HomeMy WebLinkAboutPermit Mechanical 1996-5-30
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WiLS~P'NGFOECD' - JOB NUMBER C\taU1~
.~ INSPECTION LINE: 726,3769
&JI ' OFFICE: 726.3759
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TAX LOT:' O~~W
COMMERCIAL"NDUSTRIAL~ <
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: \o4Cl
ASSESSORS MAP: \ lLIOd. \4-::>
OWNER: -Plf't'I pt'~"i .s,!~..J.c::~<
ADDRESS: gt,., 9 N t.U (00...\\
CITY: 8 <t..'<"'\., ct
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PHONE: j- 5'11- 3J~. "IIi J..
STATE:
c:ll' CLq co ^
U
ZIP:
NEW REMODEL
ADDITION
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DEMOLISH
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OTHER VALUE:
DESCRIPTION OF WORK:
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NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
CONST.
CO NT RACTO R 11
EXPI RES
PHONE'
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL'
KEd L I (\("t:)
/-/'/:-117/No
I
l ,4(.
598/4
;J/It/q7
19(~ <1 '02 ~';;t?
PLUMBING
MECHANICAL
NO,
FEE
CHARGE
NO
1='1=1=
j
r.HAR~1
ft.
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 apart
from AC or htg,
"Mechanical exhaust
hood and duct
I.
I
J
I
j
I
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Devic'e
I'
".Permif Issuance
I,
I
$10,00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS'
QUAD AREA:
11 OF BLDGS'
LAND USE:
FLOOD PLAIN:
11 OF UNITS:
ZONING:
OCCY GROUP:
CONSTR, TYPI="
11 OF STORIES:
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
SQ, FT.
$/SQ, FT,
VALUE
/ SQ. FTG MAIN
SQ. FTG ACCESS
SQ, FTG OTHER
x
x
x
TOTAL VALUE OF PROJECT
PLAN CHECK FE!:.
RCPTI>'
DATI='
BY -
I BUILDING PERMIT
15% State
Surcharge
I MECHANI?AL
15% State \ "2f)L
SurcharQt\ -: ~.j n
I ~~.il\ -,
\ . CO
.~..._-
, \.10
\O,Ob
I PLUMBING
15% State
Surcharge
I FENCE
VALUE $
"-I SIDEWALK
I CURBCUT
FT,
I DEMOLITION
I
~~i~L-
I'SYSTEMS -
DEVELOPMENT
I
I
-J
I
FT,
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
J 0 "Qi)
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 jop number, job address, type of inspection requested and when'you will be ready
for inspection, Requests received before 7:00V' 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 " ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but EL~G-"tBl~ place but prior to placing
prior to setup of forms, ~'cAANICAL: No work is to asphalt or concrete,
be covered until th se
UNDERSLAB PLUMBING, inspections have een made SPECIAL INSPECTIONS: In accordance
, ELECTRICAL & ' o. ,," Section 306 of tl)e State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STORS & , :by the,Owner'/ Contra~tor during
CURTAIN WAtLS ' . , construction of the' follqwing 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 placi ng concrete,
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
pi pi ng, accessories and other
ancillary equipment items are
in place but before any
concrete is placed,
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage Ii'nes, To b,e made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415,
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering,
FIREPLACE: Prior to placing
facing materials and before
fra,ming inspe,Gtion.
FRAMING: To be made after
the roof, all framl ng, fi re
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
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,
FIRE & SEPARATION WALL:
located and constructed
according to plans,
LATH AND/OR GYPSUM
BOARD: To be made a.fter 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,
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,
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U.B,c.
Standards 43.8,
! .
SPECIAL GRADING,
EXCAVATION AND FILLING:
Du ri ng earthwork. (306 a,11 &
Chapter 29)
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),
STRUCTURAL MASONRY: (306
a,7) .
"In addition to the ins.pec.
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 PLUMBING
- - - --------- - - -- - -- - -- --- --- --- -- -- - -- - - - - - - - -- --- ------
FlfilAL ELECTRICAL
/
VFIN~L MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT~'
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,
PLANS REVIEWED BY
DAT~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thp.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 ttie 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,
Signature <~-& L~.:r/)
VALIDATION:
AMOUNT RECI1\VED: r\)( O.J.u
RECEIPT II: r-!J \ l! l' -
Date
DATE PAID: 6 .6.U. q to /
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RECEIVED BY: cr I/.....v---