HomeMy WebLinkAboutPermit Mechanical 1992-2-12
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900369
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COMMERCIAL/INDUSTRIAL -
PERMIT APPLICATION
SPRINGFIELD
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JOB NUMBER
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE 7263769
OFFICE 726 3759
LOCATION OF PROPOSED WORK 20(06
ASSESSORS MAP "7 0 ;;S~ c.L3
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TAX LOT
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OWNER 0~\~V ,4-5:::;.eu\;\.0l (/\ .
ADDRESS wCo0 ( -c Vt+-eV\ V\-(cCf
CITY cyf Id
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STATE -lJJ2--
PHONE
'7 Lf {,'J (,7 L/ ~ ~
ZIP
Cf 7Lf 71
DESCRIPTION OF WORK
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ADDITION DEMOLISH OTHER
f'r2_~
NEW REMODEL
VALUE
NAME
ADDRESS
PHONE
ARCHITECT
CONTRACTOR'S NAME
ADDRESS
CONST
CONTRACTOR'
EXPIRES
PHONE
GENERAl
PLUMBING
MECHANICAL .t-bu/v~<\- Pnce...f~ ItJ 16 A.((},~/;IJOj ;;'~r:~r7t{D5 OM17 Joh/hz. 11b-/l:z!
ELECTRICA\
Single Fixture
Relocated Bldg
(new fIX addtll
Water Service
2-
Furnace/burner & vent
<100.000 BTUs
Furnacel burner & vent
> 100.000 BTUs
FFF I
(p00
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rHARGY
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I
I
I
PLUMBING
MECHANICAL
NO
FEE
CHARGE
Nn
It
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Statlonaryevap
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg
Mechanical exhaust
hood and duct
Sanitary Sewer
It
Storm Sewer
It
Backflow Device
CrtJ~/(}s
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2?
I
$1000 I
IS:: P^O I
PermIt Issuance
TOTAL PERMIT
TOTAL PERMIT
.Rl//J.) /
- OFFICE USE -
HANDICAP ACCESS
FLOOD PLAIN
OUAD AREA
. OF BLDGS
LAN D USE
. OF UNITS
ZONING
. OF STORIES
HEAT SOURCE
LIGHTING POWER BUDGET
WATER HEATER
OCCY GROUP
CONSTR TYPE
SO FT
$/SO FT
VALUE
SO FTG MAIN
X
SO FTG ACCESS
SO FTG OTHER
X
x
TOTAL VALUE OF PRDJECT
PLAN CHECK FF"
RC PT#
DATF
BY
I BUILDING PERMIT
15% State
Surcharge
I MECHANICAL
15% State
Surcharoe
I PAVING
PLUMBING
DEMOLITION
/5:"D
, 7)-
5% Slate
Surcharge
FENCE
VALUE $
SIDEWALK
FT
/J5H~c5'
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
/0
OD
-
CURBCUT
FT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
;Z '$',75'
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
7263769 (recorder), state your CIty desIgnated lob 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
pnor to setu p 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 gravel IS In
place but prior to placing
asphalt or concrete
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 matenals and before
framing inspection
SPECIAL INSPECTIONS In accordance
Section 306 of the State Specialty Code
a special Inspector shalf 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
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB To be
made after all Inslab bUlldmg
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 CONCRETE In
excess of 2500 PS I (306 a 1)
STRUCTURAL WELDS
Performed on the job (2722 fl
UNDERGROUND Plumbing.
electrrcal, gas, sanitary sewer,
storm sewer, water and
drainage lines To be made
prior to covenng or filling
trenches
INSULATION & VAPOR
BARRIER To be made after all
Insulation and required vapor
barners 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
Standards 43 8
UBC
UNDERFLOOR Plumbing.
electrical, mechanical To be
made pnor 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
pnor 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 pi aced (2501 U B C
STDS 2510.11)
FLOOR INSULATION &
VAPOR BARRIERS To be
made pnor to installation of
decking or floor sheathing
STRUCTURAL MASONRY (306
a 7)
MASONRY Sleel location.
bond beams grouting or
verticals In accordance With
UBC 2415
SIDEWALK & DRIVEWAY
ReqUired for all concrete
paving WIthin street nght of
way, to be made after al I
excavating complete and form
work and sub base matenal In
place
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L.M'P
ROOF SHEATHING AND
NAILING Prior to installing
any roof covenng
CURB AND APPROACH
APRONS After forms are
erected but pnor to plaCing
concrete
*In addition to the Inspec
tlons 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
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 strrplng, etc must be completed before
requesting thiS Inspection
FINAL ELECTRICAL
T F,JNAL MECHANICAL
FINAL FIRE DEPARTMENT
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
if;!4-
DAT~
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 701055 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 durrng construction
i(Slgna1Uro 171' IrkVIJ7 K ~c.U &J (fkf~ P ~,~, ) Da1p
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VALIDATION
AMOUNT RECEIVED
RECEIPT #
2~.
:? 729:,
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DATE PAID
RECEIVED BY
'2-12-'72-
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