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Home My WebLink AboutPermit Plumbing 1999-06-28COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPRINGFIELO ??oe t'{JOB NUMBER INSPECTION LINE: 726,3769 OFFICE: 726-3759 LOCATION OF PFIOPOSED WORK:t4q qrz ;7, ASSESSORS MAP: --Ti5 TAX LOT: "t"- 745'PHONE: € zyzzorZIP: 7 t,l av STATE: 5,OWNER ADDRESS: CITY: NEW -- REMODEL ADDITION DEMOLISH OTHER VA LI.J E: DESCRIPTION OF WORK: NAME ADDRESS PHONE CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE GENERAL: PLUM BING #(-/@ MECHANICALi - ELECTRICAL: (f {Furnace/burner & vent BTUs Relocated Bld Furnace/burner & vent new fix.BTUs Water ce Floor furnace and ventft Sanitary WA or IIImounted unft orm I ft. Backf low Device 180 em apart f rom or ht ec n ca ex hood and duct low rules adopted bYthe o egon ity ification nter SE Permit lssuance $10.00 rorg$$sffir;ma'obtal n cop ES the ru sby TOTAL PERMIT v num QUAD AREA: berforthe Oregon Utility hiotification - oFFlcE usE -HANDICAP ACCESS: Center is 1-800'332-,2344). LAND USE:FLOOD PLAIN * OF BLDGS:* OF UNITS:ZONING OCCY GROUP: # OF STORIES CONSTR. TYPEr HEAT SOURCE: LIGHTING POWER BUDGET: WATER HEATER VALUE$/so. FT,SQ. FT. TOTAL VALUE OF PROJ x x x SQ. FTG MAIN SQ. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE BYDATE /b,zo BUILDING PERMIT PLUMBING t?til,/ 5,o'?DEMOLITION 5% State Su rcharg e 3",|l"tnt$& ,Tf-t,y's /,2o MECHANICAL FENCE VALUE $ 5% State Surcharqe SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTRICAL ,l -\o,l M I Ut -.)q IIn \\ \ l I \ )o o t {v\ , ,l Single Fixture of REQUIRED INSPECTIONS It is the responslbllity of the permlt na'-a., to see that all lnspectlons are made at the proper time. To request an inspection, call 72A,3769 (recorder), tttto your Clty deslgnated Job numbor, Job addreao, typc of inapectlon requestod end 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 ROUGH PLUMBING, PAVING: After gravet is inmade after excavation, but ELECTRICAL & place but prior to placingprior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLAB pLUMB1NG, inspections have been made SpECIAL ;NSpECT;ONS: tn accordanceELECTRICAL & and approved. Section 306 of the State Specialty CodeMECHANICAL: To be made a special inspector shall bb emplbyedbefore 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 Buildi-ng 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 2500 ps.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made after ail insrab buirdins 3l::5':N..:ff 3,8:I?riH;:r" BIIl,.H.',."3"t,Y.tt,3ol',rrr, ,,service equipment, conduit, and vents are complete andpiping, accessories and other incirr-arv equipment items are :H,.fl:31.',.lf.'l':fl'JJ;[3:t: Bl?Xf],?E],?lx"gP"tIH:"0in place but before any qFFrv'vv! tightening operations. (306concrete is placed. INSULATIoN & 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 filling applied.trenches. SPECIAL GRADING, ,NDERFL.oR: p,umbins [l?:,]""=""f;HJ3[Hf"' El;iJtXiil-tl[',5Jb'i],"e electrical, mechanical. To be according to plans. Chapter 29) made prior to installation of floor insulation, decking or LATH ANO/OR GYPSUM GLU'LAM BEAMS: lnspection floor 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 interior and exterior, is in Building Division before prlor to lnstallailon of floor place but before any !9ams are placed. (2501 U.BC insulation, decking or floor plastering ls applled or before STDS. 25-10,11). sheathing. - Sypsum board jolnts 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 withugc 2415. ROOF SHEATHING AND NAtLING: Prior to installing any roof covering. SIDEWALK & DRIVEWAY: Requircd foi' all conc:.ete 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 BuildingOfficial may make or require other inspections of any construction work to ensurecompliance 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 f urther 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 pertainlng to the work described hereln, and that No oCCUpANCywill be made of any structure without permission of the Buildlng Safety Dlvislon. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project. ignature ,9Date ree en reSU thatrtUhe re red NS ti arensqupec ues atted he roagreq hat ro ad dpperme,p ject res ISS abread frole m hetreeShathe,m S oc atated etht,per off ront eth ro andp he setroved o anperty,pp S atrem on n ethpl te ESm U nn conds VALIDATION o 3 Ll L'-/,b 6JAMOUNT RECEIVED: RECEIPT #RECEIVED BY: DATE PAID: FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditioni such aslandscaping, parking lot stri ping, etc. must be completed beforerequesting thls inspection. FINAL BUILDING: Requested after the final plumbing, etectrical,mechanical and Fire Department inspections are made andapproved. No occupancy of the premises can be made until acertificate of occupancy has been issued by the Building oivisionand posted on the premises. ADDITIONAL COMMENTS: PLANS REVIEWED BY DATE all ti