HomeMy WebLinkAboutPermit Plumbing 1999-5-6
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COMM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
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. ....
JOB NUMBER~C::>':3..c/
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfiel.d, Oregon 97477
LOCATION OF PROPOSEO WORK: .5'"6 ?p~~.(~ ~~ '
ASSESSORS MAP./'7....d2~'71?>..,77
OWNER' r"/ .=-A $;#j.y.--e:.
ADDRESS:.7/~~ ~ -;j~~ 4/01=
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7Y~A/e- _
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DESCRIPTION OF WORK: ;~4'_'"R~.L.-:" ,~/ b~~c...,~ /~~~-
REMOOEL ~ ADDITION'
,
CITY:
NEW
ARCHITECT:
- _. "u, ,___!
TAX LOT'
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PHONE: L~"""~~
STATE:
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ZIP' <9'.::> .~CIf;"
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ADDRESS
CONST,
CO NT RACTO R .
PHONE
EXPIRES
CONTRACTOR'S NAME
GENERA' .
PLUMBING: ,-1:'$J~
MECHANICAl'
ELECTRICAL: ~~.
(#;l~ -
I
I NO
1/.1
I
1
I
1
I
I
1
I
I
I
1 TOTAL PERMIT
QUAD AREA:
. OF BLDGS:
OCCY GROUP:
. OF STORIE~'
SQ. FTG MAl N
*
. .
.. .
. -- .
~/2~
~7:?~
PLUMBING
MECHANICAL
FEE eHARGE
Nn ~~~
("I-Ibtlni:
Single Fixture
Relocaled Bldg.
(new fix. add!l)
Water ServIce
/0 /~.-
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
It.
Sanitary Sewer
ft.
Storm Sewer
It.
Backflow Device
Permit Issuance
$10.00
TOTAL PERMIT
- OFFleE USE -
HANDICAP ACCESS'
LAND USo.
. OF UNITS'
FLOOD PLAIN:
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
CONSTR. TYpo.
HEAT SOURCE:
SQ. FT.
$/SQ. FT,
VALUE
SQ. FTG ACCESi'
X
X
X
SQ. FTG OTH ER
TOTAL VALU E OF .PROJ ECT
PLAN CHEeK FEe
RepT<
DATO
BY
1 BUILDING PERMIT
15% StBt.e
Surcharae
I MEeHAN leAL
15 % Stat.e
Surcharae
I PAVING
~
I PLUMBING
15% State
Surcharqe
I FENeE
VALUE $
I SIDEWALK
I CURBCUT
FT.
,
-/~;;
. ~. '9c.
. DEMOLITION
~
FT.
'SUBTOTAL
PERMITS
SYSTEMS
. DEVELOPMENT
,
TOTAL PERMIT FEES I
EXCLUDING ELECTRleA'
/~y~
. 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
726.3769 (recorder), state your City designated Job 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
made after excavation, but
prior to aetu p of forme.
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 equipment, conduit,
piping, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer, ~
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,.
electrical, mechanical. To be
made prior to Installallon of
floor Insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Insta/lallon of
decking or floor sheathing.
MASONRY: Steel locallon,
bond beams grouting or
verticals In accordance with
UBC 2415,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
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FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
y
PAVING: After gravel is in
place but prior to placing
.~8phart or concrete.
ROUGH PLUMR'''''.
ELEcrRI~A~&'~
'MECHANICAL: No work 18 to
be covered until these ~ .
inspections have been made
and approved.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special .fnspector shall be employed
by the Owner I Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
r
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
STRUCTURAL eONeRETE: In
excess of 2500 PS.1. (306 a.1)
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.
'STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board Interior wall covering Is
applied.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
. EXCAVATION AND FilLING:
Ourlng earthwork, (306 a.11 &
Chapter 29)
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum ooard,
Interior and exterior, Is In
place but before any
plastering Is applied or before
gypsum board joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.BC.
STOS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
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.
.In 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.
eURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish inspectIon. All project conditIons such as
landscaping, parking lot striping, 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.
PLANS REVIEWEO BY
DATF
By signature, I state and agree, that I have carefully 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 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 project.
I further agree to ensure that all required Inspections are requested at the proper time, that project address Is readable from the
street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all
times durln~.~S9,D.~lon.
Slgnatur"c... .?- (""'~ ~.o..J"'" Datp S-b-qq
RECEIPT ':
AMOUNT RECEIVED: /</~ ';/ #
"3~ai-e--:>
DATE PAID: "5''''~"''7-s?
RECEIVED BY:_,~. ~;~__
. , pv ~,y ~
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VALIDATION: