HomeMy WebLinkAboutPermit Plumbing 1996-2-29
CO M M ERC IALII N 0 U ST RIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
JOB NUMBER ~ /6"/..2.
. INSPECTION LINE: 726-3769
OFFICE: 726-3759
ASSESSORS MAP:
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TAX LOT:
OWNER:, _?~~~~ C/'/~~ _*7 ~~~:#~
ADDRESS: 2LJ~ ~~~~'f7~ . .~L_YZ> -
CITY: tff7./~~~~ ' STATE: C::;/?i.
ZIP:
g? 7I~/
DESCRIPTION OF W(jRK:,~~-';~.t:..L ::;~/:f/'77 .~~1f~f~ ;9 ~.....~~~ A~
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NEW REMODEL ADDITION DEMOLISH OTHER VALUE: /~~..
-7
NAME
ARCHITECT:
ADDRESS
PHONE
. CONS~
CONTRACTOR'S NAME . , j. ADDRESS ~ ,.~...-9~ CONTRACTOR II EXPIRES PHONE
GoNoRAL .~,~..(~f'? / ~~~ -~~ ~-:?- ~7?~ 3Y5'-7r~
PLUMBING: .~?Ja:5.?T.e,.;>/J~ '
MECHANICAL:
ELECTRICAL:
I
I NO.
1
1
1
1
I
1
I
I
1
I
PLUMBING
FEE
CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
. ........-sanitary Sewer ~
" L:.. ) -0 ft.
Storm Sewer C-~,.
~ 7 .;LJt.
:<5'~
~~
Backflow Device
TOTAL PERMIT
9~
MECHANICAL
NCl FFF r.HARC:F
Furnace/burner & vent
< 100,000 BTUs
I . Furnace/burner & vent
>100,000 BTUs
I Floor furnace and vent
I Suspended wall or floor
mounted unit heater
1 Appliance Vent
separate
'I Stationary evap.
cooler
I Vent Fan/Single
duct'
1 Vent System apart
from AC or htg,
1 Mechanical exhaust
hood and duct
I
I Permit Issuance $10,00,
I TOTAL PERMIT
QUAD AREA:
LAND USE:,
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
II OF SLOGS'
II OF UNITS:
OCCY GROUP:
, CONSTR. TYPF'
HEAT SOURCE:
II OF STORIES:
SQ. FT.
$/SQ. FT.
SQ, FTG MAIN
X
SQ. FTG ACCEC:C:
X
SQ, FTG OTHER
X
PLAN CHECK F~
RCPTII
1 BUILDING PERMIT
15% Statt!
Surcharge
I MECHANICAL
15% State
SurcharQe
I PAVING'"
PLUMBING
5% State
Su rcharge
1 FENCE
VALUE $
I SIDEWALK
I CURBCUT
-t
i,
. .... -' '- .
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:
'VALUE
TOTAL VALUE OF PROJECT
( I
DATE"
BY
~~
CY?J'
~.~~
DEMOLITION
FT.
I
. '1 SUBTOTAL.
" PERMITS
, 'I SYSTEMS
DEVELOPMENT
FT.
TOTAl:. PERMI'T FEES
EXCLUDING ELECTRICAL
I c;/'":2. 0 ~
REQUIRED INSPECTIONS
It is the'resp'onsibility 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 thesameworking 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 setu p of ,forms.
UNDERSLAB PLUMBINq,
. ELECTRICAL & " ,
MECHANICAL: To be made
before any work is covered.
ROUGH PLUMBING,
ELECTRICAL 8.
MECHANICAL: No work is, to
be covered until these
inspections have been made
and approved.
~-
PAVING: After gravel is in
place but prior to placing
, asphalt or concrete.
,FOOTING~ & FOUNDATIONS:
To be 'made after trenches are
excavated and forms are
erected, all ,steel in place, but
prior to placing con'crete.
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 .of the ,$tate Specialty Code
a special inspec'tor shall be employed
by the Owner/ Contractor during
construction,.of the following work, A
copy of the.ppecial testing reports shall
be furnished'to"the Building Division.
J
ATTIC DRAFT STOPS &
CURTAIN WALLS -
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.
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.
STRUCTURAl. CONCRETE: In
excess of 2500 P.S,1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
INSULATION & VAPOR
BARRIE~: 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.
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghteni ng operations, (306
a,6)
X,'
UNDERGROUND: 'PI ,
electrical, gas sanitary sewe
~sewer.)Vater an'
drainage lines. To be made
prior to covering or filling
trenches.
. '" 'j:.: .
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 join~s ~nd
fasteners are taped and.
fi ni shed.
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 installation of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
SIDEWALK & DRIVEWAY:
Requ i red 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: After forms are
erected but prior 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
landscaping, park'ing lot striping, etc. must be completed before
requesting this inspection,
FINAL ELECTRICAL
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 been issued by the Building Division
and posted on the premises,
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY .~/~
DATF
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thp.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 o.f)he 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 remain on the site at all
:,:::t::=-~~&;r . / Date 2-?9,.<3C
....
VALIDATION:
AMOUNT RECEIVED: ~c;.-~- /~? G;e DATE PAID:
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-:7~~~
RECEIPT ":
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RECEIVED BY:
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