HomeMy WebLinkAboutPermit Plumbing 1994-6-2
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COMMERCIAL/lNDU5TRIAL
PERMIT APPLICATION
.
225 Fifth Street, Springfield, Oregon 97477
'B NUMB~R q "7'0 s::3//
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK' /:2 r
ASSESSORS MAP' / 7-"~-'2~ -"<- c.,I
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TAX LOT'
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OWNER' '/V7"'.7-1/ -~?:7J':7 -
ADDReee, ~<=a:'::::::;~ G~A7'/4&~o ,>--,
CITY- /.;~--f7~r/-:.L/ /'7?y STATF' ~- ZIP' 4?o/~ '
DESCRIPTION OFYJ:Pq-4?~~~~~J;:J~~~ ,z!~-:~~/=:;> ??S%>J/k~ ;r
NEW REiM'6~EL ADDITION DEMOLISH OTHER VALUE: ~,""""
NAME
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
GENERA' '
PLUMBING:/~A/ ~~";
MECHANICA' '
ADDRESS
PHONE'
-::.'7g~~~<21
PHONE
CONST,
CONTRACTOR'
EXPI RES
PHONE
~~ ]'t7.:> ~y 7&. ~
r-:j//__~~~-"').....,,--~'~n"Y"')- . '-/"/; /:..; 7; 9'9~-..?~::<
ELECTRICAl'
PLU MBING
NO,
FeF
r-,H'.\.RnF
Single Fixture
Relocaled Bldg,
lnew fix, addU)
~ -Water Service I
..-- '-::<' C::>f I.
Sanitary Sewer
/f! ;:
I
1
1
~..~
1
1
1
I
55 "4'
fl.
Storm Sewer
fl.
Backflow Device
/:h$" ~ /')~ /~,.:z.
. J ~.
TOTAL PERMIT
I
I'M'
1
1
I
I
I
I
1
I
I
I
I,
1 TOTAL PERMIT
OUAD AREA'
LAN D USE:
- OFFICE USE,-
I
~:~~
. OF BLDG~'
. OF UNITS'
OCCY GROUP'
CONSTR. TYPE:
. OF STORIES'
HEAT SOURC"'
sa, FT,
$/sa, FT,
sa, FTG MAIN
x
sa, FTG ACCESS
x
sa, FTG OTH ER
x
PLAN CHECK FEE ,""/---:'~
RCPT'
DAT" BY
I BUILDING PERMIT
15% State
Surcharoe
I MECHANICAL
15% Slate
Surcharae
I PAVING
PLUMBING
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
MECHANICAL
I"'I:IARG~
I
I
, J:~~ '
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
duct
Vent System aparl
from AC or hlg,
Mechanical exhaust
hood and duel
Permit Issuance
$10,00
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT
,:5"S: ......,.l DEMOLITION
-::?-?"? -
/.f""'~
'- 7
CURBCUT
SUBTOTAL
FT, PERMITS
SYSTEMS
FT, DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRlr^ I
~"'7, y~
. REQUIRED INSPECTIONS .
It Is the responsibility of the permit holder to see that all Inspections are made al the proper time, To request an Inspection, call
726,3769 (recorder), state your City designated job number, Job aduress, 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 excavatlon, but
prior to setu p of forms,
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANICAL: To be made
befqre any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to.
be covered until these
Inspectlpns have been made
and approved,
I
ATTIC DRAFT STOPS &
CURTAIN WALLS
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete,
FIREPLACE: Prior to placing
facing materials and before
framing Inspection,
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 Ihe Building Division,
CONCRETE SLAB: To be
made after all Insiab building
service equipment, conduit,
piping, accessories and other
ancillary equlpmenl 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,I, (306 a,1)
STRUCTURAL WELDS:
Performe~ on the job, (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing,
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,
<tI"~,~
""I~I:' & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
Durlng'all bolt Installation and
tightening operations, (306
a,6)
K
UNDERGROUND: Plumbing,
electrical, gas;' sanitary sewer,
storm sewer, water and
d ral nage II nes. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U,B,C,
Standards 43.8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
POST & BEAM: To be made
prior to Inslallatlon 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
plaslerlng Is applied or before
gypsum board jolnls and
fasteners are taped and
finished,
GLU,LAM BEAMS: Inspection
Cerllflcale 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)
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.
'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,
MASONRY: Sleel location,
bond beams grouting or
verticals In accordance with
UBC 2415,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erecled but prior to placing
concrete.
~ FINAL PLUMBING
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 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 COMMENT""
PLANS REVIEWED BY
DATF
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformatlon
heretn 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 Ihe approved set of plans will remain on the site at all
times during construe n.
!,..D rr=tl:f) () P..1 ('7---1.-..
\,.....- - . r
Date
6 - '2 -91-
~ - (
Signature
VALIDATION:
AMOUNT RECEIVED: 5'7- sro
RECEIPT ': /~ ~'2.
DATE PAID: _,c -:2 - "7 Y
RECEIVED BY' .-/'Z~
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