HomeMy WebLinkAboutPermit Plumbing 1996-5-23
COMM ERCIAL/IN DUSTRIALa
PERMIT APPLICATION
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JOB NUMBER
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225 Fifth Street, Springlield, Oregon 97477
INSPECTION LINE: 726,3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK: /??;/? .~.#0/
ASSESSORS MAP: /70 -=3.75.c-"3'/
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TAX LOT: 6.,'::'?""-"_~
OWNER: _
ADDRESS:
CITY'
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, PHONE:
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ZIP:
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DESCRIPTlONOFWORK~' - .";1~O .(wr"?,~,~~Pc?",A""~ I
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NAME " ADDRESS PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERAi'
PLUMBING~?A7~ ~;:z:>
MECHANIC" , . _
ELECTRICAL: ?~~~~ ~~
ADDRESS
CO NST,
CONTRACTOR'
EXPIRES
PHONE
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PLUMBING
MFCf'.ANICAI,
NO,
FEE
CHARGE
/d'.-
Nn
000
J
('HARGi
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Single Fixture~
Relocated BIc1\f,~:""~'
(new lix, addtl)
Water Service
It,
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary evap,
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg,
'Mechanical exhaust
hood and duct
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
I
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".Permli Issuance
$10,00
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TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA:
LAND USF'
FLOOD PLAIN:
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
, OF BLDG>"
, OF UNIT>"
OCCY GROUP:
CONSTR, TYP"
. OF STORIES:
HEAT SOURCE:
SQ, FT,
$/SQ, FT,
VALUE
SQ, FTG MAIN
SQ, FTG ACCESS
X
X
SQ, FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
RCPT'
DATF
BY
1 BUILDING PERMIT
15% State
SurcharQe
I MECHANICAL
15% State
Surcharae
I PAVING
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/. "S""<..
PLUMBING
5% State
SurcharQe
I FENCE
VAl tJl= ~
'..'-I SiDEWALK
I CURBCUT
-
~
_I
I DEMOLITION
/ -:fi'; --
-7:/.
. "E~
1
FT,
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT,
- I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
7~ ?S-
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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.
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UN DERSLAl11lLu,vi';iOi\i..->
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 pla.clng concrete.
,CONCRETE SLAB: TO'be ,_
made after all lnsrab 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 coverlng 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
Insulatlon,.decklng 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,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
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ROUGH PLUMBING,
ELECTRICAL &
M€:3::.-//:3M.: 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 Speciaity Code
a special Inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testlng reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
_ excess of 2500 P,S,I. (306 a,1)
STRUCTURAL WELDS: .
Performed 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
agency, furnished to the City's
Building Division before
beams are placed, (2501 UBG.
STDS, 25-10,11),
STRUCTURAL MASONRY: (306
a,7)
-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.
Y , FINAL PLUMBING
-------------------------------------------------------
.,/
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
ATTIC DRAFT STOPS &
CURTAIN WALLS '
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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
piace and all pi pes. chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
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.
"i
rty^
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.
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,
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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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 th?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 pertaln.lng 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 OAS 701.055 will be used .on this project.
I further agree to ensure that all required Inspections' are requested at the proper time, that proi.ect address Is readable from the
street, that the permit card Is located at the front'of the property, and the approved se,t of plans will remaIn on the site at all
times durIng construction.
Slgnaturo
7- KL -rJ
VALIDATION:
AMOUNT RECEIVED' ?~ /_c;-
2/':::5/
RECEIPT #'
Date
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DATE PAID:
RECEIVED BY:
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