HomeMy WebLinkAboutPermit Septic Tank 1996-6-18
COMMERCIAL/INDUSTRIAL ·
PERMIT APPLICATION
~
.
JOB NUMBER '9~ S"'/~
INSPECTION LINE: 726,3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: 2.tJ'7 rbyY;"", ~
ASSESSORS MAP:
,"" f)~ O?. r>(')
OWNER:.JlJilll1w1~t ~,
ADDRE~'" '11)0 ~n{~ U: I \ ~
CITY: ?PH~~.rJ
C17ovri-'? ~
TAX LO~9'JZ--
~
PHONE:
72h -4-~::??
STAT~. DIZ
"'f-~,pt;c..-1..dA ~ -t ~~ t.rLV~.
DEMOLISH OTHER
DESCRIP71 N OFWORK:J..vl~I~,M
NEW \ REMODEL ADDITION
ARCHITECT.
NAME
NDVU'/
CONTRACTOR'S NAME
ADDRESS
GENERA' .
PLUMBING:~f"\.ql ".f\
MECHANICA' .
ELECTRICAl'
ZIP: _q/4-'/_,
VALUE:
ADDRESS
PHONE
CONST.
CO NT RACTO R '
EXPIRES
PHONE
Af'\?n tft'\ i J\.~ \ Wf1,
I
I NO.
I
I
I
PLUMBING
I
FEE . CHARGE I
I
I
'70~
B''5. --1
I
/~.4
I
I
I
I
I I
I /~-S- I
Single Fixture
Relocated Bldg.
(new fix. addU)
Water Service
. ~~lt.
Sanitary Sewer
~II.
Storm Sewer
It.
I Backflow Device
TOTAL PERMIT
l2...b=1\~
MECHANICAL
Nn 1=1:1:
("UdDrn::
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/Single
duel
Vent System apart
Irom AC or hlg.
Mechanical exhaust
hood and duct
Permit Issuance
$10.00
TOTAL PERMIT
QUAD AREA-
LAND USF.
- OFFICE USE -
FLOOD PLAIN.
, OF BLDGS.
, OF UNITS:
OCCY GROUp.
CONSTR. TYPE:
, OF STORIES:
HEAT SOURCF.
SQ. FT.
.' $,/SO. FT.'
so. FTG MAl N
SQ. FTG ACCES"
SQ. FTG 9THE~
X
X
X
.;'"
PLAN CHECK FF~
RCPT'
I BUILDING PERMIT
15% State
Surcharae
I MECHANICAL
15% State
Surcharae
I PAVING
PLUMBING
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
CURBCUT
.
HANDICAP ACCESS.
ZONING:
. .
LIGHTING POWER BUDGET:
WATER HEATER.
VALUE
TOTAL VALUE OF PROJECT
OAF BY
It:.ift': #, I DEMOLITION
~~ . '-;F
SUBTOTAL
FT. PERMITS
SYSTEMS
FT. DEVELOPMENT
. I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
/78:Zd>
. REQUIRED INSPECTIONS .
It is the res~ponslbillty 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 addres.s, 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 f?rms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &'. ' , .
MECHANICAL: No work Is to
be covered until these
Inspections have been made
and app~ove_Pi
.. ,
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
" Section 306 of the State Specialty Code
. a special Inspector sh'all be's'mployed
by the Owner I Contractor during
construction of the 'following work. A
copy of the special testing. reports shall
be furnished to the Elulldrrig' Division.
FOOTIN'GS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In.place, but
prior to placing concrete.
, .
FIREPLACE: Prior to piaclng
facing materials and before
fr~ml~g Inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
S,TRUCTURAL CONCRETE: In
excess of 2500 P.S.L (306 a.1)
CONCRETE SLAB: To be
made aHer all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment Items are
I n place but before any
concrete is placed.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
y
UNDEf\GROUND: Plumbln,q.
electrical, gas,~C!nltary sewe~
storm sewer~nd
drainage lines. To be made
prior to coverlng or filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and requlmd.vapor
barriers are ~In place but ~ -..
before any lath or gypsum
board Interior wall coverlng is
applied. .
HIGH STREN.GTH 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 fioor
Insulation, decking or floor
sheathing.
LATH AND/OR GYPSUM
eOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is in
place but before any.,
plastering 15 applied. or. b~foro
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 UB.C.
STDS, 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
3.7)
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.
*In addition to the Inspec-
tions specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: AHer forms are
erected but pr:or to placing
concrete.
FINAL PLUMBING
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project conditions such as
landscap!ng, parking lot strIping, etc. must be completed before
requesting tills Inspection.
FINAL ELECTRICAL
FINAL BUILDING: Requested after the final plumbing, eiectrlcal,
FINAL MECHANICAL mechanical and Fire Department Inspections are mace and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
FINAL FIRE DEPARTMENT and posted on the premises.
ADDITIONAL COMMENTS: -If-I.- ~..?' !"7~A'"'.".y~_qv7'/L. J/~/fi'/f-A1-/?"-'V ~,,!f'
C"A'~P.; ~/T ~e=/V'~ ;:g~ ?;,.,2/S ~~/r.#. c>P< "'~:2'2'~
. ( . - - -
PLANS REVIEWED B~' . _
-"
"
nATE_'1"-~2 .~
. ji,ey: ~.Z:z."fitG
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 Sprlngfield, 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 OAS 701.055 will be us~d_ o"n ~thls project.
L.
I further agree to ensure that all required Inspect.I.9(lS are requested_ at- tl10 proper time, that project address Is readable from the
street, that the permit card is located at the froii:t of the property, 'and t:'e approved set of plans will remain on the site at all
tlm\.~ng construction. ,
Sign, ~'e) J"1 Y1 , ./ -l" 1~1!~ ~_~__.__ Date h - / J?'-C),/-",
.~ .1 ,f
VALldATION:'/ ,...... AMOUNT RE&"n9A,e \"'~.1f)
. .... .RECEIPT': ~rH
DATE PAID:~/~'CfJ../)
RECEIVED B'l:. )
-