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HomeMy WebLinkAboutPermit Plumbing 2000-06-19SPRINGFTELD Job# 00-00962-01 COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Page 'l of 2 €n 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 149 00005th St Spr AssessorsMap#: 17033531 Lot: Block: Addition: Job Number: 00-00962-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 05000 Subdivision: F ctTY oF sPRtrvGFtEL4 OREGON Owner: Sherry Hiatte Address: 663 Ridge Dr Scope Of Work: Plumbing Phone Number: City/State/Zip: Addition 541-7464078 Springfield, OR Vatue: $0 This is a copy with a new Application Number Gontractor Type Plumbing Contr Contractor right-way plumbing po box 70526, eugene, OR 97401 Registration # Expiration Date Phone 541-484-3787 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group Heat Source: Sq. Footage: To request an inspection call the 24hour recording a1726-3769. All inspections requested before 7:00 a.m. witt be made the same working day, inspections requested after 7N&TrtC,fiU be made the following working day. TFISpEBN/I1TSHA1_LEXp1RE1FTHE\ryORK Required lnspections ENCED OR IS ABANDONED FOR Rough Plumbing FinalPlumbing Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? PI -Prior to cover. ANy 180 DAY PEF{IOD -When allplumbing work is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Accessory:Total: Area (Sq. Feet) Main: Job# 00-00962-01 Page 2 ot 2 Fee Paid On Receipt# Value/Quantity Fee Amount Plumb Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 06/1 9/2000 06/1 9/2000 06/1 9/2000 06/1 9/2000 2219 2219 2219 2219 1 $5.00 $10.00 $1.05 $.45 $16.s0 Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information 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. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time and that the project address is readable from the street. Signature Date $16.s0 COM M ERCIAL/ I N DUSTRIAL PERM!T APPLICATION 225 Fiftn Street, Springfield, Oregon 97477 JoB NUMBEH Co -QP. ?62:O-l-TtrrHFiffi.+n=,I i\r1,t,Jit, L,J. uLl.JlNSPEcrtoN LINE:726ffi9E:JUi,tr lT IOFFICE: 726-3759 FrMr E,trTn.n ri. 1/-Flt tr ntL,ll ,a I i_ll UU 50 SPAsNGFIELO I LOCATION OF PROPOSED WORK ,1 7 (f b1 ASSESSORS MAP:1,7.0?3 5) I TAX LOT:o sooo /r{q l*r STATE:ztP5 5 pHoNE: 7Ab' 3 bq alOWNER ADDRESS: CITY: F;l*^s7. tr;T,8 VALUE 4Mr Tto,v "+ ADDITION DEMOLISH OTHER DESCRIPTION OF WORK: NEW <Y/ REMoDEL ARCHITECT coNsT. CONTBACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE ELECTRICAL: NAME ADDRESS PHONE X L/g{-3767MECHANICAL: PLUMBING: G EN ERAL:SZe CL^Gew€ PLU MBING NO.FEE CHARGE I Single Fixture Relocated Bldg (new fix. addtl) Water Service ft. Sanitary Sewer ft Storm Sewer ft Backf low Device TOTAL PERMIT MECHANICAL NN trFtr EHA RGF Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 ETUs FIoor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT - OFFICE USE - LAND USE: ZONING* OF UNITS: HANDICAP ACCESS FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPEr HEAT SOURCE: SQ. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ SQ. FTG MAIN SO. FTG ACCESS SO. FTG OTHER PLAN CHECK FEE RCPT#DATE BY BUILDING PERMIT PLU M BI NG DEMOLITION 7% state Su rcharoe 'l % state tiu rch aroe MECHANICAL FENCE VALUE $ 7% Stale Surcharoe SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL ar? X X X REQUIRED INSPECTTONS It is the responslbllity of the permit holder to see that all lnspectlons are made at the proper time. To request an inspection, call 226.9769 (recorder), state your City deslgnated iob number, Job address, type of lnspection requested and when you will be ready for inspection. Requests received before 7:OO a.m. will be made the same worklng day, requests made after 7:00 a.m. will be made the following work daY. SITE INSPECTION: TO bC ROUGH PLUMBING, PAVING: AftCT gTAVCI 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 of the State Specialty Code fVfECflafiCaL: 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 FOOT]NGS & FOUNDATIONS: trroBor A.atr. E 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 place, but framing inspection' STRUCTURAL CONCRETE: ln prior to placing concrete. FRAMING: To be made after excess of 2500 P'S'l' (306 a'1) coNcRErE sLAB: ro be t!:J;:li ilJ'3['Jlfl;t],? ,n srRUcruRAL wELDS: made after all inslab building place and alt pipes, chimneys Performed on the iob (2722t) service equlpment, conduit, and vents are complete andpiplng, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING: ancillary equipment items are and me6hanical are approved. During all bolt installation and in place but b'bfore any tightening operations. (306 concrete is placed. TNSULATTON & VApOR a.6) BARRIER: To be made after all UNDERGROUND: Plumblng, insulation and required vapor SPRAYED ON electrical, gas, sanitary sewer, barrlers are in place but FIREPROOFING: U.BC. storm sewer, water and before any lath or gypsum Standards 43-8. dralnage llnes. To be made board lnterior wall covering is prior to covering or filllng applied. SpEC;AL GRAD;NG,trenches. ,NDERFL..R: p,umbins [lx:,ST'fHx3[H]"' iffiilfii]#f'5Jb:]'"1 electrical, mechanical. 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 sheathing. BOARD: To be made after all Certificate by an approved Iathing and gypsum board, agency' furnished to the City's posr & BEAM: To be made interior and exierior, is in 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)' sheathlng.gypsumboardjointsand fasteners are tiped and STRUCTURAL MASONRY: (306 FLooR INSULATToN & finished' a'7\ VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or vertlcals in accordance with uBc 2415. ROOF SHEATHING AND NAILING: Prlor to lnstalllng any roof coverlng. 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 Building Off lcial may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. By slgnature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereln is true and correct, and I f urther 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 OCCUPANCY will be made of any structure without permission of the Building Safety Divlsion. I further certify that only contractors and employees who are in compliance with OBS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times durlng constructlon. Signature Date VALIDATION AMOUNT RECEIVED: RECEIPT *: DATE PAID: 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 lnspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before requestlng 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 Division and posted on the premises. ADDITIONAL COMMENTS PLANS REVIEWED BY DATE RECEIVED BY: -