HomeMy WebLinkAboutPermit Plumbing 1998-2-3
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COMM ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
966/-/'0
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726,3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORt<'
/7 {:'2
OWNER: ~ Vt?/f ~) rh?'f'~/ ~""'.o41t.) 2'.J#~HONE:
ADDRESS' 27'2. / ~J J) r r
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DESCRIPTION OF WORK: ~J~~tE {"/.,?tb,.J-Lh~ .J)J//k
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TAX LOT:
0/5?nJ
7~ -0.p(0 C-,
ASSESSORS MAP'
CITY:
STATF'
cA
ZIP:
-" V 2...'7
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NEW
REMODEL
ADDITION
DEMOLISH
OTHER
VALUE:
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NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
GENERAl'
PLUMBING: _TO A.6
))~~-'hl
~ ,
MECHANICA' '
ELECTRICA' '
TOTAL PERMIT
1
I
~ (' /f.)
I
I Nn
I
1
I Floor furnace and vent
I Suspended wall or floor
mounted unit heater
1 Appliance Vent
separate
~~onary evap.
"'n,.\~E: - If ...~I" ' ~ldWIer
10; ~ Mil 5HAL~ EXPlflt ' 5~~Fan/Slngle
...~\!; P fI Ut i\ iHI5 1 ~QI.A\i en: System apart
AUiH fllZEO UN O"'N1"NEO f O~om AC or htg,
","CEO U1'\ I! I "'<> Mechanical exhaust
COM~ .." _ 0 hood and duct
",NY' BO OAHeR\') , I
I
I TOTAL PERMIT
MECHANICAL
PLUMBING
NO,
I Single Fixture
Relocated Bldg,
(new lix, addU)
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
FEE
CHARGE
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Furnace/ burner & vent
< 100,000 BTUs
Furnacel burner & vent
> 100,000 BTUs
Permit Issuance
$10,00
15:&0
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
QUAD ARE~'
. . OF BLDGS:
LAND USE:,
. OF UNITf'
OCCY GROUP'
. OF STORIES:
CONSTR. TYPF'
HEAT SOURCE:
WATER HEATER'
SQ, FT,
$/SQ, FT,
VALUE
SQ, FTG MAIN
X
SQ, FTG ACCESS
SQ, FTG OTHER
X
X
TOTAL VALUE OF,PROJECT
PLAN CHECK FEF
RCPT'
DAT"
BY
I BUILDING PERMIT
15% State
Surcharge
I MECHANICAL
15% State
SurcharQe
I PAVING
, PLUMBING
5% State ,
SurcharQe ,'?Jf41
FENCE
VALUE'
SIDEWALK
15":~
t:z.O
DEMOLITiON
I,
I
I
I
I
CURBCUT
FT,
FT,
SUBTOTAL
PERMITS
SYSTEMS
, DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
/0,2..0
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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 setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placl ng concrete.
FIREPLACE: Prior to placing
facing materials and before
framing InspectIon.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector 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,
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
FRAMING: To be made afte,
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 CONCRETE: In
excess of 2500 P,S.;' (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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, .
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt installation and
lightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: UB,C,
Standards 43,8,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
,
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing,
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
finished,
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 UB,C,
STDS, 25,10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a,7)
.'1......
SIDEWALK & DRIVEWAY:
Required for all concrete
-:paving.,Wlthln street right of : I .,
,way, to be -'made after all.~ f
: ex'cavatlf.1g; complet'e and form?;,l'+
j work and sub-bas'e;materlal, in,
pi'ate. J;'~.'_' ~, -- ,. j 1\....1'! ~ ','
.~ !' , .....'..1-..
CURB AND APPROACH~' , ..i,',!",
APRONS: After forms' are :. f ,.
erected but prior to placing
concrete.
*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,
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415,
-"".1 '
ROOF SHEATHING AND
NAILING: P,lor to installing
any roof covering.
-V--FINAL~UMBING-------------SITE~LA~~EVIEW~~RD:Mus~~requ:te~~ay~~ad:nc~
~ " of the date you wish Inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
FINAL ELECTRICAL 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,
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITfONAL COMMENTS:
PLANS REViEWED BY
DAT~
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
H~ during construction.
Si;na\Ur~ ~4':##-
Datf"
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VALIDATION:
AMOUNT RECEIVED: --!CC/_O
RECEIPT .' -:2..:i!J <:;'l'b 7
DATE PAID:
RECEIVED BY: