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Home My WebLink AboutPermit Plumbing 1994-3-15 . COM M ERCIAL/I N DUSTRlAL PERMIT APPLICATION . 225 Fifth Street, Springfield, Oregon 97477 SPRINGFIELD ~ JOB NUMBER 9403l)~ . INSPECTION LINE: 726-3769 OFFICE: 726.3759 ASSESSORS MAP' /'7~?'" ;-J !>;(.. /l')a;1-\ <:'heet , _~~ 4/ ~J)J-I'''f,f.,'eld. o~, '17411 I ....., TAX LOT: ~~Z.~(!) LOCATION OF PROPOSED WORK. OWNER. 1=dUJrl.J-~ ADDRESS' 1 IS;;) )1)cl',,, CITY- "SDi-/ rnl.;.' e../.J I ISJ DESCRIPTION OF WORK: NEW REMODEL~ ADDITION $', ju . s:f;n:>.p-r. ~~.-..,.-;' .-i: ri ,I . __":.:.-: '1-::- .; \ '-'- STATE: f,t:e ~.I-\ c.wt/De1"' DUAf'ftlT' 7l':) LAt:t'~'O.-?u ,""7 ft- DEMOLISH OTHER PHONE: ( !)o3) 14:h-"":s6Q J srl- 2.7 3,. (,i'-f4~ ZIP:--.!3C14- 7'7 . NAME ADDRESS PHONE ,~ ,~. VALUE: ARCHITECT' f PLUMBING I MECHANICAL I NO. ~ FEE CHARGE I ...n I ... (":~.o.Rn~ I Single Fixture C; "!B=. /C.t1(!) Furnace/burner & vent I <100.000 BTUs Relocated Bld9. I I I Furnace/burner & vent I Inew fix. add! I) > 100.000 BTUs Water Service I I I Floor furnace and vent I ft. Sanitary Sewer I I I Suspended wall or floor I ft. mounted unit heater Storm Sewer I I I Appliance Vent I ft. separate Backflow Device I I I ..:......:.-......, ""'''''1''',: I I I I Venl Fan/Single I ducl I I I Vent System apart I from AC or hlg. I I I Mechanical exhaust I hood and duct I <::::A.(){) I I ~ i.JA.lc ; wI! S-~O I - I I I,;"u.-' Permit Issuance $10.00 TOTAL PERMIT 1.5~1 I TOTAL PERMIT M>/~ ISf'D I - OFFICE USE - HANDICAP ACCESS: QUAD ARE~' LAND USE: FLOOD PLAIN: . OF BLDG~. . OF UNITS: ZONING: OCCY GROUP' CONSTR. TYp., LIGHTING POWER BUDGET: . OF STORIES: HEAT SOURC.' WATER HEATER' SQ. FT. $/ SQ. FT. VALUE SQ. FTG MAIN SQ. FTG ACCESS x x SQ. FTG OTHER - X TOTAL VALUE OF PROJECT PLAN CHECK FEE RCPT' DATF BY I BUILDING PERMIT /5% State Surcharge I MECHANICAL /$~ 5% State Surcharoe PAVI NG PLUMBING ~~~ -- . --'- .;0. :::l.C:;U:z.r I f"ocmO' I SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT I I::J ,-v /t!:i>."" It .7$ I 5% State Surcharoe I FENCE VALUE $ I SIDEWALK I CURB CUT FT. FT. -- 'Ifi ;"l~ - -- rs: TOTAL PERMIT FEES .:::f!ib : (p'" EXCLUDING ELECTRICAl . 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. 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 have been made and approved. PAVING: After gravel is in place but prior. to placing as phalt or concrete. 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 framing Inspection. 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 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 all pipes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. STRUCTURAL CONCRETE: In excess of 2500 PS.1. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to in~tallation of floor insulation, decking or floor sheathing. INSULATION & VAPOR BARRIER:'To be madea:!ter 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 43.8. UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and d ral nage II nes. To be made prior to covering or filling trenches. 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 within street right of way, to be made after all excavating complete and form work and sub-base material in place. *In addition to the inspec. t10ns specified, the Building Official may make or require other Inspections of any construction work to ensure compliance with the Bullding, City or Development Code. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ------------------------------------------------------- . . .... 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. 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. FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: 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 $afety Division. I further certify that only contractors and employees who are in compltance with ORS 701.055 will. be used on thlsprojecl. I further agree to ensure that all required Inspectipns are requested at the proper time, that project address is readable from the street, tha't the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. . .". . Sign~ ~.