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Home My WebLink AboutPermit Plumbing 1993-6-2 I .. COMMERCIAL/INDUSTRIAL PERMIT APPLICATION . 225 Fifth Street, Springfield, Oregon 97477 ~ JOB NUMBER ~//S INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK: //~ /?"7!?'3-";1,):- ~ \rv,n....\ \1\.) ASSESSORS MAP: TAX LOT' o~- OWNER: 'V n-T ADDRESS- II q 0 CITY- ~ ()~rL \ - DESCRIPTION OF WORK: ,<,,,\,l^,~;~ 1-'; '?ltJ.. h^t,,y-,ja, +...!J..i',.k lu',tkf'L NEW REMODEL ADDITION DEMOLISH OTHER n t-I"-^ -r;;: , "'" (")...., ^. PHONF' ?J-0-lrtl(' STAT'" () R ZIP~ 1l{ '71 )6 ad 6.ab,J(',L 1fu..k -Botlt-- (/ 'GI ~(!..;t"N..... VALUE: NAME ADDRESS PHONE ARCHITECT' CONTRACTOR'S NAME ADDRESS CONST. CO NT RACTO R # GENERAl' PLUMBING:W~III<!> ~~ K MECHANICA' . ELECTRICAl' ~(618i?<1 EXPI RES I :J/IR/'1~ ~ , PHONE In '3 E'_~P~" POIif" "'I/. '(. ~B-fd-. rr f(4'i-ff50 PLUMBING MECHANICAL NO. FEE CHARGE Nn """ ~~.6Rn:1= Single Fixture Relocated Bldg. (new fix. addtl) Water Service Furnace/burner & vent <100.000 BTUs Furnace/burner & vent > 100.000 BTUs It. Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler Vent-FanlSingle duct Vent System apart from AC or htg. Mechanical exhaust hood and duct Sanitary Sewer Storm Sewer It. It. Backflow Device Permit Issuance $10.00 TOTAL PERMIT TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN: ZONING' LIGHTING POWER BUDGET: ~UAD AREA' LAN 0 USF' # OF BLDGS' # OF UNIT'" OCCY GROUP: CONSTR. TYPF' # OF STORIES: HEAT SOURCE: WATER HEATER' SO. FT. $/SO. FT. VALUE SO. FTG MAIN SO. FTG ACCESS X x SO. FTG OTHER X TOTAL VALUE OF PROJECT ?" t'.P.. - PLAN CHECK FEr RCPP DATF BY 1 BUILDING PERMIT' 15% State Surcharge I MECHANICAL 15% State Surcharae 1 PAVING PLUMBING 1~0J .'1~ DEMOLITION 5% State Surcharge FENCE VALUE $ SIDEWALK I CURBCUT FT. FT. SUBTOTAL PERMITS I SYSTEMS . DEVELOPMENT " TOTAL PERMIT FEES I EXCLUDING ELECTRICAl \<=J.Cf1{5 . REQUIRED INSPECTIONS I~ \ / . 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. (' Il ~ ~::;---... SITE INSPECTION: To be '-+--"([OUGH PlUMBIN'" .-/ PAVING: Alter gravel is in made after excavation, but \ E:l.::."'rRICJU.~ place but prior to placing prior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these inspections have been made and approved. 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. UNDERSLAB PLUMBING. . ELECTRICAL & MECHANICAL: To be made before any work Is covered. 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 01 2500 P.S.I. (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 alter 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: Plumbin9, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. FIRE & SEPARATION WALL: Located and constructed according to 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 alter 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.G. STDS. 25-10,11). FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of decking or f1~or sheathing. STRUCTURAL MASONRY: (306 a_7) *In addition to the inspec- tions specified, the Building Official may make or require CURB AND APPROACH other inspections 01 any ROOF SHEATHING AND APRONS: After forms are construction work to ensure NAILING: Prior to Installing erected but prior to placing compliance with the Building, (JanY roof covering. concrete. City or Development Code. y- FINAL~UM~NG-------------SITE~LAN~EVIEW~OARD:MUs~~requ:ted~~ay~~ad:nc~ . of the date you wish inspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before FINAL ELECTRICAL requesting this Inspection. 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. FINAL BUILDING: Requested after the Ilnal 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 pre"(J' :''!\',':'~n~ iLx-N\-' ~-, ~ ~ ~ FINAL MECHANICAL FINAL FIRE DEPARTMENT PLANS REVIEWED BY 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 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 t e permit card Is located at the fron the property. and the approved set of plans will remain on the site at all times durin construction. Date 1):-;::), 7~ Signatu~ VALlDATI~N: AMOUNTREC~~/~.~ RECEIPT#:_U (r)r) DATE PAID: ~~ h r-:.J-~ RECEIVED BYe, ^\~ [j). ~ )