HomeMy WebLinkAboutPermit Mechanical 2000-9-12
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I Job# 00-01381-01 I
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Page 1 of 2
TRANS#:Ol-0003193
DATE:SEP 12 2000
AMT RECD:2 $ 26.50
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
225 North Fifth Street
Springfield, OR 97477
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01381-01
Office: 726-3759
Inspection Line: 726-3769
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Location Of Proposed Site: 630 Main St Spr
Assessors Map#: 17033531
Lot: Block: Addition:
Owner:
Ben Melhus
630 Main St
Address:
Scope Of Work: Mechanical
install exhaust fan
Contractor Type
Mechanical Contr
Tax Lot #:
Subdivision:
08900
Phone Number: 541-726-5336
City/State/Zip: Springfield, OR 97477
New Value: $0
Contractor Registration # Expiration Date
Bob Archerd
18325 S Ferguson Rd, Oregon City. OR
97045
Phone
503-631-7983
Office Use
Quad Area: Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: Heat Source:
Water Heater: Range: Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769, All inspect\}J~TJ~i~ted before 7:00
a,m, will be made the same working day, inspections requested after 7:00 a:Fh!lwHlllJetmalill-!th'e'-fOllbWfilfg IFTHEWORK
working day, AUTHORIZED UNDER THIS PERMIT IS NOT
Rough Mechanical
Final Mechanical
Required Inspections
Mechanical I
C:~.~:.~:~~::~':.'~ I: ^O^f\ln"",":n~"~
ANY 180 DAY PERIOD.
- Prior to cover,
- When all mechanical work is complete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
",fTENTION:Oregon law requires you to
fol,low rules adopted by the Oregon Utility
# Of Stories: ~~lIll1ill~anter. Those rules are setfortt.
Current Units: 'rRDmq~f!I!.gOit(101 o through OAR 952-001-
Census Code: Does not app1Y0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
Total: I numberfortheOregon Utility Notification
('0"+0' j". .pnn_~~"_?:ldA'-
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Job# 00-01381-01 I
Paid On Receipt#
Mechanical
09/12/2000 3193
09/12/2000 3193
09/12/2000 3193
09/12/2000 3193
09/12/2000 3193
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Page 2 of2
Fee
Value/Quantity
Fee Amount
Minimum Mechanical Permit
Mechanical Administrative Fee
Vent Fan to One Duct
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
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 of Oregon, I further state 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
re~ed at ~e.~r~P25ti:e if: ~h:~~ project address is readable from the street.
()~('A~7(X q~ll~tJ()
Signature ~ Date
1
$12,00
$.45
$3,00
$10,00
$1,05
$26.50
$26.50
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COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
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225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER DO - On8/-0(
INSPECTION LINE: 726,3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK: ft130 MAIN 51
1703353/
TAX LOT:
o ts 700
ASSESSORS MAP'
OWNER' W I II M VE;IL S
ADORE'"'' 1{g2'>dll~ Sf-
CITY- LAtLf. ~J~
PHONE: _619 - '10 ~ /
DESCRIPTION OF WORt<'
'TJ,J5TAc...L
STATF' I') /L. ZIP: S7{)~ t./
,
E-K HA USI FA tV jocAJ SF Ccti<Ale/l... I2o.eI"1
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
GENERA' '
PLUMBING:
MECHANICAL:y",~ AflCl-I-el-D: (g'32$S. F~ (2J,()u.(J" ~t'l...- lu<S-e.L-
ELECTRICAl' ,'i ~ ~ F/~ClIU C rrt/ MaIlV' SPIZ-I~....eJ ,;20- 3t.Lc-'
:5D'3--(,,;3(-nV
.,,// 7U,-rc 701
NO,
F~~
CHARGI;
I MECHANICAL I
INn I ... I ~~I
Furnace/burner & vent
< 100,000 BTUs
I Furnace/burner & vent I I
> 100,000 BTUs
I Floor furnace and vent I I
I SuspendeCl wall or tloor I I
mounted unit heater
1 Appliance Vent I I
separate
I Stationary evap, I
cooler
1)( Vent Fan/SIngle J<;
duct
I Vent System apart "
from AC or htg,
I Mechanical exhaust
hood and duct
I I
I Permit Issuance $10,00 I
I TOTAL PERMIT 2b~
PLUMBING
Single Fixture
Reloceted Bldg,
Inew fix, addUl
Water Service
ft,
Sanitary Sewer
It,
Storm Sewer
ft,
Backtlow Device
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA-
. OF BLDG""
LAND USF'
. OF UNIT""
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUP:
CONSTR, TYPF'
HEAT SOURC.'
