HomeMy WebLinkAboutPermit Plumbing 1995-8-8
COMM ERCIAL/lN DUSTRIAL
PERMIT APPLICATION
225 Fi fth Street, Spri ngfield, Oregon 97477
LOCATION OF PROPOSE~ Wffi .::5 \L\: Q ~~_O_O t
ASSESSORS MAP' \ 1 2lo j4- .
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JOB NUMBER
q~l
INSPECTION LINE: 726.3769
OFFICE: 726-3759
TAX LOT: r)sSCJ~
PHONE: ~<\ 1. \ lo I{)
OWNER:~u=IDrt ~\:,.~ l'!ltM
ADDRESh -?SJ ~ ~ -
CITY. LAJQQ 1\0 -' - - STATE: ~ ZIP: Gtl44(J
~ ' -
DESCRIPTION OF WORK' \ \C\L\ \. \. f\O) 4- \. ~-\\).. ~ (10..-12\ '"^ )~\i~
REMODEL - \ ADDITION . DEM~ISH OTH~R\ . VALUE:
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I TOTAL PERMIT
NEW
NAME
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
GENERAL:
:~~MH:::Al \' t\t\ ~ffiC\ f\ ~,tmb
ELECTRICAl.
PLUMBING
NO.
FEE
CHARGE
Single Fixture
Relocated Bldg.
(new fix. addll)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
- OFFICE USE -
~UAD AREA:
LAN D USE:
II OF BLDGS.
II OF UNITS:
OCCY GROUP:
CONSTR. TYPE:
HEAT SOURCE.
II OF STORIES:
S9. FT.
$/SO. FT.
SO, FTG MAIN
SO, FTG ACCESS
SO, FTG OTHER
x v
x
x
PLAN CHECK FEE
RCPTiI
DATF
, BUILDING PERMIT
/5% State
SurcharQe
I MECHANICAL
15% State
SurcharQe '"
I ~'INC. 2J?IJ
~
I PLUMBI NG
15% State
Su rcharge
FENCE
. VALUE $
SIDEWALK
\S~
.15
I .~~
, "\LJ.W
FT.
I CURBCUT
FT.
PHONE
CO NST.
CONTRACTOR II
EXPIRES
PHONE
~4.51??
MECHANICAL
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r.I-\ARG.i
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Nn
1=1=1=
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
Stat ionary evap,
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
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$10,00 ,j
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Permit Issuance
HANDICAP ACCESS.
FLOOD-PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
TOTAL VALUE OF PROJECT
BY
I DEMOLITION
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
~\O.~()
REQUIRED INSPECTIONS
It is the responsibility of the perm'it holder to see that all inspections are made at the proper time. To request an inspection, call
726-3769 (recl?rder), st~te you~ City designated job number, job address, type of inspection requested and when you wLII 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.
UNDERSLAB PLUMt;3ING,
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 approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be m'ade after trenches are
excavated and forms are
erected, all steel in p.lace, but
prior to placing'conc'rete.
FIREPLACE: Prior to placing
facing materials and before
frami ng inspection.
FRAMING: To be made after
the roof, all framl ng, fi re
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved,
" CONCRETE SU~B: 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.
L~DERG~O D: Plumbing,
electrical, s sanitary sewer,
stor,mse , water and
'drainage lines. To be made
prior to covering or filling
trenches, -
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
appl ied.
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.
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
fi nlshed.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMBING
PAVING: After gravel is in
place but prior to placing
asphalt or concrete,
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ 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 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
HI~H STRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U.BG.
Standards 43-8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
Du ri ng earthwork. (306 a,11 &
Chapter 29)
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),
STRUCTURAL MASONRY: (306
a.7) ~
L/ --An'r\~~~(}Q
. ~('\\P
-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.
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection, All project conditions such as
.Iandscaping, parking lot striping, etc, must be completed before
requesting this Inspection,
FINAL ELECTRICAL
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,
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thflt 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 . 55 will be used on this project.
I further agree to ens e that a requ' ed inspections are requested at the proper time, that project ~ddress i adable from the
street, that the per card' loc d at the front of the property, and the approved set of plans will r. ain n the site at all
times uring con uction 7 4/
Date d'/ Y /~
~.~.y-~
RECEIVED BY: 'r1\~
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
VALIDATION:
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AMOUNT RECEIVE~: ~(n'
RECEIPT #: \ ~~ ::'5
'd-U
DATF
DATE PAID:'