HomeMy WebLinkAboutPermit Mechanical 1999-9-21
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COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, $pringfield, Oregon 97477
~ 11 \'"""D
LOCATION OF PROPOSED WORK'
ASSESSORS MAP: /~~-~,OO
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OWNER: Lv ,-+r-." l?,..,+o lt1.z.. LJ",... r- :
ADORE"'" ,~CJ,-;() }~ If"'\J M
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CITY: ,COtl..L._Lf~~t oj..,
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DESCRIPTION OF WORK. '''''I Cl,,~ ; (K~,s
NEW
REMODEL
ADDITION
NAME
ARCHITECT'
CONTRACTOR'S NAME
GENERA' '
PLUMBIN".
MECHANICAL: :-'\ I!)k\. 't,a
LroOo U Q..
\....0
ELECTRICAl'
PLlJ...r!t~IN~
NO
Single Fixture
Relocated Bldg,
(new fix. addUl
Water Service
Sanitary Sewer
It.
It.
It.
Storm Sewer
Backflow Device
TOTAL PERMIT
QUAD AREA'
. OF BLDG~'
OCCY GROUP'
. OF STORlc",
SQ FT.
SQ, FTG MAIN
SQ, FTG ACCESS
SQ, FTG OTHER
PLAN CHECK FEF
RCPT' '
I BUILDING PERMIT
I .f:l;Slate
Surcharge
"MECHA~Z.~ '
7%5iaiC c ~r~"
Surcharae
I PAVING
, STATE:
P '-IOJ.- + C)
DEMOLISH
ADDRESS
ADDRESS
('_~.s
P'.~
FEE
CH"RG.I'
- OFFICE USE -
LAND U"c,
. OFUNIT~'
CONSTR, TYPF'
HEAT SOURI"C'
$/SQ FT,
x
X
X
'DATC
, PLUMBING
/70, State
'.-. :surcharge
/P.--_, FENCE
L~. ;- , VALUE $
""7 ......::.2, :,iIUl:WALK
.. y..,-
CURBCUT
l,
FT.
FT,
.
JOB NUMBER
9'9/25i11 /.
,,'
INSPECTION LINE: 726-3769 ',..,
OFFICE: 726-3159
TAX LOT:~~:J~'" ,""
PHONE: 9'f'Y -i;...~v';. ': '
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, Ct\fl-,
'ZIP:
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OTHER
CONST.
CONTRACTOR'
EXPIRES
MECHANICAL
NO
Furnace/burner & vent
<100,000 BTUs
Furnacel burner & vent
>100.000 BTUs
Floor furnace and vent
suspenaeCl wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
c,Ooler
Vent Fan/Single
duct
Vent System epart
from AC or hlg.
Mechanical exhaust . "
hood and duct
~ J:?h~
Permit Issuance
TOTAL PERMIT
~'
,.' -----
VALUE;; :
. PHON;E'~~;"~::
" .'" - l,.
~>' , (1
'p'HONE
"
',' 9: 0-'t9! q
.... .
F~~
I
t":5-f.6R(H: I
I
I
I
I
I
I
I
I
I
/~~I
''. '~-$10.00 . I
I
,
;1 '"
" .
I. ~: (.
'. 'i
HANDICAP AcbE~S' ',0,'
FLOOD PLAIN.
ZQNIN(" ,
WATER HEATER.
LIGHTING POWER BUDGET:
':"'\'";j
VALUE
TOTAL VALUE OF ,PROJECT
BY
. DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
, DEVELOPMENT
, 'I
TOTAL PERMIT FEES'
. EXCLUDING 'ELECTRICAl
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__~>:.~~~~, 'EQUIRED 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), stete 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,
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms,
I ',...... .
.
It
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to ",
be covered until these '
;';~~~~v~~.av:?.;;ade
~~ Sf"6"f'S'&
CURTAIN WALLS
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be ,made efter trenches are
~,. excavated and forms are
erected. all steel In' place, but
prior to placing concrete,
'CONCRETE SLAB: To be
- made after all Inslab building
service equipment, conduit,
, piping, accessories and other
en ciliary equipment Items ere
" In place but before any
, concrete Is placed,
FIREPLACE: Prior to placing
facing materials and before
framing Inspection,
SPECIAL INSPECTIONS: In accordance
Section 306 of the. State Specialty Code
a special Inspectot shall be employed
, by the Ownerl Contractor during
constructlon'of the following work. A
copy of the special testing reports shall
be furnished to the Building Division,
"~'UNDERSLAB PLUMBING,
, ELECTRICAL & '
:,MECHANICAL: To be made
,before any work Is covered,
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 P.S,1. (306 a,1)
STRUCTURAL WELDS:
Performed on the Job, (2722 f)
'UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor-sheathing.
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 STFlENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
" ~ . : storm sewer, water and
....~\ . ~ ; drainage lines. To be made
prior to covering or filling
trenches,
SPRAYED ON
FIREPROOFING: U,B,C,
Standards 43,8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior 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 Clty's
Building Division before
beams are placed, (2501 U.B,C,
STDS. 25,10,11),
. MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
'~:--o.;..~) .-"~ '. .....',.... . ,. .
,,',:ROOF SHEATHING AND
.'NAILING: Prior to Installing
any roof coverl 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.
STRUCTURAL MASONRY: (306
a,7)
IVA:/~
l"/,Y -
~~
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing,
J/
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CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
Oln addition to the Inspec,
tlons specified, the Building
Official may make or require
pther Inspections of any
constructlon 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 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,
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT""
PLANS REVIEWED BY
OAT'"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information
here!"n Is true and correct, and I further certify that any and all work performed shall be done In accordance with the OrdInances
of,ihe,Clty of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be mape 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 con tructlon, .
'A vi,__
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V ~MOUNTRECEIVED: 5?,t:: , ~
.,,,:,,"::: ,."RECEIPT': '}~::u::::>
Date
7_ ? /-
OJ
VALl
DATE PAID'
-9 '2/.4 '9
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RECEIVED. BY:
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