HomeMy WebLinkAboutPermit Plumbing 1999-03-29i\,ll I Ploi/y
COM M ERCIAL/ t N DUSTRIAL
PERMIT APPLICATION
225 Fi(th Street, Springfield, Oregon 97477
SPFllNGFIE
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK L o 20 ,t/)r sl
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PHONE:
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VALUE:
9wotDESCRIPTION OF WORK:
ELECTRICAL:
NAME
ADDRESS PHONE
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0090-
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CONTRACTOR'S NAME
ARCHITECT:
G EN ERAL:
PLU M BI NG
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NO.FEE CHARGF
Single Fixture ,i DER[4'T
Relocated Bldg.
(new fix. addtl)
.,0R/ZED
I
Water Service
ft.
,ENCED
(
Sanitary Sewer
ft.
l,rr t60DAy pl
Storm Sewer f ft.L5 2s '-ZZ)
Backflow Device
3//, t7,t.zs / 7J-
TOTAL PERMIT )lP
XIECHANICAL
NO trFF CHARGE
Furnace/burner & vent
<100,000 BTUs
4trRE,/fiurnace/ burnerI9rEd'00Hrus & vent
n,D-pE WiSdBrpo?ce and vent
nrv!("lf\f :l$qsoended wall or f loor-''irloVfr{ed unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permlt lssuance $10.00
TOTAL PERMIT
tt
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ZONING
HANDICAP ACCESS:
LIGHTING POWER BUDGETOCCY GROUP:
* OF STORIES:
QUAD ABEA:
g OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
FLOOD PLAIN:
WATER HEATER:
SQ. FT.$/sQ. FT.VALUE
TOTAL VALUE OF PROJECT-
x
x
x
SQ. FTG MAIN
SO. FTG ACCESS
SQ, FTG OTHER
RCPT'PLAN CHECK FEE DATE BY
Z7
BUILOING PERMIT PLU M BI NG DEMOLITION
5% State
Su rcharoe
5% State
Surcharqe
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
??o yo g
?7 /.{
tollow
,o
_ OFFICE USE -
LAND USE:
# OF UNITS:
REOUIRED INSPECTIONS
It is the responslblllty of the permit holder to see that all lnspectlons are made at the proper tlme. To request an inspection, call
226-9769 (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:OO a.m. will be made the same worklng day, requests made after 7:00 a.m. will be made
the following work daY.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
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, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all inslab building
service equlpment, condult,
piping, accessories and other
ancillary equipment items are
ace but before any
is placed.
RGROUND: Plumbing,
, gas, sanitary sewer,
sewer, water and
nage llnes. To be made
prior to covering or f illlng
trenches.
UNDERFLOOR: PIumbing,
electrlcal, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathlng.
POST & BEAM: To be made
prlor to lnstallatlon of floor
Insulatlon, decking or floor
sheathlng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prlor to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals ln accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to Installlng
any roof coverlng.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspectlons have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing lnspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all plpes, chimneYs
and vents are complete and
the rough electrical, Plumbing
and mechanlcal are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vaPor
barrlers are ln 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
Iathing and gypsum board,
interlor and exterior, is ln
place but before anY
plasterlng ls applied or before
gypsum board Joints and
fasteners are taped and
f lnlshed.
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 lurnished to the Building Division.
STRUCTURAL CONCRETE: IN
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 ll
HIGH STRENGTH BOLTING:
Durlng all bolt installation and
tlghtenlng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
Durlng earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnspection
Certlficate by an approved
agency, furnlshed to the City's
Building Divlsion before
beams are placed. (2501 U.B'C.
STDS. 25-10J1).
STRUCTURAL MASONRY: (306
a.7)
'ln addition to the inspec-
tions speclfied, the Building
Official may make or require
other inspections of any
constructlon work to ensure
compliance with the Building,
Clty or Development Code.
FINAL PLUMBING
FINAL ELECTRTCAL
FINAL MECHANICAL
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. AII proJect conditions such as
landscaping, parking lot striping, etc. must be completed before
requestl ng thls lnspectlon.
FINAL BUILDING: Requested after the flnal plumbing, electrical,
mechanlcal and Flre Department inspectlons are made and
approved. No occupancy of the premises can be made until a
Certlficate of Occupancy has been lssued by the Building Division
and posted on the premises.FINAL FlRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS FIEVIEWED BY DATE
By slgnature, 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
of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY
will be made of any structure without permlssion of the Bulldlng Safety Division. I further certify that only contractors and employees
who are in compllance with ORS 701.055 will be used on this prolect.
I further agree re that all required inspections are requested at the propertime, that project address ls readable from the
street, that the ard is of the property, and the approved set of plans wlll remain on the site at all
times during
c
Sig n atu re Date
VALIDATION:DATE PAID
BECEIVED BY:
AMOUNT RECEIVED:27e
RECEIPT *:@ 3321f