HomeMy WebLinkAboutPermit Mechanical 1999-6-19
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
ASSESSORS MAP:
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JOB NUMBER 1 {Jar" LJ ~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK'
TAX LOT'
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DESCRIPTION OF WORK:
NEW REMODEL-?- ADDITION
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PHONE:
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OWNER'
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CITY:
STATE:
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ZIP: q ?'I??
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME;;; ./ ,
GENERAl' ff. ~ ~
PLUMBING'
CONST,
AODRESS CONTRACTOR'
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EXPI RES
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PHONE
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MECHANICA' .
ELECTRICAl'
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PLUMBING I MECHANICAL I
NO. FEE CHARGE I Nn FFF (":1...H~.Rn.1= I
Single Fixture 1 Furnace/burner & vent 1
<100,000 BTUs
Relocated Bldg. 1 Furnace/burner & vent I
(new fix. addtn > 100,000 BTUs
Water Service 1 Floor furnace and vent I
ft.
Sanitary Sewer 1 Suspended wall or floor I
ft. mounted unit heater
Storm Sewer 1 Appliance Vent I
ft. separate
1 Stationary evap. I
Backflow Device cooler
1 Vent FanfSingle 1
duct
NOTICE: I 1 Vent System apart 1
from AC or htg.
THIS PERMIT E HALL E: [PIRE IF THE IWORK I Mechanical exhaust I
hood-and duct
AUTHORIZED tNDER THIS PERMIT Is NOT I ;::A./I/ 5' /{; rh 1
COMMENCED R IS AI :ANDONED FPR 1 Permit Issuance $10.00 I
TOTAL PERMIT ANY 1eo DAY PERIOD, I 1 TOTAL PERMIT z.s'; (]I) 1
.
- OFFICE USE -
HANDICAP ACCESS:
FLOOO PLAIN:
ZONING'
aUAO AREA".
. OF BLDGS:
LAND USF'
. OF UNITf"
. OF STORIEo.
CONSTR. TypF.
HEAT SOURCF.
LIGHTING POWER BUDGET:
OCCY GROUP:
WATER HEATER:
SQ FT.
$/sa. FT.
VALUE
sa. FTG MAIN
sa. FTG ACCESo
X
X
X
sa. FTG OTHER
TOTAL VALUE OF .PROJECT
PLAN CHECK FFF
RC Pl'
DATF
BY
1 BUILDING PERMIT
15% Stat.e
Surcharqe
I MECHANICAL
15% State
Su rcharae
1 PAVING
PLUMBI NG
DEMOLITION
2-5:~ 00
.'1'5/. 7s
5% State
Surcharoe
FENCE
VALUE $_
SIDEWALK
"
CURBCUT
FT.
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
.. I
TOTAL PERMIT FEES
EXCLUOINGELECTRICAI
2-t. w
.
.
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
728.3769 (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 m e....-sam~"'Worki~aY, requests made after 7;00 a.m. will be made
the following work day. \
SITE INSPECTION: To be OUGH PLUMBING. PAVING: After gravel is in
made after excavation, but ELECTRICAL & ) place but prior to placing
prior to setup of forms. MECHANICAt: No work Is to asphalt or concrete.
oe covered until these
inspections have been made SPECIAL INSPECTIONS: In accordance
and approved. ~Section 306 of the State Specialty Code
a special inspector shall be employed
TTIC DRAFT STOPS & by the Owner/ Contractor during
RTAIN WALLS construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
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 to placing
facing materials and before
framIng Inspection.
STRUCTURAL CONCRETE: in
excess of 2500 PS.1. (306 a.1)
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.
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 WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage /lnes. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after ail
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.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
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).
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
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
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 ~ate you wish Inspection. All project conditions such as
landscaping, parRlng 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 ELECTRICAL
~NAL MECHAN~
~ FINAL FIRE DEPARTMENT
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ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DAT~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformatfon
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 BulJdlng 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 constructlon'--:7 _/1 /J
Signaturo /K #vi. ~
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Date
VALIDATiON:
AMOUNT RECEiVED: 2-b.
o 10 '3 '7 ].,
'2.-c)
DATE PAiD:
RECEIVED BY'
v/I'i /19 /J
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RECEIPT N'