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Home My WebLink AboutPermit Plumbing 1998-5-13 . . COMM ERCIAL/I N DUSTRIAL PERMIT APPLICATION .. 225 Fifth Street, Springfield, Oregon 97477 ~ JOB NUMBER Cf'kO "5S <: INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORI<' ",>0<-\1 !-A.C<.\..-> 'i> T ASSESSORS MAP' I, O;}- 3 '3 ?>>"2- TAX LOT' 04-7Cro OWNER' ADDRESS: LA~ I .,Qt.j , P<-T"-e.~,J PHONF' 7U-5"" ,LA"",,,.,,..,) s'l v ADDITION DEMOLISH OTHER ZIP:Q7<-17X ~;<,.j..,'''-'A- J;.c'/'~~ I (j-' VALUE: CITY: <'i>12.~'e.\.<'\ STAT'" D""-- DESCRIPTION OF WORK' NEW REMODEL "'-lR..W ~ IY'tV< \Z.<<>..... r2<<.c (I ~ ;;... NAME ~II.. ,....v. ADDRESS ,\y..~"" ~O'\ .~ ,~ ~f5 ,<0 ADDRESS C~. S~\'-\'\' ~i-~;~~~~~O;- \$\~~ .J'::~;' ~.\()'(.~ ~~~'V -<v..,S <? ~\1..'(.$. rJ^ ,S _ . .....VJ'\'?l.y~C'(.V. O'(.~QV' t'\"'\~" ",\,-" C,V . .9.(\ v ,,~"'\ . PHONE ARCHITECT' CONTRACTOR'S NAME EXPIRES PHONE GENERAl' PLUMBIN'" o W t'L.Q.A..---- ~ MECHANICA' . ELECTRICA' . PLUMBING NO FEE CHARGE :], Single Fixture 1>10.- 4tHJ.- Relocated Bldg. (new fix. addtll Water Service ft. Sanitary Sewer ft. Storm Sewer ft. MECHANICAL NO ".. ("UI}Df,!:C Backflow Device 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 Permit Issuance I 1 I I I I $10.00 1 TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS' FLOOD PLAIN: aUAD AREA- . OF BLDG~' LAN D USE: . OF UNITS' ZONIN'" OCCY GROUP: . OF STORIE~' CONSTR. TYP'" HEAT SOURCE: LIGHTING POWER BUDGET: WATER HEATER' sa. FT. $/sa. FT. VALUE sa. FTG MAIN sa. FTG ACCES<< sa. FTG OTH ER X X X TOTAL VALU E OF .PROJ ECT PLAN CHECK FF~ RCPP DATF BY I BUILDING PERMIT 15% State Surcharoe I MECHANICAL [5% State Surcharoe I PAVING . PLUMBING c2..o . - DEMOLITION I I --I I I 5% State Surcharoe FENCE VALUE $ SIDEWALK 1,()Of.(,d FT. SUBTOTAL PERMITS SYSTEMS , DEVELOPMENT CURBCUT FT. TOTAL PERMIT FEES I b ~ I EXCLUOING ELECTRICAl '-li',?-.' (pO -- ." ~ REQUIRED INSPECTIONS . It Is the responsibility of the permIt holder to see that all Inspections are made at the proper time. To reql:lest 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 prl~r to setup of forms. *In addition to the Inspec- tions specified, the Building OffIcial may make or require CURB AND APPROACH other Inspections of any ROOF SHEATHING AND APRONS: After forms are construction work to ensure NAILING: Prior to Installing erected but prior to placing compliance with the Building. any roof covering. concrete. City or Development Code. ---~-------------------------------------------------- 1/ FINAL PLUMBING 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. 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 oth~r 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 installation 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 Installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTf" ~H PLUMBI~, ELECt RICAL & 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. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Ownerl 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 FIREPLACE: Prior to placing facing materials and before framing Inspection. STRUCTURAL CONCRETE: In excess of 2500 P.S.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 ,'.. ~nd 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. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-B. 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 finished. GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.G. STDS. 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. 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 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 times during construction. ~Ignaturp /ZI.,.., /'4tlt'- ~tP ~/;.l/9~ 5- 13-4~ ~ VALIDATION: AMOUNT RECEIVED: dtri-I. ~O d-. '17 g<:j( DATE PAID: RECEIPT ': RECEIVEO BY'