HomeMy WebLinkAboutPermit Plumbing 1991-04-09..OMM ERCIAL/IN DUSTRIAL -]ERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477 lffi JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
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LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
OWNER:
ADDRESS:0
CITY:
PHON E
TAX LOT:nAZa-€
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STATE:n(q1+'tlZIP:
PLU MBING
NO.FEE CHARGE
Single Fixture
Relocated Bldg
(new fix. addtl)
Water Service
ft.
Sanitary ,"*", /5O ft 4oP
Storm Sewer
ft
Backf low Device
TOTAL PERMIT 4ce
MECHANICAL
Nrr FFF CHA 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
d uct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
ZONING
- OFFICE USE -HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
I OF STORIES:
QUAD AREA:
* OF BLDGST
$/SQ. FT.VALUESQ. FT.
TOTAL VALUE OF PROJ
X
X
X
SO. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#DATE BYPLAN CHECK FEI
BUILDING PERMIT PLU M BI NG 4c 81,DEMOLITION
5% State
Su rch arq e
5% State
Su rc h arqe Z*
MECHANICAL FENCE
VALUE $
5% State
Surcharqe
SIDEWALK
FT.
SUBTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
2 doTOTAL PERMIT FEES
EXCLUDING ELECTRICAL
DESCRIPTION OF WORK € €xt ar hnL
NEW .-- REMODEL ADDITION DEMOLISH OTHER
NAME ADDRESS
VALUE
PHONE
ARCHITECT:
CONTRACTOR'S NAME
L
G EN ERAL:
PLUMBING:
ADD RESS
CONST.
CONTRACTOR #
'o3
EXPI RES
Z q
PHON E
,L(Ot'lgL,
MECHANICAL:
ELECTRICAL:
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REOUIRED INSPECTIONS
It is the responsibility of the permit holcrer to see that all inspections are made at the proper time. To request an inspection, call
726.3769 (recorder), state your City designated iob number, job address, type of inspection requested and 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 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 pLUMB;NG, inspections have been made SpEC;AL INSpECTIONS: ln acoordance
ELECTRTCAL & and approved. Section 306 of the State Specialty CodeMECHANICAL: To be made , a special inspector shall be employedbefore any work is covered. ATTIC DRAFT STOPS & by the Ownei/ 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 io the Buitdiig 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 ot ZSOO ps.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made after all inslab building blocking and bracing are in STRUCTURAL WELDS:
service equipment, conduit, 5l]Ti"1i: :iLtJffi"#?iTl:'" Perrormed on the iob' (2722 t)
piping, accessories and otherinciriry equipment items are n'. H::HlHi:,1, jJ;[i::: Bl::f],ffi]?l*,?,o".I}X"oin place but before any tightening operations. (306concrete is placed. tNSULATtoN & 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.B.C.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. SPEC|AL GRAD|NG,
,NDERFL..R: p'umbins lll:,S'.=^'f;m',J3[H]"' Eliilt'iiil*:ii:,5J::],"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 Certif icate by an approved
lathing and gypsum board, agency, 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 99qT" are placed. (2501 U.BC.
insulation, decking or floor plastering is applied or before STDS' 25-10,11)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLOOR TNSULATTON & 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 SHEATHING AND
NAILING: Prior to installing
any roof covering.
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
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
SITE PLAN REVIEW 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 beforerequesti ng 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 aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
By signature, lstate and agree, that I have carefully examined the completed application and do hereby certify that all information
herein is true and correct, and lfurther 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 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.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from thermit card is located at the front of the property, and the approved set of plans will remain on the site at all
Date
ktSignature
street, that the
tructi on.times during c
VALIDATION
.2--2-
5/)-fzAMOUNT RECEIVED:
RECEIPT T:RECEIVED BY:
DATE PAID: