HomeMy WebLinkAboutPermit Mechanical 1999-12-29
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COMM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER '7 "7/ 7.:2<::::)
INSPECTION LINE: 726.3789
OFFICE: 726,3759
LOCATION OF PROPOSED WORK' 7?:>2.. ~
ASSESSORS MAP' . J ?..!!?::s ~-5' S/ 2...
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TAX LOT' L::>::2'?"'-'c::::.
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OWNER' ~/~/),:e-tz:> ~...../~ ~~~~~~ PHONF'
AODRESS' 7~ 'Z ./f- &'7
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CITY: /7?FLZ/. ff~ .
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DESCRIPTION OF WORK: 1A;.r,'7AL~ '3 <~--;7V~ /~~~//Y~~h#'-s""/~A/~"" .M,.-.&>M tJF'
ADDITION DEMOLISH OTHER VALUE'~ ?,yb: -.;
STATF'
ZIP'
NEW
REMODEL
NAME
ADDRESS
PHONE
ARCHITEct:
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR'
EXPI RES
PHONE
GENERAL'
PLUMBING'
~ 7'1',t<=~~?ff'.c ?T'
MECHANICAL::' '/~;?:(1~.hL;, .6~A!'~,"""?t;oo'~ / '2J!!i";?9o
ELECTRICAl' . /?i // E~/C. kr.
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PLUMBING
MECHANICAL
I
r.HARQF I
h'~
7. ~~'2"2~~ I
I
I
I
I
I
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2.dr?1
$10.00 I
"7..?'. S'~ I
NO.
FEE
CHARGE
'Jl"l
FFF
Single Fixture
RelDeated Bldg,
(new Ilx, addtll
Water Service
I
?
Furnacel 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 apart
from AC or htg.
Mechanical exhaust
hood and duct
ft.
Sanitary Sewer
It.
Storm Sewer
ft.
BackfJow Device
4~ ??~
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
QUAD AREA'
LAND USF'
. OF STORIES:
HEAT SOURCE:
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
. OF BLDGS:
# OF UNIT'"
OCCY GROUP'
CONSTR. TypF'
So. FT,
$/SQ. FT.
VALUE
SQ. FTG MAIN
SQ. FTG ACCES<::
SQ. FTG OTHER
x
X
X
TOTAL VALUE OF .PROJECT
PLAN CHECK FEE ~~
RCPTN
DATF
BY
I BUILDING PERMIT
I v%State
Surcharge
.MEC?~
7 % State
$urcharae tL~......
I PAVI NG
PLUMBING
DEMOLITION
LP....-
~ . 5'.6
~:~
I %' State
::surcharae
I FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
417. 5"6'
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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. wilt be made
the following work day.
SITE INSPECTION: To be
made after excavatlon, but
prior to setup of forms.
x
ROUGH PLUMBING,
ELECTRICAL &
~\"'nANI\;A~No work is to
be covere'ij until these
inspections have been made
~;~roved._ ~
j(~D~ STOPS &
CURTAIN WALLS
PAVING: After gravel is in
prace but prior to placing
asphalt or concrete.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected"all steel in place, but
prior to placing concrete.
FIREPLACE: Prior 10 placing
facing materials and before
frami.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: In accordance
Section 306 of the State Specialty Code
a special inspector"shall be employed
py the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shari
be furnished to the Building Dlvislon.
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CONCRETE SLAB, 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.
STRUCTURAL CONCRETE: In
excess of 2500 F'S.1. (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 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
applied.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.S.G.
Standards 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor 5heat~ing.
POST & BEAM: To be made
prior to Installation of floor
Insulation, deckIng or floor
sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
S~ECIAL GRADING,
. EXCAVATION AND, FILLING:
During earthwork. (306 a.11 &
Chapler 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.S.C.
STDS. 25,10,11).
STRUCTURAL MASONRY: (306
a.7) .
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
USC 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.
* In addition to the inspec-
tions specified, the Building
Off!cial 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, parking lot striping, etc. must be completed before
requesting thIs inspectIon.
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FINAL MECHANICAL
/XA~ ~A-';/~V/,('&
//,/1'/ - 7;> / Certificate of Occupancy has been issued by the Building Division
FINAL FIRE OEPARTMENT and posted on the premises.
ADDITIO.NAL COMMENTS: /A/~".d.1!. ~ /~ ;A;1".r }!:{.F~/~??l'Fb 4..v/E ,~/~
~/4-"f'--n:&? /~1P7 /,..,..,q. .7jd~/f-~ #~r-' T~....-'="~.e/~~~~~
--$'1/F ~//.. ;f~~~;0 /f-;'f7'#/~~/~ ,pr. ,A>~~ /:?/<Y'4't:;
1..<74.///A7/Ah? ~ ~
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PLANS REVIEWED BY ./ / '-2-"'" :c.r ~ ~~..;. / DAT~ /:2. ~ ;;?q -99
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By sIgnature, I state Bnd agree, that I have carefully examined the oompleted application and do hereby certify that all InformatIon
herein Is true and correct, and J 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 Stat~ 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 compl~lance with GRS 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 construftlon. .
Slgnalure~/A l)t~J#J 11;;Y7
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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
Date
( ;;)-;;f1-CJ J
VALIDATION:
AMOUNT RECEIVED:
RECEIPT ..
'75- 9.:C
I? 5'
DATE PAID:
RECEIVED BY'
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