HomeMy WebLinkAboutPermit Plumbing 1998-11-2
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COM MERCIALlIN DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER ,9:;i>/'y$C~
INSPECTION LINE: 726,3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORi<' 11/5" ~7?~ ?~'Y~""~.7'-
ASSESSORS MAP: I?...c!:) 3 . 3~- ~/ TAX LOT' L"!)~,~
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DESCRiPTIONOFWORK:-h"~7Jt/1'~ ~/~~~ ~ ~oJIIf.-~ ~~
NEW REMODEL 7 ~a'"~N ~D~~ ~~,Z) /~ALUE~.-.-
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PHONE
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PHONF'
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OWNER'
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CITY:
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ZIP'
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NAME
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME
GENERAL: ~.-'....~.y~?\
PLUMBING'
ADD RESS
CaNST.
CO NT RACTO R .
EXPIRES
PHONE
NO,
PLUMBING
Single Fixture Yi1:;:1
Relocated Bldg, '
(new fix. addtll
Water Service
I FEE
61)"
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,FIlS rCMlVlI1 ::lHALL EXPIRE IF THE WORK
AI?II~R1ZfiJ UI~Ut:H I HIS PERMIT IS NOT
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"_roo ,rc."vr...<J vn '0 I\CI\I~UUNl:U FOR
A^'Y 1800" f-:"--
1 r"'\1 (nl\'I!J,
CHARGE i Nn
'2-/,/" I
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MECHANICAL
MECHANICA' .
ELECTRICA' .
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Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
/
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler ..
Vent Fan/~nole
duct b
Vent Sysl,im apart
from AC or htg.
MeChanical exhaust
hood and duct
$,1 '1/;.0 "
,1, ?S",,' />.N i
I /
It. 1.()
ft.
Sanitary Sewer
ft.
Storm Sewer
ft. I
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, ~7~.:~O~:Oregon law r~UireSI ou to
Nlltlflcatl~n-~~~t:"Thu uQ~"mre,}Jre90n Jtilily
. - . . "". .Jbc:- ~...... s ~4. ~U
~~ ~;~~?:::'O_~1.001 ~ through OAR-91 2:001:
. - -- .u,,-eblalll \.iUlJltfS r tne n lIes by
calling the center. /1\1 .
TOTA{I~~~~~~~~~;1u~~,~I~~~<~~~ifiC:ii~/' t D
- OFFICE USE -
Backflow Device
Permit Issuance
$10.00
z{,2..()
TOTAL PERMIT
OUAD AREA'
. OF BLOGS'
LAND USE:
HANDICAP ACCESS:
FLOOO PLAIN:
ZONING'
" OF UNIT~.
OCCY GROUP'
CONSTR. TYPF'
LIGHTING POWER BUDGET:
. OF STORIES:
HEAT SOURC~'
,
WATER HEATER'
SO.FT.
$ISO. FT.
VALUE
SO. FTG MAIN
sa. FTG ACCESS
X
x
SO. FTG OTHER
x
TOTAL VALUE OF PROJECT
PLAN CHECK FEF RC PP DAT~
I BUILOING PERMIT SI.50 ' PLUMBING 2-6,0()
15% State 2-D.) 5% State I. bO
Surcharge J'>~-I,70 Surcharge 3~. .II)
I MECHANICAL - FENCE
/S.OD VALUE $
15% State ~'i" .7~ I SIDEWALK
Surcharoe .~5 FT.
I PAVING I I CURBCUT FT.
BY
'DEMOLITION
1?IiN CI' FCf.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
8'0.00
/ 7fr,~ 3
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
lag 9. g3
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REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
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
made after excavation, but
prior to setup of forms.
UNOERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work 15 covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all:steel In place, but
prior to pla~lng concrete.
CONCRETE SLAB: To be
made after'all lnslab building
service equipment, conduit,
pi ping, accessories and other
ancillary equipment items are
in place but before 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.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decklng,or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prlar to Installing
any roof covering.
,/ FINAL PLUMBING
,/ FINAL ,ELECTRICAL
~INAL MECHANICAL
~INAL FIRE DEPARTMENT
f/..ECT
ADDITIONAL COMMENTS-
~ ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
Inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
1/ FRAMING: TO be made after
the roaf, 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.
/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.
. /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 jalnts and
fasteners are taped and
finished.
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accardance
Section 306 of the State Specialty Code
a special lns'pector 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.
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.c.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
Ourlng earthwork. (306 a.11 &
Chapter 29)
GLU,LAM BEAMS: Inspectlan
Certificate by an approved
. agency, furnished ta the City's
Building Division befare
beams are placed. (2501 U.B.C.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
*In addition to the Inspec,
tlons specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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
~uesting this Inspection.
.f/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.
fJE~MIT I<Et9VI;e!EtJ
PLANS REVIEWED BY
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! ;(AA
DATE .oj.! - 2.. - f8"
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 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. 1 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 ~onstructiJo~.. 0/11 #
Signature, ~~~": ~ Date +-1 - ? - C!(l2
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VALlOATlON:
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AMOUNT RECEIVEO'
RECEIPT ..
I x-r. 'f 5
!) '7.,/~ "3 I..(
1,.\
DATE PAID:
RECEIVEO BY'
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