HomeMy WebLinkAboutPermit Plumbing 1998-7-20
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
.
225 Fifth Street, Springfield, Oregon 97477{ ~ .:) (
LOCATION OF PROPOSED WORK: t~
/70 J7C, lJ
~
JOB NUMBER
q)j 0212
INSPECTION LINE: 726-3769
OFFICE: 726-3759
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ASSESSORS MAP:
TAX LOT:
0'1100 A
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VliAM.{ fA VVlc..Lk
ADDRESS: 1(, ')"/J fVit?1uJ - ~
CITY <;: /tJ /2-t iJ (;"" J
DESCRIPTION OF WORK' !2, ,O(t:. ~
\
ADDITION
OWNER'
PHONF'
STATF'
Or..
ZIP' <1!17 '177
NEW
REMODEL
"'''',''''A~ l~w\, vv,w
I
DEMOLISH OTHER
~
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR'
EXPIRES
PHONE
GENERA' .
PLUMBING:
!f)v-n iiA
s r;. JJ'fJv-
P\kM,,~-;- M~
1028 B g
t/V/91
Lr~4-o8oJ
MECHANICA' .
ELECTRICA' .
PLUMBING
NO.
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
It.
Sanitary Sewer / S-V It.
Storm Sewer
It.
Backflow Device
MECHANICAl
FEE
CHARGE
Nn
000
r:~hD(:;~
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
'10 'Iv
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
NOTICE:
THIS PERMIT SHALL E KPIRE I~ THF wmw
I AU fHOR/ZED UNDER' 'HIS PE~MIT 1,<; /)[nT
TOTAL PERM~MMt:NCED OR IS ABANDONEd#ClA~
",,,, 'Xlll titV D~~~X.
Permit Issuance
$10.00
TOTAL PERMIT
OUAD AREA'
- OFFICE USE -
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN:
. OF BLDGS:
. OF UNITS:
CONSTR. TYpo,
ZONIN'"
OCCY GROUP'
. OF STORIES'
HEAT SOURCF'
LIGHTING POWER BUDGET:
WATER'HEATER'
sa FT.
$/sa. FT.
VALUE
sa. FTG MAIN
sa. FTG ACCESS
sa. FTG OTHER
X
X
X
TOTAL VALUE OF .PROJECT
PLAN CHECK FEF RCPTN
I BUILDING PERMIT ' PLUMBING
15% State 5% State
Surcharoe Surcharae
I MECHANICAL I FENCE
VALUE $
15% State SIDEWALK
Surcharae FT.
I PAVING CURBCUT
FT.
DATF
BY
I '-Iv, i)u
'DEMOLITION
SUBTOTAL
PERMITS
I SYSTEMS
OEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
L{J. 2...()
.
REQUIRED INSPECTIONS
.
It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To r~quest an Inspection, carl
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 ROUGH PLUMBING,
made after excavation, but ELECTRICAL &
prior to setup of forms. 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.
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 Inspectlon.
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 e9ujpme~t items are
~e out Defore'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.
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 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on Ihe job. (2722 f)
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.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.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 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)
.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 I' construction work to ensure
NAILING: Prior to installing erected but prior to placing compliance with the BuildIng,
any roof covering. concrete. - \' , . City or Development Code.
-----------------------------~~~~~-~-~----~---~J~------
FINAL PLUMBING SITE PLAN REVIEW' BOARD: Must be requested 2 days in advance
of the date you wish inspection. An project conditions such as
landscaping, parking lot striping, 'etc. must be completed before
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 ELECTRICAL
FINAL MECHANICAL
FINAL BUILDING: Requested alter Ihe 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 premises.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTf"
PLANS REVIEWED BY
DAT"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th,?t 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 722S 10 ted e front of the property, and the approved set of plans will remain on the site at all
lImes dUring.c~~t~
SignatuL;fIky/t _ . Date~/r;~
7(Y~J-
VALIDATION:
AMOUNT RECEIVED' l( $, 2-u
030 ~I....
DATE PAID:
RECEIPT ..
RECEIVED BY: