HomeMy WebLinkAboutPermit Plumbing 1994-10-20
COMMERCIAL/INDUSTRIAL -
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
.~
.
JOB NUMBER
9'7"/'5":27
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK' //9?' MA--'~~?
/? '~7- "'?$"" ~ 9'/
'/
ASSESSORS MAP'
,
TAX LOT: ,c!:> ~~O
{,~;
-~ ~'
/.,.m-~/ ~~~
~~/
PHONE:
???-?~/7
ADDRESS:
CITY'
STATF'
~.
ZIP'
..-;. ./ o/? .)
DESCRIPTION OF WORK'
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
DEMOLISH OTHER VALUE: ~t
ADDRESS PHONE }t~
CONST. 'lI
CONTRACTOR' EXPIRES PHONE
'NEW
REMODEL
ADDITION
NAME
GENERA" ~-' _ _ ,
/"::- . U --- I' 7J-/ .p
PLUMBING:~-2 c...AT?(, "'-?c:::..--.......,,, ,.,.. - _~,-r:>~? '7'~2? ~y?~~....yy '8
. ~ r - '/"" ~ - . r . 'r - r ..
MECHANICAl'
ELECTRICA' .
I
I NO,
I .z -
I
I
I
I
FEE
r.HAllGE I
<""'=--
.."
MEr.HANIr.AL
I
~oo
r~UR~r:: I
I
I
I
J
I
I
I
I
I
I
$10.00 J
I
PLUMBING
SIn91e Fixture
Relocated Bldg.
(new fix. addtll
Water Service
/t!?
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
fl.
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
sanitary Sewer
It.
Storm Sewer
fl.
Backflow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
OUAD AREA'
. OF BLDGS'
LAND USo.
I OF UNIT~'
OCCY GROUP:
I OF STORIES:
CONSTR. TYpo.
HEAT SOURCE:
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
SO. FTG ACCES~
X
X
SO. FTG OTHER
X
TOTAL VALUE OF .PROJECT
PLAN CHECK FEF
RCPTI
DATO
BY
I BUILDING PERMIT
15% State
Surchar~_e
MECHANICAL
I PLUMBING
5% State
Surcharae
PAVING
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
CURBCUT
~
2t;P, ~
~ .-...
-tf.o
I DEMOLITION
FT.
FT.
SUBTOTAL
PE RM ITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
=< ~. 6<::)
1
. R~QUIRED INSPECTIONS ~
It Is the responsibility of the permit holder to see that all Inspections are made at the proper lime. To request an Inspecllon, call
726-3769 (recorder), state your City designated job number,lob 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.
x
ROUGH::l@iMBING,)
ELECTRICAL a;
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
asphalt or 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.
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 pi pes, 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 Ownerl Contractor during
construction of the following work. A
copy of the special tesllng reports shall
be furnished to the Building Division.
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAtN WALLS
FOOTINGS & FOI1NDATIONS:
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 PS.1. (306 a.l)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Inatallallon of .
floor Insulation, decking or
floor sheathing.
INSULATION & VAPOR
BARRIER: To be made atter 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 opera lions. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON .
FIREPROOFING: U.B.c.
Standards 43.6.
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 AND/OR GYPSUM
BOARD: To be made atter 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 INSULATtON &
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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'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.
V" FINAL PLUMBING
FINAL ELECTRICAL
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.
r
FINAL MECHANICAL
FINAL BUILDING: Requested atter 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 FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DATF
By signature, I state and agree, that I have carefully examined the completed appllcallon 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 slle at all
times during construction.
Signature
~~~
_)k~
Oatf"
/C:?-d)- 0,- 7/
VALIDATION:
AMOUNT RECEIVED:
/-7/o/S-
'A.-..............~
7~ DATE PAID:
RECEIVED BY:
/&,.<.".~?.,....
.4 ~~...-_ .
-"/~ .
RECEIPT ..