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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 C~~/~ I otV'e. ASSESSORS MAP: TAX LOT: ()Lj~1) ( ) <.- .......... 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 . -- ~ /1'~;" q --"" 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 - J I I I Il~/fr) I ~ , " VVlllJ\ 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, , fj, rx 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) rfJUak r; a. c.. U l'~ -6' -r, ~ 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 /o'-/4-,e6 , 10--/17 ,-qk ~' DATE PAID: RECEIVED BY: