HomeMy WebLinkAboutPermit Plumbing 1997-7-3
.
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
~
.
JOB NUMBER c:;.?...... ~-.a
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK'
~
2~C> .~.hY'
ASSESSORS MAP' ,r>~ -_'3~-/.o/
OWNER' -;:;"7~ p:f"?J'.r~
ADDRESS: ? /~~, ~ ~~ - '7 ~ 752-
€-~~
TAX LOT'
~..."..----
PHONE: 64!ii::6-266":>'
NEW
REMODEL
~r....._~
" ,
ADDITION
STATE: _~~ ~ 'ZIp: 7?~, ~-
7~~~ :?A?€"'~~~~ ~y.-"V ~~~
CITY'
DESCRIPTION OF WORK:
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
GENERA' .
PLUMBING:
ADDRESS
CaNST,
CONTRACTOR N
EXPIRES PHONE
',., Ii
'~
-
~r'
~
MECHANICA' '
ELECTRICAl'
PLUMBING
NO
FEE
I
~HARG' j
I
I
7.<::'.-1
/-;a -
Mr:CHANICAL
'''' ~~~ ("l-.l4Dr.U::
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
SuspenCled wall or floor
mounted unIt heater
Appliance Vent I
separate
Stationary evap. I
cooler
Vent Fan/Single I
duct
Vent System apart I
from AC or htg. .
Mechanical exhaust I
hood and duct
I
Permit Issuance. $10.00 I
TOTAL PERMIT I
Single Fixture
Relocated Bldg,
(new fix, addtll
Water Service
ft,
Sanitary Sew'!!.. ;.1
, , --? -7'.0 It.
Storm Sewer
7~ ft,
Backflow Device
1
'/
I
I
I
I TOTAL PERMIT
I
I
I
"2~4
- OFFICE USE -
HANDICAP ACCESS:
FLOOO PLAIN'
ZONING: '
LIGHTING POWER BUDGET:
WATER HEATER'
QUAD AREA'
. OF BLDGF'
LAND U"~'
· OF UNITF'
OCCY GROUP'
. OF STORIES:
CONSTR. TYPF'
HEAT SOURCF'
SO. FT,
$/ SQ. FT.
VALUE
SO, FTG MAIN
x
X
X
SO, FTG ACCES"
SQ, FTG OTHER
TOTAL VALUE OF ,PROJECT
PLAN CHECK FE!:
RCPTN
DAT~
BY
I BUILDING PERMIT
15% State
Surcharoe
I MECHANICAL
15% Slate
Surcharae
I PAVING
PLUMBING
5% State
Surcharoe
I FENCE
V"II~ t
I SIO-EWALK
I CURBCUT
~
~-
'0. .....
h .-'"
I DEMOLITION
I
J
I
I
I
FT,
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
FT,
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
::4/6. --
.
.
Itla the respOnsibility of the permit holder to see that ell Inspections are made at the proper time, To request an Inspection, cal
726.3769 (recorder), state your City designated Job number, Job address, type of Inspection requested and when yOU will be read,
for Inspection. Requeata received before 7:00 a,m. will be made the same working day, requests made after 7:00 a,m, will be mad,
the following work day.
SITE INSPECTION: To be,
made after excavation, but
prior to setup of forms.
REQUIRED INSPECTIONS
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 hsve been made
and approved.'
PAVING: After 'gravel Is In
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made after trenches Bre
excavated and forms are ~
erected, all steel In place, but
prior to placing c.oncrete.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Coda
a special Inspector shalt be employed
by the Ownerl Contractor during
construction 01 the fOllowing Work. A
copy of the special testing reports shall
be furnished to the BUilding Division,
FIREPLACE: Prior to placing
facing materIals and before
framing Inspection,
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 after
the roof, all framing, fire
blocking and bracing are In
place and alt pipes, Chimneys
and vents are complete and
the "rough electrical, plumbing
and mechanlca' are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 S,l)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
<
UNDERGROUND: Plumbing,
electrical, gas, s::InJt::tQ1 qPWA',
~torm ~'llWlr.,water and
aralnage 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
tightening operations, (306
a.6)
SPRAYED ON
FIREPROOFING: U,B,C,
Standards 43.6,
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,ll &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
LATH ANDIOR 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 Clty'a
Building Division before
beams are placed, (2501 U,B,C,
STDS, 25'10,11),
STRUCTURAL MASONRY: (306
e,7)
FLOOR INSULATtON &
VAPOR BARRIERS: To be
made prior to Inslallatlon 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.
.'n addition to the Inspec.
tlons specified, the Building
Official may make or require
CURB AND APPROACH other Inspectlone of any
ROOF SHEATHING AND APRONS: After forms are construction work to enau'e
NAILING: Prior to Installing erected but prior to placing ~rt~~;a~;:e~I~';,,~~~ g~~~~ng,
any roof covering. concrete, _______________________
-----------------------
--------- SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
FINAL PLUMBING of the date you wish Inspection. All project conditions such as
landscapIng, parking lot stripIng, etc. must ~e completed before
requesting this Inspection,
FINAL BUILDING: 'Requeeted efter the final plumbing, alectrlcal,
mechanical and FIre Department Inspections Bra made end
. approved No occupancy of the premises can be made until 8
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT!'"
PLANS REVIEWED BY
-----
/ /,r~
//
DATE
7"'~~,?
t d a IIcatlon and do hereby certify thl't all Information
By signature, I etate and ~g~~~ :~~:tlh~~v;e~~~~f~~~ ~~~~~:~I;h::r~~~~~o~me~Psha~ ~a do~:~n hae~:f~d:~~~h~~t~~h~g~~~~~c~~
~~;~~ gt;~7 ;~~nCg~;~~~, 'and the Law:r~I~~~o~t~:~~: ~~~~f:gP;a7:~~I~I~I~~;~,eI7u~;he::~~lIy that onl; contractors and employees
will be made of any structure without p d on this project.
who are In compliance with ORS 701,055 will be use time that project address Is readable from the
I further agree to ensure that all required Inhsp~~t~~n:f ~~eer:~;::t~~ ::'~ht~~r~~;;oved 'set of plans will remain on the site at all
street, thai Ihe permit card Is located at t e, r ,
limes during consn 11'/4 Date 1/-1 ~ ?--
","""" j r I' ;. 7_ -y..,
"7 #' o.c:o DATE PAID' /'" .
AMOUNT RECEIVED: {D. (' :;(' ........~
VALIDATION: 2&5/~ RECEIVED BV: r./';'" ~
RECEIPT N', ""