HomeMy WebLinkAboutPermit Plumbing 1998-6-17
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COM M ERCIALlI N DUST RIAL
PERMIT APPLICATION
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Ala:.,'I SoT
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JOB NUMBER q<60 7 ~ 0
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK' i 1../ 1../'1
110'3>"h
TAX LOT'
(; '] 0""'<.)
ASSESSORS MAP'
OWNER' J.o.... LaYlder,,<..... PHONE:_<11, 3 fljStl
ADDRESS' Il-ft.(tj M c.,' '^ <;1'
CITY' 5,Pr:V\o..-\'.'old STATF' IJR.. ZIP: 9f:7-C;f:Jf:;z
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DESCRIPTIONOFWORK:~~J"'_ ~-f>"'1';~ 1Jr'",,,,1 ~ ~",s.T",)1 &vtor1t..r
NEW REMODEL -f- ADDITION DEMOLISH OTHER VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICA' .
NuTICE; C.9t:J.ST..
ffl&P~MIT SHALL EXPIRE IFc01llI~~ .
l\uTri;;;:UZ:E: ~tlC'=D T~I~ PFRMIT IS NOT
~:;MMCtlCE,) 0D I~ ARANOONED FOR
.'1tl'! '9~ (It-V PERIOD,
EXPIRES
PHONE
GENERA' .
PLUMBING'
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-~
PLUMBING
MECHANICAL
Single FIxture
Relocated Bldg.
Inew Ilx. addU)
Water Service
I FEE
10
1
CHARGE
'Z-v
Nn
000
(,,:I-IAR~I=
NO.
Z-
Furnace/burner & vent
< 100.000 BTUs
Furnacel burner & vent
> 100.000 BTUs
It.
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 htg.
Mechanical exhaust
hood-and duct
;
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
Permit Issuance
$10.00
TOTAL PERMIT
2-0
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
OUAD AREA:'
LAND USE:
. OF BLDGS'
. OF UNIT'"
OCCY GROUP:
CONSTR. TYpo.
. OF STORIE~'
H EAT SOURCE:
WATER HEATER'
Sa. FT.
$/ SQ, FT.
VALUE
SO. FTG MAIN
x
SO. FTG ACCES~
X
SQ, FTG OTH ER
x
PLAN CHECK FEF
TOTAL VALUE OF ,PROJECT
RC PI' DATF BY
, PLUMBING '2-0. 00 ' DEMOLITION
5% State I. &0 /. ~5
Surcharge
FENCE I
VALUE $
SIDEWALK ..., .SUBTOTAL , I:
FT. 'PERM ITS' "
1 CURBCUT SYSTEMS. "I
FT, . DEVELOPMENT
I BUILDING PERMIT
5 % State
SurchalJle
MECHANICAL
15% State \
Surcharae ~ I .,
I PAVING
I,
\
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
?J {, ()
.
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REQUIRED INSPECTIONS
It Is the responsIbility of the permit holder to see that alllnsp':ectlons are made at the proper time. To request an Inspection, call
726.3769 (recorder), state your City designated Job nur::rreer, Job aiss, type of Inspection requested and when you will be ready
for Inspection. Requests received before 7:0 . . will e made the me working day, requests made after 7:00 a.m. will be made
the following II/ark day. :
SITE INSPECTION: To be ROUGH Pl BING, PAVING: After gravel is in
made after excavation, but ElECTl!lCAl & place but prior to placing
prIor to setup of forms. MECHANICAL: No work Is to asphalt or concrete.
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 Owner/. Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
UNDERSlAB PLUMBING,
ELECTRICAL &
MECHANIC~l: 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 of 2500 PS.1. (306 a.1)
STRUCTURAL WElOS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d ral nage II nes, 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 I
board Interior wall coverl~g Is
applied. ' ,
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: u.S,C.
Standards 43.8.
UNDERFlOOR: Plumbing,
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 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's
Building Division before
beams are placed. (2501 U.S.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)
*In addition to the inspec-
tions specified, the Building
Official may make or require
CURB AND APPROACH other Inspections of 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,
r: d~.ty ~of covering. concrete. City or Development Code,
( ---~~J~UM~NG-------------SITE~lAN~EV~W~OA;D:M:~~reqUes:;2~ay~~::nc~
__-;..~-_u. 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 MECHANICAL
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 FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWEO BY
OAT"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thpt 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
wHl 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
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Date-
/7~t! rg
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VALIDATION:
AMOUNT RECEIVED:
RECEIPT #.
'2/to
(J563C7-
OATE PAID:
RECEIVED BY:
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