HomeMy WebLinkAboutPermit Plumbing 1991-09-26CO M M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSOFIS MAP:
SPRI^.GFIELO JoB NUMBE R ?//AZ7
INSPECTION LINE: 726-3769
OFFICE: 726-3759
PHONE
STATE:ZIP:
&
5BD./CITY:
ADDRESS;
OWNER:
NEW X REMODEL ADDITIoN DEMoLISH oTHER VALUE:i,Tay6
DESCRIPTION OF WORK:
NAME PHONE
ADDRESS EXPIRES PHONECONTRACTOR #
CONST.
CONTRACTOR'S NAME
MECHANICAL:
ELECTR
PLUM BI NG:
GENERAL:
ffir6,
,eFtGl+FFE9f:
PLU MBING
NO.FEE CHARG E
Single Fixture
Relocated Bldg.
(new fix. addtl)
/20'Water Service
ft q2,*
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NO FFtr EHA RGF
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
?prnra
ZONING:
LAND USE
HANDICAP ACCESS
WATER HEATER:
* OF UNITS:
OCCY GROUP:
# OF STORIES
QUAD AREA:
* OF BLDGS:
FLOOD PLAIN
CONSTR. TYPE:
HEAT SOURCE:
$/SQ. FT.VALUESQ. FT.
TOTAL VALUE OF PROJ
X
x
SQ. FTG MAIN
SQ. FTG ACCESS
BUILDING PERMIT PLU M BI NG 4a-*DEMOLITION
5% State
Surcharqe
5% State
Surcharoe a4D5-
46?/f .P2, )2YEt37rffi '.q/t?ZGYa4,v -.1+2-70
MECHANICAL FENCE
VALUE $
5% State
Su rcharoe
SIDEWALK
FT
SUBTOTAL
PERMITS 47/."4
PAVING ?8?.e CURBCUT
FT.
SYSTEMS
DEVELOPMENT -o'RKO
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
Ea.go
726-fvzu
LIGHTING POWER BUDGET:
sQ FrG orHER hzrq /7h,trrs r - {4 /6
z-fL{',rrcH E gy rEE,## _ \gy r 3484=. *ry +;rg- By
'.- REQU!RED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections 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. wi ll be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be ROUGH PLUMBING, X PAVING: After gravel 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 SpEC;AL INSpECTIONS: ln accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATIONS: 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' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter ail insrab buirdins 3l::5 ?:.':ff 3,?UtJ,Hl:r" ;lI3,"JyJ3"t,YihT',rrr, ,,
service equipment, conduit, and vents are complete and'piping, accessories and otherinciriry equipment items are lx".';::li,iigi:,X'jJ;[l::: 3l?,:f],?:l-"1,|"g,t*I$:".in place but before any tighte;ing operations. (306concrete is placed. INSULATTON & VApOR a.6)
\, BARRIER: To be made after all
'\ UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.B.C.storm sewer, water and before any lath or gypsum Standards 43_8.drainage lines. To be made board interior wall covering isprior to covering or filling applied.trenches. qHH"vv. spEclAL GRADING,
,NDERFL..R: p,umbing [ll:-S".=,'f;mX3[Hi"' il:fUt'ilI-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
floor sheathing. - BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agenc% 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'B.C'
insulation, decking or ftoor plastering is applied or before STDS' 25-10J1)'
sheathing. - Sypsum board joints and
fasteners are taped 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
verticals in accordance with
UBC 2415.
RooF sHEATHTNG AND :HH3^H?rti,"r:"#""1'"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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.
'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.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information
herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances
on pertaining to the work described herein, and that NO OCCUpANCy
ing safety Division. I further certify that only contractors and employeesthis project.
inspections are requested at the proper time, that project address is readable from thethe front of the property, and the approved set of plans wirr remain on the site at ail
Signature
Date
ocated at
of the City of Springfield, and the Laws of the State of Oreg,
will be made of any structure without permission of the Build
who are in compliance with ORS 701.055 will be used on
street, that the pe ,t card is
ion
sure that alI further agree
times during const
VALIDATION:.2,
{2/%2/AMOUNT RECEIVED:
RECEIPT S:
RECEIVED BY:
DATE PAID:
v' FrNAL PLUMBTNG
v FINAL ELEGTRTcAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such as
landscaping, parking lot stri ping, etc. must be completed beforerequesting this i nspection.
\,FINAL BUILDING: Requested after the final plumbing, etectrical,
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 Divisionand posted on the premises.
ADDITIONAL COMMENTS:
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PLANS REVIEWED BY E 427_o