HomeMy WebLinkAboutPermit Mechanical 1998-12-1
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COMM ERCIALlI N DUSTRIA~
PERMIT APPLICATION
s~
.
JOB NUMBER
iff 1'1 f'Z-
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORI<" q I C}' / N TEteN fiT! ~N I}L
ASSESSORS MAP' I '10 3 I S-6 C.
WilY
TAX LOT'
15/117
OWNER:
N aRTI+ UJ&Sr Lp..Z.i;;R(l, u,
Ojtq INTERNt+iIONAI- WAY
,sPRINC,FIel...lD
INQ....
PHON~'
ADDR~"'"
CITY'
STATE:
OR..
ZIP: q '7 LJ'7'1
Un II 1-t&I+TE:RS
DESCRIPTION OF WORK'
INSiFll....l.... (~ )
"1~ D'DV B TU.
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR'
EXPIRES
PHONE
GENERA' .
PLUMBING'
MECHANICAl f\,Ilffi~\'t- l=''1ouJ /qs/ DDN Sr S,E:D
5p~ld.q1471 {)olfft;o %7/qq 7)(rOloO
,
ELECTRICA' .
II.
I
I~i
I
I I Floor furnace and vent
1 Suspended wall or floor
mounted unit healer
AI I t: ~ IIUI~;~~~~" law r qu""o; V~~lJliance Venl
'':lIIow'" ".,,, ~r1 by the . qrale
Notificalion Center. hose r les are et!~~ary evap.
In UAH ::'''-UUI-UUI throug 1 UAM "'Ill\! Fan/Single
anon copie L"/ Ih.. 11~by
I calli~g the center. (Note: t,e telep~q'it~ ~ts~:';,ttarl
numo~r Tor Ul~ UI~UII Utll (y l"'Ulll",",CN1~hanical exhaust
I r..,nl..ri" 1-1100-~~" ."~<L1' hood and duct
I 1 '
I I
1 i TOTAL PERMIT
MECHANICAL
PLUMBING
NO,
FEE
CHARGE
000
1
"uAOOE-j
I :z., 0'0 I
J
j
r
I
I
1
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Furnacel burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
"
Sanitary Sewer
II.
Storm Sewer
fl.
Backflow Device
If:(~
1U liCE:
TOTAJ p~'ili:l~MIT SHALL EXPIRE IF THE WORK
Permit Issuance
'1(, 7 J
$10.00
,2'. ~
1-1/ II HI IlJl /c:n 11",,,,r-'1 "':;' ,.... ........-r ."_ ~
- .- _.. .. "..., ...., IIVIII hJ l"4U I
COMMENCED OR IS ABANDONED FOR - OFFICE USE -
QUAD f\REA:1~' ...--' - , LAND USE:
"'" ;;;i;'i~-l rr::-:nIUU.
. OF BLDG~' . OF UNIT~'
HANDICAP ACCESS:
OCCY GROUP'
CONSTR. TYpo'
HEAT SOURCo,
FLOOD PLAIN:
ZONING'
liGHTING POWER BUDGET:
WATER HEATER:
. OF STORIES:
SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAIN
X
SQ. FTG ACCESS
X
SQ. FTG OTHER
X
TOTAL VALUE OF PROJE"T
PLAN CH ECK FEE
RCPP
DAT"
BY
I BUILDING PERMIT
15% State
Surcharoe
I MECHANICAL I
15% State
Surcharae
I PAVING
I PLUMBING
, DEMOliTION
5% Slate
Surcharqe
FENCE
VALUE $
SIDEWALK
CURB CUT
FT.
SUBTOTAL
PERMITS
SYSTEMS
. DEVELOPMENT
FT.
.,
'" I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
. .
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.
SITE INSPECTION: To be
made after excavation, but
prior to setup of 'forms.
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
?-sphalt or concrete.
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
(acing 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 Conlractor 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 .
CONCRETE SLAB: To be
made after alllnslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment 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)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor ins,ulation, 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.G.
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.
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
:f~l~e~ee~~ are taped and C- ~~~CTURAL MASONRY: (306
SIDEWALK & DRIVEWAY: Jil~ ~
Requl red for all concrete
paving Within street rlght 0
way, to be made after all
excavaling complete and form
work and sub-base material in'
place.
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).
POST & BEAM: To be made
prior to installation of floor
Insulation, decking or floor
sheathing,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior te installation of
decking or floor sheathing.
-------------------------------------------------------
ROOF SHEATHING AND
NAILING: Prier' t.o Installing
any reof 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
constructian wark to ensure
compliance with the Building,
City .or Develapment 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 befare
.requestlng this Inspection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and
approved. Na occupancy of the premises can be made until a
Certificate of Occupancy has been Issued by the Building Division
and pasted an the premises.
"INI.\L ELECTRICAL
-J
(;~~YMECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DATI'
By signature, I state and agree, that I have carefully examined the campleted application and da hereby certi fy 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 wark described herein, and that NO OCCUPANCY
will be made .of any structure without permission of the Building Safety Dlvlslan. I further certify that only contractors and emplayees
who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that alt required inspections are requested at the proper time, that praject address is readable from the
street, that the permit card is located at the frant of the property, and the approved set of plans will remain an the site at all
tImes during construction.
a~ ('t JJtd4J
//
Slgnaturo
Date /d-J-9?
VALIDATION:
AMOUNT RECEIVED: '2'.)., 0
RECEIPT': &'5'1./ 'fc.(
DATE PAID I"h..! f & ~
RECEIVED ~ VJ~