HomeMy WebLinkAboutPermit Mechanical 1996-5-31
SP~RINGFIELD . ( ) \00 r J-./ "
~ JOB NUMBER V\ ~ W
,~ INSPECTION LINE: 726.3769
~ OFFICE: 726.3759
GrnoltJi D &:,~'" O\?f1J
OWNER:~ ,\,){1\- ~<l}!\~ PHONE:_:]}.02~~-L
ADDRES~:?\.O~(f\rYroO'J .=~oo:ll
CITY:~)\.\_l~_(j STATE: ~~D~ ZIP: Ui4- , !
DESCRIPTIO~ OF WORK. ~~ Q_" ~\ ~ ,y, rm~.e--
COMM ERCIALlIN DUSTRIA~
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPO~ED WO~: ,,0\d)D
ASSESSORS MAP' \, l~ \'7-l Y_)
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT
CONTRACTOR'S NAME
ADDRESS
CDNST.
CONTRACTOR'
EXPIRES
PHONE
GENERAl'
PLUMBING: ~
MECHANICAL: ~t<\O rM..ft.Q
~Q~
\\f)D~
4-\,,\ A<62.\
ELECTRICAl'
PLUMBING
Furnacel burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
MECHANICAL
LEE "
I
I
I r~~
NO,
Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
I FEE ' CHARGE
.-lW
II.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stat ionary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
I . Mechanical exhaust
hood and duel
Sanitary Sewer
fl.
Storm Sewer
II.
Backftow Device
.....Permi~. Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
OUAD AREA:
LAND USF'
. OF BLDGc,
. OF UNITS'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP'
. OF STORIES'
CONSTR, TYPF'
HEAT SOURCE:
sa. FT.
$/sa. FT.
VALUE
sa, FTG MAIN
X
sa, FTG ACCESS
X
sa, FTG OTHER
X
TOTAL VALUE OF PROJECT_
PLAN CH ECK F~ RCPP DATF
I BUILDING PERMIT I PLUMBING
15% Stale I 5% Stale
Surcharqe SurcharQe
I MECHANICAL I IS.W FENCE
VALUE $
15% State ?'lJb kd:ZB SIOEWALK
Surcharoe 4l_ FT,
I eM' MaJ' ~ I CURB CUT FT.
-
BY.
DEMOLITION
J
J
I
I
I
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
dJ.\o .!JQ
~I
. 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, V 1 .
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: Atter Qravel Is In
made after excavation, but ELECT ~ piace but prior to placing
prior to setup of forms. NICAL. N work is to asphalt of concrete.
e covered unti hase
in~::iI,JtH..llulI~ lIave been made
and approved.
FOOTINGS & FOUNDATIONS:
. To be made after trenches are
excavated and forms are
erected, all steel in place, but
prlor to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
SPECIAL INSPECTtONS: 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 furnis.hed to the Building Division.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
I n place but before any
concrete Is placed.
FRAMtNG: 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)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
tNSULATlON & VAPOR
BARRtER: To be made after ail
insulation and required vapor
barriers 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: U.B.c,
Standards 43.8,
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.
SPECIAL GRADtNG,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
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 placed. (2501 U.B.c.
STDS. 25.10,11).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-In addition to the inspec-
tions specified, the Building
Officlal 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 striping, etc. must be completed before
requesting this Inspection.
FINAL ELECTRICAL
/
FINAL MECHANICAL
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 01 Occupancy has been issued by the Building Division
and posted on the premises.
FINAL FIRE DEPARTMENT
ADDiTIONAL COMMENTS'
PLANS REVIEWED BY
DAT~
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 Bulldlng Safety Division. I further certify that only contractors and employees
who are In compliance with ?RS 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 at the permit card Is located at the o~t 'l/(the property, and the approved set of plans will remain on the site at all
tl e d IngCO~n. I '
Sign ture ~~ 'L-- ':(/ Date
,.-
I
i
i
AMOUNT RECEIVED: Alo, 9-[)
RECEiPT ': ;:I,ll \3"
;:.
DATE PAID: Q'OI.ql.o
RECEIVED BY:~M. )