HomeMy WebLinkAboutPermit Mechanical 1996-10-16
COMMERCIALlINDUSTRIA~
PERMIT APPLICATION
SPRINGFIELD
.-
225 Fifth Street, Springfield, Oregon 97477
JOB NUMBER
i!t(I(O&
INSPECTION LINE: 726-3769
OFFICE: 726-3759
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ASSESSORS MAP:
TAX LOT:
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<.- ..........
CITY:
PHON E:
7~b- 6~y->
OWNER:
ZIP: P.7~77
DESCRIPTION OF WORK:
NEW REMODEL
...:I n 57?;d/
, ADDITION
~d~ a;;t:) B'TV 9a S ~~:re-,/'
.... --,...... - ('
..J DEMOLISH OTHER
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VALut ;;:Su/
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR #
EXPIRES
PHONE
GENERAl'
PLUMBING: - i' '
MECHANICAL: JiJrvwnMAc{Ia I ffi Y ~ 5
ELECTRICAL:
/1fJ()7C:;- 12-tf; -99 f6/ -tt~/
I PLUMBING
I NO,
I Single Fixture
I Relocated Bldg,
(new fix, addtl)
I Water Service
ft.
I I Sanitary Sewer
ft.
I I Storm Sewer
ft.
I I Backflow Device
I I
I I
I I
I I
I I
I TOTAL PERMIT
MECHANICAL
FEE
CHARGE
NO
Furnace/ burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
~.EE
r.liA Rr: F=
I
I
I
I
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
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Permit Issuance
$10,00
~t;,m
TOTAL PERMIT
-;-' OFFICE USE -
LAND USE: '
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:
QUAD AREA-
# OF BLDGS:
# OF UNITS:
OCCY GROUP:
CONSTR. TYPE:
# OF STORIES:
HEAT SOURCF'
SQ, FT.
$/SQ, FT,
VALUE
SQ, FTG MAIN
SQ, FTG ACCESS
SQ, FTG OTHER
x
=
x
=
x
=
TOTAL VALUE OF PROJECT
PLAN CHECK F~
RCPT#
DATE.
BY
'BUILDING.PERMIT I I PLUMBING
15% State I 15% State
Surcharge Surcharge
I MECHANICAL I /6..00 I Cf~tfl $
/5% State ., ~lIalttL UJ. OD I'. SIDEWALK
Surcharqe ' ,-
I PAVING q% 5k~t ,7c; I CURBCUT
'3h tt 1 Mw..-I"^- . Lfs
I DEMOLITION
SUBTOTAL ,
_ PERMITS
SYSTEMS
DEVELOPMENT
FT,
FT.
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
~6.JD
.
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
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, requests made after 7:00 a,m, will be made
the following work day, X
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in
made alter excavation but '- EII=("TRI("AI.....& place but prior to placing
prior to setup of form~, (iijlECHANICAj) No work is to asphalt or concrete,
be covered until these
inspections have been made
and approved,
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 placi ng concrete,
FIREPLACE: Prior to placing
facing materials and before
frami ng Inspection,
FRAMING: To be made after
the roof, all frami 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,
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 re,quired vapor
barriers are in place but
before any lath or gypsum
board i nteri or wall coveri n g is
applied,
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines, To be made
prior to covering or filling
trenches,
FIRE & SEPARATION WALL:
Located and constructed
according to plans,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing,
LATH ANDIOR 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.
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
decki ng or floor sheathi ng,
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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete,
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
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,
,
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STRUCTURAL CONCRETE: In
excess of 2500 P,S,I. (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)
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U l'~
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Tin addition to the inspec- _../
N.orIS specified, the Building ,
Official may make or require
other Inspections of any
construction work to ensure
compliance with the, Bulld-ing,
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
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,
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th~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 will remain on the site at all
times during construction,
Signature \ /J /~/ ~
Vr'~
FINAL PLUMBING
FINAL ELECTRICAL
K
'\
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
~
VALlDATI~N:
AMOUNT RECEIVED: 1J?j,(J1J
2-3'14/ --
RECEIPT 1/:
DATF
Da
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,
10--/17 ,-qk
~'
DATE PAID:
RECEIVED BY: