HomeMy WebLinkAboutPermit Mechanical 1997-4-11
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225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK: 5 ~ ~ ~o OO~{\\ (lQ
\i)D~'at')~ "TAX LOT: Of/~(f)
OWNER: :\ \} \ ~ PHONE: \.~ .r:sCf::{2.~1.05?-
ADDRESS' \) D ~ . &. CO~\_ .
cln \I.l'l\l\t: ~ t ~~ STATE ~ . '. ZIP ,~~O~
DESCRIPTION OF WORK: \ l\"XfJ\nl tjo f(\D l1jon ' \J\~tr( N)lt\\-\OO ~/ I u~.7
NEW REMODEL ADDITION' DEMOLISH OTHER I;' VALUE, (Ula .
NAME ADDRESS PHONE
JOB NUMBER
c\l)()L\~
COMM ERCIAL/I N DUSTRIA'L
PERMIT APPLICATION
'.
SPRINGFIELD
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INSPECTION LINE: 726-3769
OFFICE: 726-3759
ASSESSORS MAP:
ARCHITECT:
CONTRACT~r',S~t~~
GENERAL: ~~..J't1 \
PLUMBING:
o \\i\~ J.
CONST.
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~~IRES. ,PHONE
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ID~
MECHANICAl'
ELECTRICAl'
PLUMBING
I MECHANICAL
FEE CHARGE I NO l=l=l= r.HARGE
L Furnace / bu rner & vent
< 100,000 BTUs
I Furnace/burner & vent
> 100,000 BTUs
I Floor furnace and vent I
',1 Suspended wall or floor I
mounted unit heater
I Appliance Vent I
separate
Stationary evap. I
cooler
Vent Fan/Single
duct
Vent System apart, I
from AC or htg.
Mechanical exhaust I
hood and duct
I
Permit Issuance $10.00 I
TOTAL PERMIT I
NO. '
Single Fixture
I Relocated Bldg.
(new fix. addtl)
I Water Service
ft.
I Sanitary Sewer
fL
I Storm'Sewer
ft.
BacKflow D.evice
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING: ·
LIGHTING POWER BUDGET:
WATER HEATER:
QUAD AREA:
LAND USE:
# OF BLDGS'
# OF UNITS:
OCCY GROUP:
CONSTR. TYPE"
HEAT SOURCF'
# OF STORIES:
SQ. FT.,
, $/SQ. FT.
VALUE
SQ. FTG MAIN
x
SQ. FTG ACCESS
x
X
SQ. FTG OTHER
, BUILDING PERMIT
15% S. tate
Su rcharge
MECHANICAL
I'
I
I
I..
I
TOTAL VALUE OF ,PROJECT
RCPT# DATF BY
I PLUMBING I I DEMOLITION I l~CO ,
I
15% State I I I - .CIa I
Surcharge
I FENCE I I .'?f\ I
VALUE $
I SIDEWALK FT. I ,I SUBTOTA.L I
' PERMITS
I CURBCUT I I SYSTEMS I
FT. DEVELOPMENT
. , ,Q11,
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
PLAN CHECK FEE
5% State
Surcharge
I PAVING
REQUIRED INSPECTIONS
It is the res'ponsibility 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 iob 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.
UNDERSLAB PLUMBING,
, ELECTRiCAL & .., ;,
MECHANICAL: To be made
before any work is covered.
'ROUGH PLUMBING, '
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
PAVING: After grav'el is in
place but prior to placing
asphalt or concrete.
FOOTINGS,& FOUNDATIONS:
To be made after trenches are
excavated and, forms are
erected, all steeiln place, but
prior'to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framlng'ins'pectlon. '
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by ,the Owner/. Contractor during
construction of 'the .follow(ng work. A
copy of the speciaL testing reports shall
be furnished to the Building Division,
ATTIC DRAFT STOPS &
CURTAIN WALLS
, CONCRETE SLAB: To be
made after all inslab building
service equl pment, cond uit,
piping, accessories and other
ancillary equi pment items are
in place but before any
concrete is placed. "
. .
FRAMING: To be made after
the roof, all framing,fire
blocking and bracing ar~ in
place and all pipes, Chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.I. (306 a.1)
, ..',: i
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 orfililng
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
, UNDERFLOOR: Plumbirig,
electrical, mechanical. To be
. made prior to installation of
floor insulation, decking or
floor sheathing.
SPECIAL GRADING,
EXCAVATION AND FILLING:
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. .
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
STRUCTURAL MASONRY: (306
a.7) I
v:~tr6 _ ,()l r.m
. '~f ~~..'c
~~ 't<s-r~L
-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.
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.
-------------------------------------------------------
FINAL MECHANICAL
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish Inspection. All project conditions such as
landscaplr:tg, 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
arid posted on the premises.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
(_~sms, U\~llfif\Y\. -~\O\ActOJ
PLANS REVIEWED BY
I,
I ,/~j)
If/.?-
f
DATF
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thfit 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 OCCUPANC;Y
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 agr~e to "ensure that all required inspections are requested at the proper time, that project address Is readable from the
s~re t, tha~t the pp;z;ermlt ~rd s located at the front of the property, and the approved set of plans will remain on the site at all
ti s urlng onstru 10~ " f I }
Si at re !v~) Date t-//II/tf}
v/-~ I lorJ
V\L1DATlO~: - AMOUNT RECEIVED: ~- ~k DATE PAID: ~. <;-. \ r \l
RECEIPT #: D" RECEIVED BY: ll't\)
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