-/~ ./ >( VV' Date ? /tj-/Yt. ( I .;S) I ",1'11.{ 1SY3 RECEIPT N' ld-\.~O ItCP,(... DATE PAID: RECEIVED BY' VALIDATION: AMOUNT RECEIVED: :' . COMM ERCIAL/IN DUSTRIAL PERMIT APPLICATION . 225 Fifth Street, Springfield, Oregon 97477 SPRINGFIELD ~ JOB NUMBER ~7"o '3t:::5r:;:::, , ' INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK' j/?<. I '/-4?3...:;1S- c; / ~:9"/~ ~--. ..,--.' .// ~ ~--=-- ' ASSESSORS MAP' TAX LOT: .0 t;I:?6<!S CITY' ~J")'-"~7) ~~~ - ...'l"~- "::;~.2) _ _ STATF" ~ . , DESCRIPTION OF WORI" ~ ,-,-,.--~?- <<~;r?T -..,...-./?:;:. NEW REMODEL ~ ADDITION DEMOLISH C;r c.-I PHONF' ?y~ -S-~ :;:y OWNER' " ADDRESS' ZIP' "7::::>0/':::;:>'":> /'" ...4.:::--:. ..../ j ~? _ OTHER - - ~ _--.~ VALUE: .? ~-".... NAME ADDRESS PHONE ARCHITECT' CONST. CONTRACTOR'S NAME 1'l ADDRE~.2"Y?~~ #~TRACTOR # EXPIRES PHONE GENERAl' ~4'Z: Y.4~ ~.'1)- ?~~Z">~-.~?.......", ~sr:re>_:<~ 7Y?-$/bY~' /~{/. .,y-. '.-, -.'./ -r , ~ .- PLUMBING' - MECHANICA' . .e...r ELECTRICAl' . '1 PLUMBING M EC HAN leAL I NO. FEE CHARGE Nn 000 rl-l.Q.tU'::1= -I Single Fixture Furnace/burner & vent 1 <100.000 BTUs Relocated Bldg. Furnace/burner & vent I (new fix. addtl) >100.000 BTUs Water Service Floor furnace and vent I It. Sanitary Sewer Suspended wall or floor I It. mounted unit heater Storm Sewer Appliance Vent 1 It. separate Stationaryevap. I Backtlow Device cooler Vent FanfSingle 1 duct Vent System apart I from AC or htg. Mechanical exhaust I hood and duct I Permit Issuance $10.00 I TOTAL PERMIT TOTAL PERMIT 1 - OFFICE USE - HANOICAP ACCESS: flOOD PLAIN: ZONING: OUAD AREA: LAND US" # OF BLDG'" # OF UNITS' CONSTR. TYpo. LIGHTING POWER BUDGET: OCCY GROUP' # OF STORIES: HEAT SOURCF' WATER HEATER' SO. FT. $/SO. FT. VALUE SO. FTG MAl N SO. FTG ACCESS X SO. FTG OTHER X /f/:;:~~ ~ --::? &.-- ~ , TOTAL VALUE OF PROJECT PLAN CHECK FE.E -:Z~C$?> RCPP DATF BY 1 BUILDING PERMIT 15% State Surcharoe 1 MECHANICAL 15% State Surcharoe~ 1 PAVING ? &.5&> 1-tt?"3 PLUMBING I DEMOLITION 5% State Surcharoe 1 FENCE VALUE $ 1 SIDEWALK I CURBCUT FT. FT. SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICAl ~ '5"'. 7"6" 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. wilt 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. . UNDERSlAB PLUMBING, . ELECTRICAL & MECHANICAL: To be made before any work Is covered. v 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 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 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 floorsheathlng. MASONRY: Steel location, bond beams grouting or verticals in accordance with USC 2415. ROOF SHEATHING AND NAiliNG: Prior to installing any roof coverIng. X' FINAL PLUMBING y FINAL ELECTRICAL A". FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: REQUIRED INSPECTIONS . y PAVING: After gravel is In place but prior to placing asphalt or concrete. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Owner! 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) .v 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. HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 . a.6) STRUCTURAL WELDS: Performed on.the job. (2722 f) y 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.SC. Standards 43-8. . FIRE & SEPARATION WAll: Located and constructed according to plans. y GLU.lAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before , beams are placed. (2501 U.SC. STDS. 25-10,11). 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. 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. "In addition to the inspec- tions specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. . CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. 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. y 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 SY ~/~-- , 'l'~' DAT~ ~~/6 --:py 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 co,nstructloYl.-=-- Signature lIMA I...~ Datp ~- t()~t:f- t AMOUNT RECEIVED: VALIDATION: RECEIPT .. ~S'. ~.G 1/ R9 2- DATE PAID' "3 - /t:> -~ <7 RECEIVED BY' d~2~7 -'/