HomeMy WebLinkAboutPermit Mechanical 1994-12-2
COMMERCIAL/lNDUSTRIAL. SPRINGFIELD
PERMIT APPLICATION L~
225 Fifth Street, Springfield, Oregon 97477 ~~
LOCATION OF PROPOSED WORK. 440 \ fft) 1 /\ ftlli L
ASSESSORS MAp. \'lO~'~S~\ .,
.
JOB NUMBER
q4\f")1l 0
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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ADORE~f\.:\4() "ff'tli1'\ tt\Q.u..
CITy:~}..li\C\f o-~.N ' STATE: , ~)~ Q-'\1)\
DESCRIPTION OF WORK:t 1\(1 \'\.\ i M J' ffi\ \ 0 ..; \ (\~ ~ .1.U:::ll..oJ'rh:::..
NEW REMODEL ~ ADDITION DEMOLISH ()OTHER
TAX LOT: 0'1 RcY)
PHONE: f"\4 \ .()'1Lo I.
ZIP:~
L nO'I-U&DSuui~,
VALUE:
NAME
AODRESS
PHONE
ARCHITECT.
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR'
EXPI RES
PHONE
GENERA' .
PLUMBING.
MECHANICAL:~ f\l'Il~ \)o'h.~ $0'0,1 II .p Qo.
ELECTRICA' .
\~\~~~ \{t('AD'~f\r:K2 ~ I .
Pf\M'1'l..?Jf" I qx'.~
PLUMBING
NO FEE r.HARGI'
Single Fixture
Relocated Bldg.
Inew fix. addtl\
Water Service I
It.
Sanitary Sewer I
fl.
Storm Sewer .1
ft.
Backflow Device I
MI'r.HANIr.Al
Nn I
I
I
I
~l=1:' rU6D(.!:1='
Furnace/burner & vent
<100.000 BTUs
FurnaceJ 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 hlg.
Mechanical exhaust
hood and duct
,~
F"""
PermIt Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
OUAD AREA:
. OF BLDGS:
OCCY GROUp.
· OF STORIES.
\('1\") t ")
- OFFICE USE -
LAND USF. ~~O( )
HANDICAP ACCESS:
FLOOD PLAIN:
. OF UNIT".
ZONINn.
CONSTR. TYpo.
HEAT SOURCe.
L1G HTING POWER BUDGET:
WATER HEATER.
so. FT.
$/SO. FT.
VALUE
so. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
X
X
X
TOTAL VALUE OF .PROJECT
PLAN CHECK FEE
RCPT- .
DATO
BY
I BUILDING PERMfT
15% State
SurcharQe
I MECHANICAL
IUi~~~,
I ~~ "l{l('\ I
PLUMBING
, DEMOLITION
LD
\~.0J
\f) '",\
\ .W
5% State
SurcharQe
I FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
FT.
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
~.ao
,
~
.
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. ,j
SITE INSPECTION: To be ~ ROUGH PLUMBING", " ./ PAVING: After gravel Is In
made after excavation, but ELECTRICAL & o,,{.u.;-- place but prior to placing
prior to setup of forms. MECHANICAL: NoQYork 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 placing c_oncr~te.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
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.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessorIes and other
ancillary equipment Items Bre
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.L (306 e.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
-#
UNDERGR~D: Plumbing,
electrlcal,~anltary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after ell
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 Installetlon 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 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 mede 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 epproved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.BG.
STDS. 25.10.11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
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.
---v-
STRUCTURAL MASONRY: (306
a.7)
'~) ~"I:< -~n1
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
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.
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.
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.
i
FINAL ELECTRICAL
G.~
FINAL MECHANICAL
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department Inspectlons 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
DATe
By signature, I state and agree, that I have carefully examined the completed appllcatlon and do hereby certlfy th~t alllnformatlon
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 Stete 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'fr~:)Il'.th.e'
street, that the permit card Is loceted at the front of the property, and the approved set of plans will remain on the site at all ,
times during construction.
S'lgnaturl'
Oat'"
,
t ~ECEIPT #:
AMOUNT RECEIVEO: IAD.&h
\S~-
DATE PAl D:
RECEIVED BY:
J.~~ "i\~
\J'\~
VALIDATION: