HomeMy WebLinkAboutPermit Mechanical 1995-8-1
COMMERCIAL/INDUSTRIAL'
PERMIT APPLICATION
LOCATION OF PROPOSED WORK: ?:2"? A/C!!>R-7#
ASSESSORS MAP: /~ '? - ":3 5' - 5 <..
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.JOB NUMBER 9~S?,g
INSPECTION LINE: 726,3769
OFFICE: 726,3759
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225 Fifth Street, Springfield, Oregon 97477
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TAX LOT: /")~~
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DESCRIPTION OF WORt< $:5~C~ ~~~:P-/r:c:;.v?7/P ~ cCJ,L:;7'/~~
REMODEL Y
PHONE:
7'-/6-$'7"':;- /'
OWNER:
CITY'
STATE:
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ZIP'
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NEW
ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
CONST:
CONTRACTOR'
EXPIRES
PHONE
GENERA' '
PLUMBING:
MECHANICAL~~r~ ,~
ELECTRICAL:
~g"",...-?7~
?~, <9 x,..-., ft:
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PLUMBING
MECHANICAL
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$10,00 I
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NO.
, FEE '
CHARGE
"'n
Single Fixture
Relocated Bldg.
(new fix. addl!)
Water Service
Furnace/burner & vent
< 100,000 BTUs '
Furnacel burner & vent
> 100,000 BTUs
Sanitary Sewer
It.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent FanfSingle
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
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Permit Issuance
It.
Storm Sewer
It.
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Back/low Oevice
TOTAL PERMIT
TOTAL PERMIT
~H'?-".
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
QUAD AREA:
LAND US.'
. OF BLDGS'
OCCY GROUP:
. OF UNIT<'
. OF STORIES:
HEAT SOURC.'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
CONSTR, TYp.,
sa, FT,
$/SQ, FT.
VALUE
SO, FTG MAIN
sa, FTG ACCESS
SQ, FTG OTHER
X
X
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
RCPT'
DAT.
BY
I BUILDING PERMIT
5% State
Surcharae
MECH~-::I:::5
~
15% S'lale - r5
Surcharqe ?t?
I PAVING
PLUMBING
DEMOLITION
/P'..--
/'5'.~
:.?~
5% State
Surcharge
I FENCE-
VALUE $
SIDEWALK
CURBCUT
FT,
FT,
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
--?.&:" ;;;>c>
.
REQUIRED INSPECTIONS
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it is the responsibility of the permit holder to see that atllnspectlons 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, reqLlests 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.
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ROUGH PLUMBING,
ELECTRJCJ:I..b.!.
~CHANICAl)No work is to
oe Cl,. .\;.. "'... .... 1~1I these
Inspections have been made
and <;lpproved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
,
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel. in place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all Inslab building
~ervice equipment, conduit,
pIping, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed.
FIREPLACE: Prior to placing
facing materials and before
framing Inspectlo.n.
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 01 2500 P,S,I. (306 a,1)
STRUCTURAL WELDS:
Performed on th~ 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 boll installation and
tightening operations. (306
a,6)
SPRAYED ON
FIREPROOFING: U,BC,
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 8.11 &
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.BC.
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,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
exca....atlng 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
con:;tructlon work to ensure
compliance wllh the Building,
City or Development Code.
CURB AND APPROACH
APRONS: After forms are
erected but prIor to placing
concrete.
FINAL PLUMBING
FINAL FIRE DEPARTMENT
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
reque~tlng 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 t)ccn issued by the Building Division
and posted on the premises.
FINAL ELECTRICAL
-4=- FINAL MECHANICAL
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DAT"
By sIgnature, I state and agree, that I have carefUlly examined the completed application and do hereby certify thf3.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 wilt remain on the .site at all
times during construction, ~
Signature ~YVl 1Yl, Date B-1 -q 5
VAll DATION:
AMOUNT RECEIVED' ~':::::.""2C>
RECEIPT ': /8 ~-;::>
DATE PAID:
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RECEIVED BY'
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