HomeMy WebLinkAboutPermit Mechanical 1994-1-26
LOCATION OF PROPO~DWP51j tf:507
ASSESSORS MAP: \, 100 d S 3~
OWNERt ,~4-[l \=\()S'{\ ~ \ A \ QO x--L
ADDRESS: \SOfl (20 ytLo (\n. (0 fQ) -Dilo
CITY: ~l\pL~) o'JL(\/ S,TATE:' _f\JtjY\'_/ZIP:
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DESCRIPTION OF WORK:
CO M ME RCIALJI N DUST RIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
NEW
REMODEL
ADDITION
NAME
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
GENERAL:
PLUMBING' -
MEeHANlcAL:l ~ffY) 1\.__
ELECTRleAI .
PLUMBING
NO.
i FEE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
QUAD AREA:
LAND USE:
# OF BLDGS'
# OF UNITS:
CONSTR. TYPE:
WATER HEATER:
OCCY GROUP:
# OF STORIES:
C140~
JOB NUMBER
INSPECTION LINE: 726.3769
OFFICE: 726.3759
TAX LOT:
\ lOrLDO.
PHONE:
CfJ1j!J
DEMOLISH
OTHER
VALUE:
ADDRESS
PHONE
CONST.
CONTRACTOR #
EXPIRES
PHONE
4~c:;~ iDIC( ICfi
~(J)).\~). 04-0-(:('3 (JroJqs
I
CHARGF I
I'
I
I
I
I
--I
I
I
I
MECHANICAL
Nn FFF r.HARGF
Furnace/burner & vent
< 106,000 BTUs
I Furnace/burner & vent
> 100,000 BTUs
I Floor furnace and vent
I Suspended wall or floor
mounted unit heater
1 Appliance Vent
separate
I Stationary evap.
cooler
I Vent Fan/Single
duct
I Vent System apart
from AC or htg.
I Mechanical exhaust
hood and duct
I I,
Permit Issuance $10.00
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING: .
LIGHTING POWER BUDGET:
SQ. FT.
HEAT SOURCE:
VALUE
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
X
X
X
PLAN CHECK FEE .
. RCPT#
I BUILDING PERMIT
15% State
Surcharge
I'MECHANICAL
/5% State
~e
I'~^U_'
PLUMBING
~
I-1S,~
I . /)C:;
.lro,CU
5% State
Su rcharge
'1 FENCE
VALUE $
'-1 SIDEWALK
I CURBCUT
$/SQ. FT.
TOTAL VALUE OF PROJECT
DATF
BY
DEMOLITION
FT. I
FT. .1
I SUBTOTAL --
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXeLUDING ELECTRICAL
d~,1::S
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 7:0~a.m I I 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 ELEC &. place but prior to placing
prior to setup of forms. ANIOO' No work is to asphalt or concrete.
be covered til these
inspec s have been made
approved.
REQUIRED INSPECTIONS
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
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.
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.
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. -
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
.drainage lines. To be made
prior to covering or filling
trenches.
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.
POST & BEAM: To be made
prior to installation of floor
insulation, decking o(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
fi nished.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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 following work. A
copy of the special testing reports shall
be furnished to the Building Division.
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:
During 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 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.
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
requesti ng this inspection.
FINAL PLUMBING
{/FINAL ELECTRICAL
( ::::~ :,::H:E::::MENT
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.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DATF
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that 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 701.0 WI I be used on this project.
I further agree to ensure that all re ired in pections are requested at the proper time, that project address is readable from the
street, that the permit ca is 10 ated at he frontJ~~e property, and the approved set of plans will remain o.n the site at all
::::I::~~SI," n. ..~~ ~ Dale #ftY
VALlDATI~N:. AMOUNT RECEIVED: rJ1<, ~ 1;5
RECEIPT #: - \\~f')<j
DAT. E PA~Y LzJ/~ 2b Lfj
RECEIVED B . _ 0rt
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