HomeMy WebLinkAboutPermit Mechanical 1992-09-15COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fifln Street, Springfield, Oregon 97477
SPRINGF]ELO Q-s l ?81JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:t1 0z as aq TAX LOT OSs OCr
PHON E
3,u-=STATE:ztP
OWNER
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE
DESCRIPTION OF WORK:
ELECTRICAL:
NAME ADDRESS PHONE
NST.
R#ADDRESS EXPI RES PHONECO
l
MECHANICAL:^
PLUMBING
J*,ul*a
GENERAL:
CONTRACTOR'S NAME
ARCHITECT:
PLU MBING
NO.FEE CHARGE
I Single Fixture .Ht//,/500
Relocated Bld
(new fix. addtl s
)
Water Service
ft.
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT /5oo
MECHANICAL
NO trFtr (:HA EIGF
Furnace/burner & vent
< 100,000 BTUs //,U / 5!o
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 System apart
from AC or htg.
Mechanical exhaust
hood and duct
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
ZONING
HANDICAP ACCESS:
FLOOD PLAIN:
LIGHTING POWER BUDGET:
WATER HEATER
CONSTR, TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
r OF STORIES:
QUAD AREA:
g OF BLDGS:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
x
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
4/,to
BUILDING PERMIT PLU M BI NG / uo u DEMOLITION
5% State
Surcharoe
5% State
Su rc harqe , /J-
MECHANICALrsttl6 150-ty')oo
FENCE
VALUE $
5% State
Su rcharoe , 7J-SIDEWALK
FT,
SUBTOTAL
PE RM ITS
PAVING CURBCUT
FT.
SYSTEMS
D EVELO PM E NT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
1'24?
7r'/ -
V 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:OO a.m. will be made the same working day, requests made after 7:O0 a.m. will be made
the following work day.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SpECIAL INSpECTIONS: ln accordance
ELECTRICAL & and approved. section 306 0f the state specialty code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor duri ng
CURTAIN WALLS cbnstruction of the following work. A
FOOTTNGS & FOUNDATIONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, ail steel in ptace, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1)
coNcRETE sLAB: To be the roof' all framing' fire
made after a, insrab buirding 3l::l::.':l B;?ilt";,;l:r" ;II3,T"',X3^t H.=LT',rrz o
service equipment, condult, and vents are'complete and
:i?,?'?;"""'Til{:"i ?i"i:'::i *: H'":["",lt"ii:fl'J,1;[]::: Bl?lfl,?E],?T[,?i"TS:".in place but before any tightehing operations. (306
concrete is placed. TNSULATION & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ONelectrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC.
storm sewer, water and before any lath or gypsum Standards 43-8,
drainage lines. To be made board interior wall covering is
prior to covering or f illing applied. SPECIAL GRADING,
t renc hes.
,NDERFL..R: p,umbins [l::,S'"="fi#3[Hi"' iffiiJt'ii]#lf,5Jb'i],"1
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or LATH AND/OR GYPSuM GLU'LAM BEAMS: lnspection
f loor sheathing. BOARD: To be made after all Certlficate by an approved
lathing and gypsum board, agency, furnished to the city's
posr & BEAM: To be made interiol and exierior, is in Building Division before
prior to installation of floor place but before any beams are placed' (2501 u'Bc'
insutation, decking or f toor plastering is applied or before STDS' 25-10'11)'
Sheathing.gypsumboardjointsand fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATToN & finished' a'7)
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.
SIDEWALK & DRIVEWAY:
Required Ior all concrete
paving within street right of
way, 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.
"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.-x
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 lot stri ping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Flequested 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 DATE
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 Springf ield, 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 construction.
S ig natu re Date
.//ae-(et 12.1
bLe a
VALIDATION
-- 7ZAMOUNT RECEIVED
RECEIPT #RECEIVED BY:
DATE PAID:
x
2/zr-/zz'/