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:
-