingOlficial 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 Division. I further certify that only contractors and employeeswho are in compliance with OFtS 701.055 will be used on this project. I furtheragree to ensure that all required inspections are requested at the proper time, that project address is readable from the Signatu re Date 8-a27- street, that th times during , e ,m card IS atocated thpe e f ron o he ert an d ahe S ofet anpropItpproved arrem on n She te atp dt ton x"' €-.2;xo\VALIDATION - RECEIVED BY: DATE PAIDAMOUNT RECEIVED RECEIPT '+: X FINAL PLUMBING -4- FINAL ELEcTRTcAL SITE PLAN REVTEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. AII project conditions such aslandscaping, parking lot striping, etc. must be completed beforerequesting this inspection. FINAL BUILDING: Requestecl af ter the final plumbing, electrical,mechanical and Fire Department inspections are made andapproved. No occupancy of the premises can be macle until acertificate of occupancy has been issuecl by the BuilcJing Divisionand posted on the premises. FINAL MECHANICAL FINAL FIRE DEPARTMENT PLANS REVIEWED BY DATE ADDITIONAL COMMENTS: i^ 225 FIFTB STRBBf, zonin$ . .'J :i;:t ro! require sFecific land use CAL PERHIT APPLICATION Ci ty Number COHPI..BTB SCEEDULE BELOS Nev Residentlal-Single or MuIti-FamiIy per dwelling unit. Service Included: Items Cost 1000 sq.ft. or less $ 85.00 trach additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or -Modular DveIIing Servlce or Feeder $ 40.00 Services or Feeders InstaIIation, Alterations or Relocation: J[s fauaruinq proiect as submltted hae the SPRI,{GFIELO 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Only One Circui t Each Additional -Each installation Pump or irrigation _Sign/OutIine Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL J'gsPRrNGrrELD, OREGoN 97477 INSPBCf,I0N RE0UBST: 726-"3769 , OPFICE: 726-3759 I x-/t'v 1. LOCATION IJGAL DESCRIPTION 65eec JOB DESCRIPTION Permits are ea nd expire if vork is not started vithin 180 days of issuance or if vork ls suspended for 180 days. 2. COIMRACTOR INSTALI^ATION ONLY Blectrical Contractor Address ci ty-Phone Supervisor License Number Expi ration Date Constr Contr. Number Expiration Date Signature of Supervlsing Electrician Ovners Address Ci ty vhone *6426) - r/ O9NER INSTALI.ATTON The installation is being made on property I own vhich is not intended for sale, Iease or rent. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 8o.oo 0ver 600 amps or tbOO voTls see "Bu a56E A B Sum t 50.00 60.00 100.00 ( $ $ s $ $ C 130.00 300.00 40.00 s 40.00 $ 40.00 s 20.00 $ 36.00 b D E. Branch Circuits Nev, Alteration or Extension Per Panel J $:i.oo 2A4''///r^ Circuit or vith Service - .r€or Feeder Permit -Z$:2.00 -2t- Miscellaneous (Service/feeder not incltrded) -a-5 CITY OF OREGO'V RBCEIVBD "-t 1 2 Permit No Address:a lssued Date OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIB!LITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration underORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. A My general contractor is , Contractor registration numbe I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3.8 I will be my own general contractor. lf I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. lf I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certily that the above information is correct and that I have read and understand the lnlormation Notice to Property Owners about Gonstruction Responsibilities on the reverse ol this form. E -27 -ruureppcantDate CONSTRUCTION CONTRACTORS BOARD 0244J 8191 3 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT ??^