. OF STORIES:
Sa. FT,
$/sa, FT,
VALUE
sa, FTG MAl N
sa, FTG ACCES'"
sa, FTG OTHER
X
x
X
TOTAL VALUE OF ,P~OJECT
PLAN CHECK FEF
RCPTN
DAT"
BY
I BUILDING PERMIT
1'1, State
, Surchar~e
MECHANICAL
PLUMBING
, DEMOLITION
"
'/" State
::iurchsrQe
I FENCE
VALUE $
I SIDEWALK
I CURBCUT
7%' St"te, .=
Surcharae .
I PAVIN,G. ,,; ~, ,
.;.. , I
FT,
FT,
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
:0
~t:::J::::o
:0:0
,,-1-
m ", CIJ
("").. **=
-.-.........
D ..1""10
'-1'" "'"'l; "'T1 '-6
:I: i
f _~C':I<E:4J-LO
2b}~ 55 '" "':5
J" .. ZCJ">.I"!JLoJ
(,..,JuJ;; '\...-I~
7'f"T'1fn.--a.n
.-" \. '-f.y~
OJ';
1.;1.
: ~- -"'\ ,
TOTAL PERMIT FEES I
EXCLUDINGELECTRICA'
:'"'.'
,,'
, I _,
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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, lob address, type of Inspection requested a"d when you will be ready
for Inspection, Requests received before 7:00 a,m, will be mada the same working day, requests made aHer 7:00 a,m, will be made
the following work day,
SITE INSPECTION: To be
made after excavation, but
prior to letup 0' forms,
'':;
UNOI!R8~AB P~UMBINa,
E~ECTRICA~ &
MECHANICA~: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICA~ &
MECHANICAL: No work Is to
be covered until these
Irupectlo". hive boon made
and approved,
PAVING: After gravel Is In
place but prior to placing
asphelt or concrete,
CONCRETE S~AB: To be
made after all Inslab building
service equipment, conduIt.
piping, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed,
FIREPLACE: Prior to placing
facing materials and before
framl~~ Inspection.
, , , '
FRAMING: To be made after
the roof, all framIng, fire
blocking and bracing are In
place and all pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
81'1I01A~ IN81'IIOTION8: In ....rd.n..
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,
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 concrete.
STRUCTURAL CONCRETE: In
..,excess of 2500 PS,!. (306 a,1)
STRUCTURAL WE~DS:
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, ' SPECIA~ GRADING,
FIRE & SEPARATION 'WALL~ \.\ ,-, ' : EXCAVATI,O.NjAND FILLING:
Located and constructed' . - - During earthwork, (306 a,11 &
Chapter 29)
according to plans,
HIGH STRENGTH 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
tre,nches.
SPRAYED ON
FIREPROOFING: U,B.c,
Standards 43,8, .
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 City's
Building Division before
beams are placed, (2501 U.B.c,
STDS, 25-10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
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.
'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,
ROOF SHEATHING AND
NAI~ING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
FINAL MECHANICAL
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 PLUMBING
FINAL ELECTRICAL
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 certl fy 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 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 co uctlon.
~Ignat~
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AMOUNT RECEIVED: 2- 6 >.2..
3193
RECEI PT .'
DATE PAID:
RECEIVED BY:
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VALIDATION:, '
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