HomeMy WebLinkAboutPermit Plumbing 1995-2-28
COM M ERCIALlIN DUSTRIAtt
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
~
. JOB NUMBER 94%7 "} ~d-
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INSPECTION LINE: 726.3769
OFFICE: 726.3759
ASSESSORS MAP'
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TAX LOl' tf':J 2GJ PO
LOCATION OF PROPOSED WORI<'
OWNER: Md..L T..eL
ADDR"'"'' ?-8~S-
CITY'
,
PHONE:~7 ~ - :lO/-f
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STAT"'~
ZIP:
97<./77
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DESCRIPTION OF WORK'
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'NEW
REMODEL
ADDITION ~
DEMOLISH
OTHER
VALU~,I_/-oo
NAME
ADDRESS
PHONE
ARCHITECT: JJ ~
(
CONTRACTOR'S NAME
GENERAL' U~
PLUMBING' T ~ ~
~
JP../,. ~
CONST,
CONTRACTOR' EXPIRES PHONE
c..c..g 17(,~ (./9' ~Jf. (I.f'f'-f
f
MECHANICA' .
ELECTRICAl'
PLtIMRINO I M"llli.ANI~AI
NO, ... r.~4ROI: I Nn """ I ,.l-Ill.Rn&:
/ Single Fixture /?J/;() I Furnace/burner & vent
< 100,000 BTUs
Relocated Bldg. I Furnace/burner & vent
(new fix. addtll > 100,000 BTUs
Water Service I I Floor furnace and vent
fl.
Sanitary Sewer 1 1 Suspended wall or floor I
II. mounted unit heater
Storm Sewer 1 1 Appliance Vent j
II. separate
I 1 Slatlonary evap. J
Backflow Device cooler
I I Vent Fan/Single J
duct
I 1 Vent System apart I
Irom AC or hlg.
I 1 MechanIcal exhaust I
hood and duct
I 1 j
I I Permit Issuance $10,00 I
TOTAL PERMIT jsf"Ol 1 TOTAL PERMIT J
- OFFICE USE - HANDICAP ACCESS:
aUAD AREA' LAND US.' FLOOD PLAIN:
. OF BLDG~' , OF UNIT1" ZONING'
OCCY GROUP' CONSTR. TYP'" LIGHTING POWER BUDGET:,
.
, OF STORIES' HEAT SOURCF' WATER HEATER'
sa. FT, $/sa, FT, VALUE
sa. FTG MAIN X
sa. FTG ACCES~ X
sa, FTG OTHER X .
TOTAL VALUE OF ,PROJErT
PLAN CHECK FEf
RCPT'
DATF
BY
I BUILDING PERMIT
15% Slate
SurchBme
I MECHANICAL
15% State
Surcharae
I PAVING
, PLUMBING
5% Stale 7.''-'' r
Surcharge I J ~/l
FENCE
VAllJE ~
SIO-eWALK
CURBCUT
15"'</
I ':).t)
, DEMOLITION
FT,
SUBTOTAL
PERM ITS
SYSTEMS
, DEVELOPMENT
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
/620
. REQUIRED INSPECTIONS. .
It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an Inapectlon, call
726.3769 (recorder), atate your City designated job number, Job address, type of Inspection requested and when you will be ready
for Inspection. Requesta received before 7:00 a,m, wlll'be made the aame working day, requests mnde after 7:00 a.m. win be made
the fOllowing work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
\
UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covared,
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
Inspectlona have been made
and approved.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
FOOTINGS & FOltNDATIONS:
To be made after trenches are
excavated and forma are
erected, all steel In placo, but.
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inapectlon.
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
tharough electrical, plumbing
and mechanical are approved,
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Coda
a special Inspactor ahan be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the apeclal teatlng reports shall
be furnished to the Building Division,
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
'made after alllnalab building
sorvlce equipment, conduit,
piping, accesaorles and other
ancillary equipment Items are
, In place but before any
concrete la placed.
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 a.l)
STRUCTURAL WELDS:
Performad on the job. (2722 f)
UN D ERFLOOF\l-flU mbl n g..>
elactrlcal, mecn'an'elll, To be
made prior to Installation of
IIoor Insulation, decking or
floor sheathing.
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During an bolt Installation and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage nnes. To be made
prior to covering or IIll1ng
trenches.
SPRAYED ON
FIREPROOFING: UB.c.
Standards 43.8.
x
SPECIAL GRADING, "
EXCAVATION AND FILLING:
During earthwork, (306 a.ll &
Chapter 29)
POST & BEAM: To be made
prior to Installation of IIoor
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
plaaterlng la applied or before
gypaum board joints and
fasteners are taped and
IInlshed.
GLU.LAM BEAMS: Inspection
Cartlflcate by an approved
'agency, furnlahed to the Clty'a
Building Division before
beama are placed, (2501 U.B.c.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or IIoor sheathing.
SIDEWALK'& DRIVEWAY:
Required for all concrete
paving within atraet right of
way, to be made after all
excavating complete and form
work and sub.base material In
place.
MASONRY, Steal location,
bond beams grouting or
verticals In accordance with
UBC 2415.
"In addition to the inspec.
tlons apeclfled, the Building
Olllclal may make or require
CURB AND APPROACH other Inapectlons 01 !,ny
ROOF SHEATHING AND APRONS, After forms are construction work to ensure
NAILING: Prior to Installing erected but prior to placing compnance with the Building,
any roof covering. concrete. City or Davelopment Code,
~-FI~~~M~~-------------~~~LAN~~IEW;OA~D:M:~~:;:te;~~~~~::;
" 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.
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 baen Issued by the Building Division
and poated on the premises,
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
OAT"
By signature, I slate and agree, that I have carefully examined the completed application and do hereby certify that all Information
herein Is trua 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 atructure without permission of the Building Safaty 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 ansure that atl required Inspectlon.s are requested at the proper time, that proJect address Is readabla 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 const!uctlon. ' ,
Slgnaturf'
A4J- ~". 5~
VALIDATION:
AMOUNT RECEIVED:
RECEIPT ':
/0 ?-o
/0f4!
, Oat., Y2-?(/7..~
DATE PAID: :2?S/'i.J
RECEIVED BY: f~c'