HomeMy WebLinkAboutPermit Mechanical 1996-10-31
OWNER: i 15 /f A-.4~, 7 '
ADDRESS:-,. III Jif0. fi'& sf.
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DESCRIPTION OF WORK: ~.?L;,.r ~C ""~J:f~I/ ,o/L~ . .
ADDITION DEMOLISH OTHER ~~.6
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-"COMMERCIAL/IN DUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK'
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4.:7; 7 7nhA 7
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ASSESSORS MAP:
CITY:
STATE:
NEW'
REMODEL
NAME
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
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JOB NUMBER qCt (tf9:Co
: I
INSPECTION LINE: 726,3769
OFFICE: 726,3759
/'
TAX LOT:
I / 2... c7\:>
PHON'"
/') 'W"
-'"
972D4
ZIP'
VALUE:
PHONE
CONST.
CONTRACTOR #
EXPIRES
PHONE
GENERAl'
PLUMBING:
:rMECHANICAL~M~I'cwl ~N~~'fl/J15 ,Il/f' t:/n<:?7SX7~
ELECTRICAl'
/ I li9 /<j/..
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I TOTAL PERMIT
PLUMBING
NO.
FEE I CHARGI'
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
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1
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I TOTAL PERMIT
- OFFICE USE -
~UAD AREA'
LAND US".
# OF BLDGS'
OCCY GROUP:
# OF UNIT~'
CONSTR. TYP'"
# OF STORIE.~'
HEAT SOURCF'
So. FT.
S/SO. FT.
So. FTG MAIN
SO. FTG ACCES~
X
X
So. FTG OTHER
X
PLAN CHECK FEf
RCPT'
DATI'
I DEMOLITION
I BUILDING PERMIT
15% State
Surcharge
I MECHANICAL
/5% State rz.,A'~
SurcharQe 1<7V'l (,...
I PAVING ~n I
PLUMBING
5% Stale
Surcharae
FENCE
VALUE S
I SIDEWALK
I CURBCUT
1t?,(Jt)
10-00
( . /Cj
.~.r
" ./
FT.
FT.
MEr.H4.Nlf";41.
,
""E-1-CHARGi
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S10.00 J
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Furnacel 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/SI~gle
duct
Vent System apart
Irom AC or hlg.
Mechanical exhaust
hood and duct
Permit Issuance
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING:
,
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
"*
TOTAL VALUE OF PROJECT
BY
SUBTOTAL
PERMITS
I SYSTEMS
OEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
dlG ,~
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· REQUIRED INSPECTIONS
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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 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
the following work day,
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
X
r:-
P.ou.':'~ 01 'lMBING, \ ....
HFr.UlICA~ .
MECHAN"ICAL: 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.
.'
FOOTlNGS.& FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
fra~ing 10spectiqn., .
. . \ .'.
SPECIAL INSPECTIONS: In accordance
G Sectio,n 306 of the State Specialty Code
'.a special inspector shall be employed
by'~ the~qwne~ I,Contra~tor4 d u ri ng
construction of the fbllowing work. A
copy of..the:speclal t~.sting reports shall
be furnished '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 equi pment items are
In 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 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,
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and re~ired 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.BC.
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 GRADING,
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 alter 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.BC.
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
Official may make or requIre
other Inspections of any
construction work to ensure
compliance with the Building,.
City or Development Code.
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FINAL ELECTRICAL
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
requestlng this Inspection.
FINAL PLUMBING
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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 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 thfit 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 Sprlngfleld, 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.
Slgnaturp ~ y;; <2 N ~A9c-,
Date
#'3 t.../ y/.
VALIDATION:
AMOUNT RECEI)I.tD: :2ro ,:J..(J)
RECEIPT': '.L'2...t/;7n -
DATE PAID: --1/1 - .::s /-"q ~
RECEIVED BY: -Ii::? -
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us. BANK
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United States National Bank of Oregon
MEMBER FDIC
A U.S. Bancorp Company
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SPRINGFIELD BRANCH
437 MAIN STREET
P.O. 80X 149
SPRINGFIELD. OREGON 87477