HomeMy WebLinkAboutPermit Mechanical 2000-6-19 (2)
.
.
.
COMM ERCIALIIN DUSTRIAL
PERMIT APPLICATION
ASSESSORS MAP'
LOCATION OF PROPOSED WORK' '1I'JV f-.he/tfY~}
1703. 2.23'-1
:=3'iJV'''v1j (hlfe) Anl,a,f-r'"c1 lJ>Ul/Vj PHONE:-Ll/ </- ;::JI}t(
ADDRE'"'' 7"-77) ;.J/le/oe -
CITY: ~~P;'hill (};; tell Ot-tftO n/ STATE: CJtJ't."11'Jr/ ZIP: 977'7'7
DESCRIPTION OF WORK: -tJlAw;lel'/; bnJ 1 !lIlt- /1wcli V:Otr.ke...- IdYHj-e'./5a.i-
NEW REMODEL ADDITION 1./ DEMOLISH . OTHER / VALUE:
~
~
JOB NUMBER DO -~~Ngf.al~62: 31
INSPECTION LINE: 72l13m@:JUN 19 2( 00
OFFICE: 726.37S9 AMT RECD: 2 $ 26, 50
CHAN( :::
CASHIER: ( 61
225 Fifth Street, Springfield, Oregon 97477
TAX LOT'
oz~oo
OWNER:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
ADDRESS
CONST.
CONTRACTOR'
EXPIRES
PHONE
MECHANICAL:
ELECTRICAl'
i-IfJ01f (D,/JY)/bI2L1l1r '
7~,6 f)s:Jl1l> 5+,
Euaolt:- fJ/tJ'd.
I .
,")(/<';-,;lq 3 g'
'itL//6Lj o~/lJ/
- ,-
PLUMBING
MECHANICAL
NO.
FEE
r.H~RGE
..n
000
"'ioI~Qn:C
Single Fixture
Relocated Bldg.
{new fix. addtl\
Water Service
/
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
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
ft.
Sanitary Sewer
It.
Storm Sewer
ft.
Backflow Device
I
I
I
I
I
I' TOTAL PERMIT
,
Permit Issuance
$10.00
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
QUAD AREA'
LAND US.'
. OF BLDGS'
. OF UNIT~'
ZONING' .
HEAT SOURt"o.
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUP'
. OF STORIES'
CONSTR. TYpo,
SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAIN
SQ. FTG ACCESF
SQ. FTG OTHER
X
X
X
TOTAL VALUE OF ,PROJECT
PLAN CHECK Ffo
RCPTN
DATO
BY
FT.
I DEMOLITION
I
I
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
I BUILDING PERMIT I
I ""State
Surchame
MECHANICAL
- 7%State
Surcharae
I PAVING
I PLUMBING
,,,, Slate
::)urcharge
FENCE
VALUE $
SIOEWALK
CURBCUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
.'
.
.
,
"It fs.the rc'sponsiblllty of the permit holder to see that all ,inspections are made at the proper time. To request an inspectlon, call
726.3769 (rec6rder). state your City designated jab number,jab address. type of Inspection requested and when you will be ready
for Inspectlon~ Requests received before 7:00 a.m. will be made the same working day. requests made after 7:00 a.m. will be made
.. c, ,'" I,
lthi'.' following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
REQUIRED INSPECTIONS
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.
, .
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
FIREPLACE: Prlar to placing
facing materials and before
framing Inspection.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a,1)
CONCRETE SLAB: To be
made after e.1I Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment Items are
I n 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 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.
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 STRENGTH BOLTING:
During all bolt Installation and
tightening aperatlons. (306
a.6)
SPRAYED ON
FIREPROOFING: UB,C.
Standards 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
floor sheathing.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prlar to Installation af floor
Insulation, decking or floor
sheathing.' .
LATH AND/OR GYPSUM
BOARD: Ta 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 UB.C.
STDS. 25-10,11).
FLOOR INSULATION &
VAPOR BARRIERS: Ta be
made prlar 1a Installatlan of
decking or Ilaor sheathing.
STF\UCTURAL MASONRY: (306
a.7) -
MASONRY: Steel lacatlon,
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.
"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.
ROOF SHEATHING AND
NAILING: Prlar to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
FINAL PLUMBING
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
af the date you wish Inspectlan. All project candltlans 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 of Occupancy has been Issued by the Building Division
and pasted on the premises.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
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
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 af Oregan pertaining ta the wark described herein. and that NO OCCUPANCY
will be made af any structure wlthaut permission of the Building Safety Division. I further certify that only contractars and employees
who are In camp~lance 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'
Date
VALIDATION:
AMOUNT RECEIVED:
RECEIPT ..
DATE PAID'
RECEIVED BY: