HomeMy WebLinkAboutPermit Mechanical 1997-4-14 (2)
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
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225 Fiflh Street, Springfield. Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726,3759
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LOCATION OF PROPOSrD WO')~? /.
ASSESSORS MAP: \'\00 n I
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7' 883.6 ?,2-
TAX LOT'
CITY:
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ZIP:
7";2 ~? 7-
EXPIRES PHONE
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OWNER'
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'Y'l T) I~ . STATF' ex?
DESCRIPTION OF WORK: U\Q])OJ o/~-~ ~ ~(1}) \_Q~ a.-
NEW REMODEL ADDITION DEMOLISH OTHER_r1Z..
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ADDRE"'"
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERAl'
ADDRESS
CONST.
CONTRACTOR'
PLUMBING' '}
MECHANICA" .
ELECTRICA' .
PLUMBING
MEl:HANll:Al
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l:HARGE I
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NO
FEE
i=CC
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Single Fixture
Relocated Bldg.
Inew Ilx. addU)
Water Service
Floor furnace and vent
Suspended wall or floor
mounted un1t heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/SIngle
duel
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
ft.
Sanitary Sewer
It.
Storm Sewer
fl.
Backflow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS'
FLOOD PLAIN'
ZONING:
OUAD AREA'
LAND USF'
. OF BLDG'"
, OF UNIT'"
OCCY GROUP:
CONSTR. TYPF'
HEAT SOURCE:
LIGHTING POWER BUDGET:
. OF STORIE'"
WATER HEATER:
SO. FT.
$/SO, FT.
VALUE
SO. FTG MAIN
X
X
SO. FTG ACCES"
SO. FTG OTHER
X
TOTAL VALUE OF,PROJECT
PLAN CHECK FEc
RCPT'
DATC
BY
I BUILDING PERMIT
15% State
Surcharoe
I MECHANICAL
15% State
Surcharae
1~111~~1J
- -1-
PLUMBING
DEMOLITION
5% State
Surcharae
FENCE
. VALUE $_
I SIDEWALK
I CURBCUT
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Lc;.o
l(),CXJ
FT..
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
r1 to .()()
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$10.00
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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, job address, type of Inspection requested and when you will be ready
for Inspection. Requests received before 7:00 a.m~wllI made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is In
made after excavation, but ~~L-8 place but prior to placing
prior to setup of forms. MECHANICAb No ork 15 to asphalt or concrete.
be covered ase
Illi:.op"'....uons have been made
and approved.
FOOTINGS & 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
framing Inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a specIal Inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
UNDERSLAB PLUMBING.
, ELECTRICAL &
MECHANICAL: To be made
before any work 15 covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping. accessories and other
ancillary equlpmenlltems 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)
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.
FIRE & SEPARATION WALL:
Located and constructed
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
trenches.
SPRAYED ON
FIREPROOFING: u'B,C.
Standards 43,8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
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.
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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).
STRUCTURAL MASONRY: (306
a.7) I
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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.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
ROOF SHEATHING AND
NAILING: Prior 10 Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
Oln 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 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.
F-INAL ELECTRICAL
VFINAL MECHANICAL
FINAL FIRE DEPARTMENT
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.
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DATF
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 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 wi OR'y01.055 will be used on this project.
I further agree t le')Pur ~that~ re~ulr spections are requested at the proper time, that project address Is readable from the
street, that the P~~I ~rd Is loca ed the front of the property, and the approved set of plans will remain on the site at all
times during co s uctlo .
Slgnatu. t Datp
VALIDATION: / AM~T RECEIVED: ,\,~Y f. .~) DATE PAID: ~<f. f<1l17
RECEIPT ': r'\l , RECEIVED BY: , )
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