HomeMy WebLinkAboutPermit Plumbing 1992-09-11COMMERCIAL/INDUSTRIAL'-
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:nA{5-
SP'IINGFIELO (,JOB NUMBER
INSPECTION LIN
OFFICE: 726-3759
ASSESSORS MAP:110 bL€> -i TAX LOT b65
26-3769
Lur,,r \.lw.i (a-PHONE
ZIP:
no
7trY.-STATE:
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE
IfroDESCRIPTION OF WORK:
MECHANICALi
-
ELECTRICAL:
PHONEADDRESSNAME
PHON EEXPI RESADDRESS
'u160t
ARCHITECT:
CONTRACTOR'S NAME
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
MECHANICAL
NO trtrF 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
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
FEE CHARGENO.
Single Fixture
s
)
Relocated Bld
(new fix. addtl
1o.EsWater Service 4ootr.
Sanitary Sewer
ft
--Sto'rm-Sewer
ft
Backflow Device
1o.&tTOTAL PERMIT
ZONING:
LAND USE
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP:
# OF STORIES
QUAD AREA:
* OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
* OF UNITS:
VALUE$/so. Fr.SQ. FT,
TOTAL VALUE OF PROJ
XSQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE BYDATE
1a *,
BUILDING PERMIT PLU M BI NG 1o .5b DEMOLITION
5% State
Surcharqe
5% State
Su rcharqe 4-trso
MECHANICAL FENCE
VALUE $
5% State
Su rch arg e
SIDEWALK
FT,
SUBTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
_ OFFICE USE _
It is the responsibility of the permi
726-3769 (recorder), state your City
for inspection. Requests received
REOUIRED INSPECTIONS
tholdertoseethatallinspectionsaremadeatthepropertime.Torequestaninspection,call,designated ioo numner, iJJaooress, type gl ";;"i';;;;quested
ani when vou will be ready
before 7:00 a.m. wilt be made the same working d-;,r"ouu"ts made af ter 7:00 a'm will be madg
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, butprior to placing concrete.
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UNDERGROUND: Ptumbing,
electrical, gas. ,raBitary sewer,
s torm sewer, (vrfaterl and
drainage lineildbe made
prior to covering or filling
trenches.
UNDERFLOOR: ptumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheath i ng.
FLOOR INSULATION &
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: Prior to installing
any roof covering.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
INSULATION & VAPOR
BARRIER: To be made after ail
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior wall covering is
apptied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterior, is in
place but before any
plastering is applied or before
gypsum board joints and
fasteners are taped and
f inished.
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.
PAVING: After gravel is in
place but Prior to Placing
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 pS.t. (306 a.t)
STRUCTURAL WELDS:
Performed on the job. (2122 t\
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFTNG: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
Duri ng earthwork. (306 a.11 &
Chapter 29)
cLU-LAM BEAMS: tnspection
Certificate by an approved
agency, furnished to the City,s
Building Division before
beams are ptaced. (2501 U.B.c.
STDS. 25-10,11).
STRUCTURAL MASONRy: (306
a.7)
"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.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
slrE PLAN REVTEW BOARD: Must be requested 2 days in advanceof the date you wish inspection. All project conditions such aslandscaping, parking lot striping, etc. must be completed beforerequesting this inspection.
FINAL BUTLDTNG: Requested after the finar prumbing, erectricar,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 Divisionand posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
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 ORS 701.055 will be used on this project.
all required inspections are requested at the proper time, that project address is readable from thes located at the front of the property, and the approved set of plans will remain on the site at all
Si gnatu Date ?-z/-22
I further agree to ensure that
street, that the permit card i
times during construction.
VALIDATION AMOUNT RECEIVED:
RECEIPT *:
DATE PAID:
RECEIVED
the following work day.
SITE INSPECTION: TO bC
made after excavation, but
prior to setuP of forms.