HomeMy WebLinkAboutPermit Plumbing 1998-4-20
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COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER .!l13t"Jt/.6 ~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
ASSESSORS MAP'
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LOCATION OF PROPOSED WORK'
OWNER'
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ADDRF"'"
CITY'
DESCRIPTION OF WORK'
REMODEL /
NEW
ADDITION
DEMOLISH
NAME
ARCHITECT'
CONTRACTOR'S NAME
AODRESS
GENERA' '
PLUMBING k>"5: '^ i' - uj ~
STATE: .,."Q
ADDRESS
TAX LOT:
PHON<"
).,),C:, -S"l}J;:t.
ZIP: ~ ') Lj ~
OTHER
VALUE:
PHONE
CONST,
CONTRACTOR #
EXPI RES
PHONE
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I !'ermlt Issuance '{. '?"~_ 'l-lO~\<. I
~(i)~lC~R!:llt\JD.L\. ~).\lI~~_'C.';~l\i IS ~Ol I
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- OFFICE use~~\,\O~I7.EO \)\'IV~S "/..~~liC'C\ES~'
LAND USE;~_ /Ii \':'~OO~ .f..OOD PLAIN'
CO~,,\~ \It.~\UV'
, \'1/\ nt-'{ ZONING'
p..\'I'. ~-
MECHANIC' , ,
ELECTRICA' '
PLUMBING
NO. I FEE
c.;; Single Fixture /0
Relocated Bldg. I
(new Ilx, addtll
Water Service I
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
r.HARGE
5"C) .6'0
TOTAL PERMIT
QUAD AREA
# OF BLDGf'
# OF UNITS:
OCCY GROUP'
CONSTR, TYP'"
# OF STORIES:
HEAT SOURCF'
SQ, FT.
$/SQ, FL
SQ, FTG MAl N
X
X
X
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FF<'
RCPP
I BUILDING PERMIT
5% State
SurcharQe
MECHANICAL
I PLUMBING
I ~~~c~t,:'r~eZf"-;-J.ro
I FENCE
VAl UF $
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SIDEWALK
CURBCUT
15% State
Surcharae
I PAVI NG
DAT"
5~OO
4,0'1
FT.
FT.
'-I 'l51o \
i 2. -k;, "'9,f
MECHANrr.AL
"FF
("L-.I.o.D(H:
Furnacel 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 hlg,
Mechanical exhaust
hood and duct
I~~_,
l~~
I
$10.00
LIGHTING POWER BUDGET:
WATER HEATER:
" VALUE
TOTAL VALUE OF .PRQJErT
BY
. DEMOLITION
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
5"~ CJ'O
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REQUIRED INSPECTIONS
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II Is the responsibility of the permit holder to see that alllnspecllons are made at the proper lime, To request an Inspection, call
728.3788 (recorder), state your Clly deslgnaled job number,Job address, type of Inspecllon requested end 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 a.m. will be made
Ih~ following work day. .
SITE INSPECTION: To be r' -1'lOUGH PLUMBING';> PAVING: After gravel Is In
made after excavallon, but '-1.:,,0,\.1 n.eltt-&- place but prior to placing
. prior to setup of forms, MECHANICAL: No work Is to asphalt or concrete,
be covered until these
inspectlons' have been made
and approved,
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.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
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.
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.
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (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,
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U,B,C,
Standards 43,8,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according 10 plans,
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 U.B.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) ,
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415,
SIDEWALK & DRIVEWAY:
Required for all concrete
paving wllhln streel right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
*In addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior 10 Installing
any roofo.coverl ng.
- ".. ,
- 'X.. - FIN~L '~;LUMBING:;;-'~'---------- SITE ~LAN -;;;EV;-;;W ~OA-;;;D: Must-b:- reqUeSled-2-:;~:-I;;:;vanc:-
, -. r('"',.. .' oj" " of the date you wish inspection. All project conditions such as
1 ! ,I.,. I ( landscaping, parking lot striping, etc. must be completed before
FINAL ELECTFUCAL' requesting this Inspection.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
,".
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and
i',:1 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.
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FINAL MECHANICAL
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FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS: ,.d~/T ,/(
Al,~A2VJ ~ ~~h'
PLANS REVIEWED BY
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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 perlalnlng 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
",/s during con/z;:- .// .---7 ' /J
~ature d(;-, ~~ Datp c-t-20 r-'JJ>
VALIDATION:
AMOUNT RECEIVED: ,~f 44'
. 'RECEIPT .' '"'2~ of?]'
DATEPAID:$n~
RECEIVED BY: ~
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