HomeMy WebLinkAboutPermit Mechanical 1995-09-28COMM ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
SPFl]NGFIELO
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:IIL; A h q,,-)l( tJ I le
ASSESSORS MAP 2 TAX LOT:
PHON E
ar{STATE:
t \
i4q1 o ?
ZIP:4zqz )CITY:
ADDRESS
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE
a_DESCRIPTION OF WORK:
ARCHITECT
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
PLUI"4 BING:
ELECTRICAL:
NAME ADDRESS PHON E
"..MECHANICAL:
PLU MBIN G
NO.FEE CHARG E
Single Fixture
Relocated Bldg
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECHANICAL
NN trFtr CHAQGtr
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap
cooler
Vent Fan/Single
duct
Vent Systern apart
f rom AC or htg.
I Mechanical exhaust
hood and duct Typi -tr 4"/aoZ44s A/4)e 5 P/ 22A' 6r)r=, )-<
.7 oa)
Permit lssuance $10.00
TOTAL PERMIT 4ra),/5:e
- OFFICE USE _
ZONING
HANDICAP ACCESS:
LIGHTING POWER BUDGET:
WATER HEATER:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
, OF UNITS
OCCY GROUP:
* OF STORIES:
QUAD AREA:
# OF BLDGS
SQ. FT,$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ, FTG ACCESS
SQ. FTG OTHER
RCPT#BYDATE
-2 t' 2/Oz-t€,.
BUILDING PERMIT PLUMBI NG DEMOLITION
5% State
Surcharqe
5% State
Surcharoe
MECHANICAL/.Stk-lxtre-
/ 2),u-*
/o,6@
FENCE
VALUE S
3ill.?Tl& t75'r,y':/,2o SIDEWALK
FT,
SUBTOTAL
PERM ITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
B.OK R ,....'
FLOOD PLAIN:
PLAN CHECK FET
-Y 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
126.3769 (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 worki ng 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.
BING,
covere U ntil these
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
CONCRETE SLAB: 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.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
trenc hes.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
f loor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
RO
No work is to
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing inspection.
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.
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.
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
f inished.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
wa% to be made after all
excavating complete and form
work and sub-base material in
place.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: ln 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 f urnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. 12722 1\
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
cLU.LAM BEAMS: lnspection
Certif icate 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)
Y.4*s
'ln 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.
HANI
By signature, I state and agree, that I have caref ully 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 OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho 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 thestreet, that the permlt card is located at the front of the property, and the approved set of plans will remain on the site at all
Signature Date
times during constructlon.
2oVALIDATION
.4'1^
AMOUNT RECEIVED
RECEIPT *:RECEIVED BY:
DATE PAID:
*+
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaping, parking Iot stplping, etc. must be completed before
requesting thls inspection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanlcal 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 DATE
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