HomeMy WebLinkAboutPermit Plumbing 1994-10-12
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COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
~SP~R'NC.'ELD -JOB NUMBER C\4l }-\4QI
..~ INSPECTION LINE; 726.3769
~.J' OFFICE: 726.3759
((')~'ffi\0L0) ~t
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225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORI<' (\ 'Y'f)~
ASSESSORS MAP' \ \'{)3/dW~
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OWNER: V~C\ ~5,c1\\)\OY\0~ PHONE: \.pY\' '~'I
ADDRESS~() ~~~~~\\b\t 5~o ~h~noc. \-lcnr\)
CITY- c;, 1 'Y)p f\o ~ STATE: \. ~ Q 7\f""'i"Y""- ZIP' C\("'f\Qc:::..
-- ~ ~-\....-J
DESCR~;TlONOFW9~' t\\-Lo ~~\~(\ \. ~~1J
. NEW REMODEL - '\ ADDITION DE~OLl~H OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERAl' _\
PLUMBI~ \J\~~ ~N ftT n ,
ADDRESS
CONST.
CO NT RACTO R .
EXPI RES
PHONE
\ at \\Q\6\-
I}\\q~ ~~S-3at
MECHANICAL'
ELECTRICA' .
I
I J>lQ,
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"u.~-- ',1 MECHANICAL ,
PLUMBING "I:lARGE-l
FEE I "''' I eee
Single Fixture C{)~\ Furnace/burner & vent
< 100.000 BTUs
Relocated Bldg. Furnace/burner & vent I
lnew fix. addtll > 100.000 BTUs
Water Service I Floor furnace and vent I
It.
Sanitary Sewer I Suspended wall or floor I
fl. mounted unit heater
Storm Sewer I Appliance Vent I
It. separate
I Stationary evap. I
Backflow Device cooler
I Vent Fan/Single I
duct
I Vent System apart I
from AC or htg.
Mechanical exhaust I
hood and duct
I
I
I
, I
I
I
I
I TOTAL PERMIT
Permit Issuance
S10.00
TOTAL PERMIT
- OFFICE USE -
LAND USF'
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING'
aUAD AREA"
. OF SLOGS:
. OF UNIT~'
OCCY GROUP'
· OF STORIES'
CONSTR. TYp.,
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
sa. FT.
s/sa. FT.
VALUE
sa. FTG MAIN
sa. FTG ACCF~~
x
x
sa. FTG OTHER
x
TOTAL VALUE OF PROJECT
PLAN CHECK FE.E
RCPP
OAT.
BY _
I BUILDING PERMIT '
15% State
SurcharQe
I MECHANICAL
15% State
Surcharoe
I PAVING.
I PLUMBI NG
I 5% State
Surcharge
1~_8~
ISiDE'WAL~
FT.
I CURBCUT
FT.
~().0:?
~';::)UO
I ."'::::>
DEMOLITION
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I
~C)..CCJ I
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I
I
I(Y\~ j
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
.
REQUIRED INSPECTIONS
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It Is the responsibility of the permit holder to see that all Inspections are made at the pr..per time. To request an Inspection, call
726.3769 (recorder), state your City designated job number, lob address, type of Inspection requested and when you will be ready
for Inspection. Req.uests received before 7:0~a.m ill be made th Ing day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be ROUGH LUMBING PAVING: Alter gravel Is In
made after excavation, but ELECTR CAL & place but prior to placing
prior to setup of forms. MECHA: No work Is to asphalt or concrete: "
be covered until these
Inspections have been made
and approved.
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.
,
I,
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
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 electrlca], plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tlghten]ng operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior wcoverlng or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
FLOOR, INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
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.BC.
STDS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
POST & BEAM: To be made
prior to, Installation of floor
Insulation, decking or floor
sheathing.
'In addition to the Inspec.
tlons 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,
~_ any roof covering. concrete. City or Development Code.
\. ~ FINAL -;LUM;NG ------------- SITE -;:LAN -;EVIEW -;;OA-;D: MUS;-b-:- requ:ted-2-:;::-I;;- ad:::-
I of the date you wish Inspection. All prolect 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 IFIRE DEPARTMENT
FINAL BUILDING: Requested alter 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.
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FINAL MECHANICAL
ADDITIONAL COMMENTS'
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 1 further certify that any and all work performed shall be done In accordance with thE.Or9lnances
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 Dlvls]on. 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 constructl~n. , ' /
SlgnatuY /'~ ~/(~ -' Date /0//2-/94
/) ,r ___ ~ ./
VALIDJION: AMOUNT RECEIVED: ~Ll) DATE PAID: ~, ~) , /:l..C1:l-
/ RECEIPT N' ,< .J\ .I ~ RECEIVED B~l U '.