HomeMy WebLinkAboutPermit Plumbing 1995-7-6
COM M ERCIAL/I N DUSTRIALe
PERMIT APPLICATION
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JOB NUMBER <1?C?02Z
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK' ~.;/~ /Y.?;4/A"" .....,;7" ~c=-~.....?'
ASSESSORS MAP: / '}.,cJ 2- "3/- "'3 / TAX LOT: "Q:Z 3"~
OWNER:_J~/If'~ .~,,~7'~A<';;r-
ADDRESS' --.::?4/&:::5 ~.-&-A?f:? ~ ,
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DESCRIPTION OF WORK' ~ V~~~;- ~
NEW REMODEL ADDITION
PHON~'
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CITY'
STAT~'
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ZIP'
'9 ::;> Y;:;>~
NAME
/'~ ~/Y<'/Ce=- ..#..6'~/ 7/",,-;--.0:<7.
DEMOLl;H . OTHER VALUE: ~
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PHONE .~'
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
ADD RESS
CONST,
CONTRACTOR #
EXPIRES
PHONE
G~EM" .
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PLUMBING...~Z~....w'/'"'.c~. ~L9<'.~?'>h--:.. .R~s.:. :::P~~ ,4"~//7"r.G
MECHANICAl'
ELECTRICA' '
PLUMBING I MECHANICAL
NO, FEE CHARGF I .", ~~~ ("1-I.Q.l::lnl=
:f3 Single Fixture .B:? ~ 1 Furnace/burner & vent
/L:> <100,000 BTUs
Relocated Bldg, 1 furnacefburner & vent
IneY/ fix, addtll >100,000 BTUs
V Water Service -::?S'.~ I Floor furnace and vent
<~o It.
Sanitary Sewer 1 Suspended wall or floor
It, mounted unit heater
,/ Storm Sewer ;('~""'~ I Appliance Vent
< S-o It. separate
I Stationary evap.
Backflow Device cooler
1 Vent Fan/Single
duct
1 Vent System apart
from AC or htg.
1 Mechanical exhaust
hood and duct
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I I Permit Issuance $10,00
TOTAL PERMIT I /~..-. 1 TOTAL PERMIT
QUAD AREA'
- OFFICE USE -
LAND USF'
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
# OF BLDGS'
# OF UNITS'
OCCY GROUP'
. OF STORIES'
CONSTR, TYPF'
H EAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER:
SQ, FT,
$/ SQ, FT.
VALUE
SQ, FTG MAIN
X
SQ, FTG ACCESS X
, SQ, FTG OTHER P O.fi?~:'- z.;. X
.;- .....
'7'" 9' <-.c::::>. ~
TOTAL VALUE OF PROJEr'T
PLAN CHECK FEf
! RCPT' DAT~ BY
I
-'
I PLUMBING I~.- DEMOLITION
15% State ". -:'''''
SurcharQe 3.90
I FENCE I
VALUE $
I SIDEWALK .1 I SUBTOTAL
FT, PERM ITS
I CURBCUT I I SYSTEMS
FT, DEVELOPMENT
I BUILDING PERMIT
15% State
Surcharge
I MECHANICAL
15% State
Surcharae
I PAVING
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
/Y'e:>.70
,
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 addresst type of inspection requested and when you will be ready
for inspectlon. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 8.m. will be made
the following work day,
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
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REQUIRED INSPECTIONS
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ROUGt-fd>'"MBINcL:>,:
'ELECTRICAL & "
MECHANICAL: No work Is to _
be covered until these
inspections have been made
and approved.
UNDERSlAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be'made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WAllS'
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
fram,lng Insp,ectlon, _
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.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduIt,
piping, accessorles and other
ancillary equipment Items are
In place but before any
concrete Is placed.
INSULATION & VAPOR
BARRIER: To be made aftar all
Insulation and required vapor- .
barrIers are In place but. .. .
before any lath or gypsum
board Interlor wall covering Is
applied,
FIRE & SEPARATION WAll:
Located and constructed
. according to plans.
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UNDERGROUND: Plumhlng
electrical, gac::.......~Pi"lta.r\( sew~
storm sewer('WaiA(Jina
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.
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,
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,
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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415,
ROOF SHEATHING AND
NAiliNG: Prior to Installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placIng.
concrete.
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PAVING: After gravel Is In
place but prior to placing
~+~asp.ha.~t ~r concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of 'ttie State Specialty Code
a special Inspector 'shall'be amployed
by th~ Owner! Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division,
STRUCTURAL CONCRETE: In
excess of 2500 PS,I. (306 a,1)
STRUCTURAL WELDS:
Parformed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a.6)
SPRAYED ON ;
.: 'FIREPROOFING"U,B,C,
\ Standards 43.8.
SPECIAL GRADING.
EXCAVATION AND FilliNG:
During earthwork, (306 a,11 &
Chapter 29)
GlU.lAM BEAMS: Inspection
Certificate by an approved ~_
agancy, furnished to the City's
Building Division bafora
beams are placed, (2501 UB.G,
STD;:;, 2,5..10.11),
STRUCTURAL MASONRY: (306
a,7)
"In addition to the Inspec.
tlons specified, tha Building
Official may make or require
other Inspections of any
construction work to ensure
compllanca with tha Building,
City or Development Code.
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FINAL PLUMBING
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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 com plated before
requesting this Inspection.
FINAL ELECTRICAL
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 bean Issued by the Building Division
and posted on the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITiONAL COMMENTf"
PL'ANS REVIEWED B / ~ ~- '.-s-i, DAT'" ?--=;!""3S-
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By signature. I state and agree, that I have carefully examined the completed application and do hereby certify thi't 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 describad hareln, and that NO OCCUPANCY
will be made of any atructure without permission of the Building Safety Division, I further certify that only contractors and employees
who are In compliance with ORS 701,055 wl/lbe u,se9, on, this project.
I further agree to ensure that all required inspectlons.are requested at the proper time, that project address Is readable from the
street, that the permit card Is located at the frorit -of the pr~pertYt and the approved set of plans will remaIn on the site at all
times during construction.
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Signaturp
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VALIDATION:
AMOUNT RECEIVED: /f/7, -1'0
/~.2/J\-
RECEIPT .'
DatE'"
/jgfi;~
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DATE PAID'
RECEIVED BY:
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