HomeMy WebLinkAboutPermit Plumbing 1998-9-25
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
JOB NUMBER
9~/2~Z-
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK' 58 19 As\ce- S\1Z..68T
17-02-33-4-4-
TAX LOT:
201
ASSESSORS MAP:
OWNER: F<oq G~A'1
ADDRESS: P, O. .60')<.. I' 7
CITY: W,b..L'\t~Vl \...\.....E
PHON E:
89~':'-0 ZG~
STAT 1=.
01<.
.ZIP:
Cf7 48 CJ
DESCRIPTION OF WORK:
pV c..
NEW X REMODEL
5~l\p..e..,~ S'6WGe..- 6)(.\ ~.s.\Oo...J
77 L.F. of lS 11
ADDITION DEMOLISH OTHER
VALUE:
EOlOe..
A~ECT:
NAME ADDRESS PHONE
.6~\--\ G-W(S \ ".'::)'E;c(Z-t ~0 3 IoN ,S~ 7 PfW::> 7 4~-oCo ~ 7
I . J
CONST.
CONTRACTOR 1/ EXPIRES PHONE
74-7- 92\ S-
ADDRESS
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
M~AL:
EL~AL:
C E~\6f2-l. \ ~S
800
E-')(.c,~
G. 18--t-V\
cO~sr\, / J:\.::) c..
SPFLD,Oe-
9 7477
I PLUMBING j MECHANICAL
NO. I FEE CIjARGl: I Nn 1=1=1= r.HARnl=
I Single Fixture I Furnace! burner & vent
< 100,000 BTUs
I Relocated Bldg. I I I Furnace! burner & vent I
(new fix. addtl) > 100.000 BTUs
I I Water Service I I I Floor furnace and vent I
ft.
17'7 'I Sanitary Sewer I I '7'~ 4 Suspended wall or floor I
ft. mounted unit heater
I I Storm Sewer I I , Appliance Vent I
ft. separate
I I I I Stationary evap. I
Backflow Device c.ooler
I I I I Vent Fan!Single I I
duct
I I I I Vent System apart I I' I
from AC or htg.
I I '1 I Mechanical exhaust I J
hood and duct
I I I I I I
I I I I Permit Issuance $10.00 I
I TOTAL PERMIT I TOTAL PERMIT I
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING: .
LIGHTING POWER BUDGET:
WATER HEATER:
QUAD AREA:
LAND USE:
1/ OF BLOGS:
# OF UNITS:
OCCY GROUP:
CONSTR. TYPI='
1/ OF STORIES:
HEAT SOURCE:
SQ. FT.
$!SQ. FT.
VALUE
sa. FTG MAl N
X
SQ. FTG ACCESS
SQ. FTG OTHER
X
X
PLAN CHECK F~
TOTAL VALUE OF .PROJECT
RCPTII DAn: BY
I PLUMBING I ,7""0. ~C> I DEMOLITION I
/5% State +~I -::2.. ,.~ I I
Surcharge /'. /. -:At:::'
I FENCE , I
VALUE $
SIDEWALK SUBTOTAL I
FT. PERMITS
I CURBCUT I SYSTEMS ' I
FT. DEVELOPMENT
I BUILDING PERMIT
15% State
Surcharge
I MECHANICAL I
15% State . ,.:' . I
Surcharge '. - -
I PAVING I
I
I
I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
~-:3. ~O
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
made after excavation, but
prior to setup of forms.
I
UNDERSLAB PLUMBING,
. ELECTRICAL &
MECHANicAL: to be made
before any work is covered.
ROUGH PLUMBING,
EL!ECTRICAL & '. I I
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.
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
frami ng inspection.
, "
f _oJ
SPECIAL INSPECTIONS: In accordance
Section 306 of the State. Specialty Code
a special ins'pector'shall be employed
;by the Owner/ Contraytor during
construction of the following work. A
copy of the special testing reports shall
be furnished'to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
. .
. _l
, -,', ,-
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
1--:"
,
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
pi pi ng, accessories and other
an'cillary 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 el~ctri9al, pl,umbing' .
and mechanical are' approved: .
STRUCTURAL WELDS:
Performed on the job. (2722 f)
c.:_
V
/
. UNDERGROUND: Plumbing,
electrical, ga~anitary seW'eT;)
storm sewer, wate! ana"
dralnage--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'
l board I"filterior wall-covering is
applied.
.HIGH STRENGTH BOLTING:
du'rin'g all bolt installation and
ti ghteni ng 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 FILLlNG:-
During earthwork. (306 a.11,&
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
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
finished.
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).
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.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.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
.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.
-------------------------------------------------------
FINAL MECHANICAL
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
and posted on the premises.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DATE'
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 remain on the site at all
times during construction. , _ _ n
Signature ~ ~ Date <=]-25-9 rg
DATE PAID: ~ ~2 S...~
RECEIVED BY: :~~_
RECEIPT #:
t../'?, "2 e>
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VALIDATION:
AMOUNT RECEIVED:
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