HomeMy WebLinkAboutPermit Plumbing 1996-2-13
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CO M M ERC IALII N DUST R IA L
PERMIT APPLICATION
JOB NUMBER
9.6'0/&::>
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK: 5'-=3 =3 c::;;:;
AS~ESSORS MAP: '1_7....~3- 2.~ L/~
TAX LOT: c:tt::::>6o y
OWNER: ,~~~/ /-"Y ,tJ/~~~
ADDRESS: /&/t!; .~C~ ,~JLF
4pA.~_
~ ~ /
DESCRIPTION OF WORK: ~/~L(
, r, -,
REMODEL K ADDITION
PHONE:
77//~~~'
CITY:
ZIP: q? ~;:>$
~ . ,
~ /~.~? ~~ ~~~/_~ 3iec.:'~~"
VALUE:.J~ .;.~~
STATE: _~~.
NEW
DEMOLISH
OTHER
NAME
ADDRES,S
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
CONST,
'CONTRACTOR #
EXPIRES
PHONE
GENERAl'
PLUMBING' ' , ' .
, . ./' '"2I'//~r.c~~p>.
MECHANICAL~ ~~E~a.-~/~dfiT&;;~~~:;::x'/~ ~?~/-r;.'9? 9y?-o/2?
ELECTRIC,AI'
\,
I I MECHANICAL I
CHARGE I I Nn ~~~ I r.HARn~ I
I I Furnace/burner & vent I
< 100,000 BTUs
I I Furnace/burner & vent I
>100,000 BTUs
I I Floor furnace and vent I
I I Suspended wall or floor I I
mounted unit heater
J I 7 Appliance Vent f;L~ /?p~1
separate/,~AY~'7> ....~
I I Stationaryevap, ' , I
cooler
--1 I Vent Fan I Single
duct
J I Vent System apart
I from AC or htg,
I I -I I Mechanical exhaust r
hood and duct
I I I I~ ~7)-)!fl.:;. 7... tYt:> ,
I ' I I ~ ,_ w .
Permit Issuance $10,00
I I I TOTAL PERMIT ~~. ~?: ~C;1!
I' 0 -
PLUMBING'
NO, I , , FEE
Single Fixture
Relocated Bldg, I
(new fix, addtl)
Water Service I
ft.
Sanitary Sewer I
I ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
QUAD AREA:
- OFFICE USE -
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER'
# OF BLDGS'
# OF UNITS:
OCCY GROUP:
CONSTR, TYPF'
HEAT SOURCE:
# OF STORIES:
SO, FT,
$/SO, FT,
VALUE
SQ, FTG MAIN
X
SO, FTG ACCES<::
('
X
SO, FTG OTHER
'. '
X
TOTAL VALUE OF PROJECT
PLAN CHECK FFI=
RCPT#
DATE
BY
I BUILDING PERMIT 'I
/5% State I
Surcharge
I MECHA~~
I ~~~c~~ar~e '. ~ I
, PAVING ~ I
, PLUMBING
/f!7. ~
/"t!)', .5??
.7g.
Y7
5% State
SurCharge
I FENCE
VALUE $
I SI[)E~ALK
I CURBCUT
FT,
I DEMOLITION,
I
I
I SUBTOTAL
PERMITS
I SYSTEMS ' '
DEVELOPMENT
FT,
,..
TOTAL PERMIT FEES
EXCLUOfNG ELECTRICAL
~b.. 7~
1
-
I
" ~".
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 /' ROUGH PLUMBING, PAVING: 'After gravel is in
made after excavation, but ~ECTRI~AL & " place but prior to placing
prior to setup of forms, C]IJI'ECHANIC~No work is t6 asphalt or concrete,
be covered until these
inspections hav~eJn made,
and approved. ~-:>,,',.,
ATTIC DRAFT STOPS &
CURTAIN WALLS
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
CONCRETE SLAB: To be
made after all inslab building
service, equipment, conduit,
pi pi ng, accessories and other
ancillary equipment items are
in place but before any
concrete is placed.
FIREPLACE: Prior to placing
facing materials and before
fra'mi ng. inspection. "
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 electrical, plumbing
and mechanical are approved,
SPECIAL INSPECTIONS: lri accordance
Section 306 of the State Specialty Code
'a special,inspector sha.,11 be employed
by the Owner/ Contractorduring
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division,
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
-ereCted, all steel in place, bur
prior to' placing concrete,
STRUCTURAL CONCRETE: In
excess of 2500 P,S,I. (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines, To be mace
prior to covering or filling
trenches,
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barrifiJrs are .In pl?ce but
, 'before any lath' or gypsum , "
board. interior' wall' cove'ring, is" , :
applied,
HIGH STRENGTH 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 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
fir:llshed.
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),
FLOOR INSULATION &
, VAPOR BARRIERS: To be
made prior to I nstal}ation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a,7)
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415,
ROOF SHEATH'ING' AND
NAILING: Prior to installing
any roof coveri ng,
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,
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
FINAL PLUMB'ING
FINAL ELECTRICAL
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
requesting this inspection, '
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
FINAL FIRE DEPARTM~~ _ ~ and posted on the premises.
ADDITIONALCOMMENTS:~-C- /,,;E#/"3/?y? ,~ ~~b
y
FINAL MECHANICAL
~
PLANS REVIEWED BY
~
DATE ? 'V7--~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thf-t 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 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 rema,in'on, the site at all
:~g:: d",ln~ C?~~// 'pl t::.e ~.~ Date L _ /3 -9(,
~I/~ ...,~.,. /1
VALIDATION:
AMOUNT RECEIVED: "7 c- 7)
-::2b~?9
RECEIPT #:
DATE PAID:
RECEIVED BY:
"2-/2,' %
/2~
ry
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