HomeMy WebLinkAboutPermit Plumbing 1999-07-15COM M ERCIAL/ t N DUSTRIAL
PERMIT APPLICATION
225 Fifli Street, Springfield, Oregon 97477
SPAINGPlELO JOB NUMBER ?oq5
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PFIOPOSED WORK:tflq N . 7r'n
ASSESSORS MAP:
PHONE:OWNER:
?zvzFZIP:
A-
A
t\c
14
VALUE:
a rl-DESCFIIPTION OF WORK:
REMODEL,ADDITION DEMOLISH OTHER
MECHANICAL:
PHON ENAMEADDRESS
EXPIRES PHONEADORESS
0w rvqrU
CONTRACTOR'S NAME
ARCHITECT
ELECTRICAL:
CONST.
CONTRACTOR ''
G EN ERAL:
PLUM BING
P IIMBING
NO.FEE CHARGE
/Single Fixture f ,
Relocated Bldg.
(new fix. addll)
Water Servlce
lt
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
l.t2
TOTAL PERMIT /a,sz
NN
Furnace/burner & vent
{!QoQ! QluL_s-_-. **_-__
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appllance Vent
separate
Stationary evap.
cooler
Vent Fan /Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
ZONINGr OF UNITS:
HANDICAP ACCESS:
LIGHTING POWER BUDGET:OCCY GROUP:
* OF STORIES:
QUAD ABEA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURGE:WATER HEATER:
$/SQ. FT.SQ. FT.VALUE
TOTAL VALUE OF PROJ
x
X
x
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
BUILDING PERMIT PLUMBING 1\,O o DEMOLITION
' ' , State
Surcharge
' State
Surcharoe /. f)
MECHANICAL FENCE
VALUE $
, State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PEBMIT FEES
EXCLUDING ELECTBICAL
/ 6-rn
t? o2 zoq 3 rAX Lor: Oo ?oz
STATE:
NEW ,
FLOOD PLAIN:
REQUIRED INSPECTIONS
It ls the responslblllty of the permit holder to see that all lnspectlons are made at the proper tlme. To request an inspection, call
726.3769 (recorder), state your City deslgnated job number, Job address, type of lnspection requested and when you will be ready
for lnspeotlon, Roquosts recelved before 7:00 a.m. wlll be madc tho same worklng day, requests made after 7:00 a.m. wlll be made
the following work day.
# SITE lN.EPrCTlONr To br RoUoH PLUMBINo, pAvtNot Aftrr gravol tr lnmadc aftcr cxcavatlon, but ELECTRICAL & placo but prlorlo plaoing
prlor to satup of forms. MECHANICAL! No work lE to asphelt or concr€te,
be covered untll these
UNDERSLAB pLUMBING, lnspectlons have been made SpECIAL INSpECTIONS: tn accordance
ELECTRICAL & and approvod. Sectlon 306 of the State Speciatty code
MECHANICAL: To be made a speclal lnspector shall ba employod
before any work is covered. ATTIC DRAFT STOPS & oy ine owneii contractor duringCURTAIN WALLS construction of the foltowing work. A
FOOTINGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prlor to placlng be furnlshed to the Building Division.
excavated and forms are faclng materlals and before
erected, alt steel ln place, but framlng lnspectlon' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMINGT To be made after excess of 250O P.S.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framlng' fire
made arter ar rnsrab buudrns 3l::5::."!ff |ffi:IZ;,;l:r. EIlS'".,1'f3l,H5foool',rrr, ,,
service equipment, conduit, and vents are complete ancLpiping, accessories and other
ancirrary equipment items are :i?';::Hli":ii:,x,JJ;[3]?: Bl?,lf],?E]nol,l"E,o,.'ls?"0in place but before any tighteiing operations. (306concrete is placed. INSULATIoN & vApoR - a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulatlon and requlred vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are ln place but FIREpROOFING: U.B.C.storm sewer, water and before any lath or gypsum Standards 43_8.dralnage llnes. To be made board interior wall covering lsprior to covering or filling applied. SPECIAL GRADING,trenches.
,NDERFL.oR: p,umbins [*:,5'5'f;m'J3[Hl"' ff;llt!i]-til',5Jb'i],";
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulatlon, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathlng. - BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agencx furnished to the city's
posr & BEAM: To be made interior and exierlor, is ln Building Division before
prior to Installation of floor place but before any beams are placed' (2501 U'BC'
insulation, decklng or floor plastering ls applied or before STDS' 25'10'11)'
sheathing. - Sypsum board jolnts and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finlshed' a'7\
VAPOR BARRIERS: To be
made prior to lnstallation of
decking or floor sheathing.
MASONRY: Steel locatlon,
bond beams grouting or
vertlcals ln accordance wlth
uBc 2415.
RooF .HEATHTNG AND iH[3^H?fi'",::f"":'"
NAILING: Prlor to installing erected but prior to placing
any roof coverlng. concrete.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving withln street right of
way, to be made after all
excavatlng complete and form
work and sub-base material ln
place.
'ln addition to the inspec-
tlons specified, 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 SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish lnspection. All proJect conditions such as
landscaping, parking lot striping, etc. must be completed before
FINAL ELECTRICAL requestlng thls lnspection.
FINAL BUILDING: Flequested after the flnal plumbing, electrical,
FINAL MECHANICAL mechanlcal and Flre Department inspectlons are made and
approved. No occupancy of the premises can be made until a
Certlflcate of Occupancy has been issued by the Building Division
FINAL FIRE DEPARTMENT and 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 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 pertainlng to the work described hereln, and that NO OCCUPANCY
will be made of any structure without permission of the Bulldlng Safety Dlvlslon. I further certify that only contractors and employees
who are in compliance with ORS 701.055 will be used on thls prolect.
I furtheragree to ensure that all requlred lnspectlons are requested at the propertlme, that project address ls readable from the
street, that the permit card ls located at the front of the property, and the approved set of plans wlll remain on the site at all
times durlng constructlon.
1Date' Slgnature
tl.tzVALIDATIONI -?
-o3 ?srfRECEIPT *:RECEIVED BY:
DATE PAID:AMOUNT RECEIVED: