HomeMy WebLinkAboutPermit Plumbing 1996-03-04COMM ERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fitth Street, Springfield, aregon 97477
SPFIINGFIELO JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PRO ED WORK
ASSESSORS MAP:TAX LOT:
NAME ADDRESS PHONE
ARCHITECT:
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
G EN ERAL:
PLUM BI NG:
MECHANICALi
ELECTRICAL:
OWNER
ADDRE
CITY:STATE:
PHONE:
ztP
VALUEADDITION DEMOLISH OTHER
DESCRIPTION OF WOR
NEW- REMODEL
PLU MBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl s
)
Water Service
f t.\D@
Sanitary Sewer
f t.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT 40 cl
MECHANICAL
NO FFF (]HA AL-tr
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
se parat e
Stationary evap.
cooler
Vent Fan/Single
duct
Vent
f rom
Systern apart
AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE _
ZONING
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET.
WATER HEATEB
+ OF UNITS:
OCCY GROUP:
* OF STORIES:
QUAD ABEA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJECT
X
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ, FTG OTHER
PLAN CHECK FEE DATERCPT#BY
BUILDING PERMIT PLU M BI NG +t)!1)DEMOLITION
5% State
Su rch arge
5% State
Su rcharge +,
()
t-DMECHANICALFENCE
VALUE $
5% State
Su rch arq e
SIDEWALK
FT.
SU BTOTA L
PE HM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELO PMENT
\3tTOTAL PERMIT FEES
EXCLUDING ELECTRICAL
LAND USE:
REQUIRED 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
726.3269 (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 INSPECT|ON: 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 pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance
ELECTRTCAL & and approved. section 306 0f the state specialty code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & Oy ine Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: EroEDr A^E. c 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 framlng inspection' STRUCTURAL CONCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
CONCRETE SLAB: To be
made after all lnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
UN DERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer..6a?fr)nO
drainage linesYo be made
prior to covering or f illing
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
f loor sheathlng.
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.
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 all
insulation and requlred vaPor
barriers are in place but
before any lath or gypsum
board interior wall covering is
applied.
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
fi ni shed.
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.
STRUCTURAL WELDS:
Performed on the job. (2722 I)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
srDS. 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 Bullding,
City or Development Code.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify th.at 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
of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees
who are in compliance with ORS 701.055 will be used on this proiect.
I further agree to ensure that all required inspections are requested at the proper time, that project address ls readable from the
the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
Date
u ng constructionti
Sig
AMOUNT R
RECEIPT *:
DATION ECE .V
RECEIVED BY:
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 inspection. All project conditions such as
landscaping, parklng lot stri ping, etc. must be completed before
requesting 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
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