HomeMy WebLinkAboutPermit Mechanical 1995-06-071ar+.*z
COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fif|n Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK .1
ASSESSORS MAP -4 .?
SPRINGFIELO
?fr,
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOI:
'<L/
PHON E:
Fazrye ztP: ? > reaSTATE:CITY:
ADDRESS:
OWNER:
NEW
--
REMODEL ,,r ADD|TION DEMOLTSH OTHER VALUE
CDESCRIPTION OF WORK:
GENEFIAL:
ELECTRICAL:
NAME ADDRESS PHONE
ADD RESS EXPI RES PHON E
ARCH ITECT:
CONTRACTOR'S NAME
M EC HA N ICAL:
PLUMEING:
CONST.
CONTRACTOR #
PLUMBING
NO FEE CHARG E
Relocated Bld
(new fix. addtl s
)
Water Service
ft
Sanitary Sewer
tt
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHANICAL
NO trtrtr I EHA FIG F
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
se parate
Stat ionary evap.
cooler
Vent Fan/Single
duct
Vent
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct/44/22*'
Permit lssuance $10.00
TOTAL PEBMIT /rr
_ OFFICE USE _
ZONING
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUP
# OF STORIES
QUAD AREA:
I OF BLDGS:
LAND USE:
, OF UNITS
SQ. FT.$/SQ. FT,VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ, FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
Q6:.>e
BUILDING PERMIT PLUM BI NG DEMOLITION
5% State
Su rc harg e
5% State
Su rc h arqe
MECHA ./z--'/)-'>'FENCE
VALUE $
570 State
Surcharoe fr ,f,SIDEWALK
FT.
SUBTOTAL
PERM ITSPAVINGCU RBCUT
FT.
SYSTEMS
D EVELOPMENT
TOTAL PEBMIT FEES
EXCLUDING ELECTRICAL
for
?2.
/Bo-zs
Single Fixt ure
CONSTB, TYPE:
HEAT SOURCE:
REQUIRED INSPECTIONS
It is the responslbility of the permit holder to see that all inspectlons are made at the proper time. To request an inspection, call726'3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be readyfor inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:OO a.m. will be madethe following work day.
slrE INSPECTION: To be X !g_u-q! llgMBtNG, pAVtNG: After sraver is in
[,il,.",3t1"J,,"X?,?Jid';
o'' '
ffir.on work is to ::XAR'J,tJ:'"'.',:,p-i""lng
UNDERSLAB pLUMBING, inspections have been made SpEC1AL INSpECTIONS: tn accordance
before any work ls covered. ATTIC DRAFT STOPS & by the owner/ Contractor duringCURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: E,hF6, copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished io the Building Division.
excavated and forms are facing materials and before ,
erected, all steel in place, but f raming inspection. STRUCTURAL CONCRETE: lnprior to placing concrete. FRAMING: To be made after excess of 2500 ps.t. (306;.1)
coNcRETE SLABr To be the roof' all framing' fire
made arter a, insrab buirdins 3l::5::.":ff il'i:I?;,Hj:r" EIX3,T"'f3"t,Yutf3ol',rrr, ,,service equipment, conduit, and vents are complete andpiping, accessories and other
incirary equipment items are n:';::lj,li""ji:fl'JJ;[?::: Bl?lrTi:]?T*,?l,hi}i..in place but before any tightening operailons. (306concrete is placed. lNsuLATloN & vApoR a.6)
BARRIER: To be made after allUNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are ln place but FIREPROOFING: U.B.C.storm sewer, water and before any lath or gypsum standards 43-8.drainage lines. To be made board interior walllovering lsprior to covering or f illlng applied.trenches. SPEC|AL GRADING,
,NDERFL..R: p'umbins [:::,s';'fm'J3[Hf"' il:i;xxi]-:1i",5;::],"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
floor sheathing. - BOARD: To be made after all Certif icate by an approved
lathing and gypsum board, agency, furnished to the City's
pOST & BEAM: To be made interior and exieriol is in Building Division be{ore
prior to instailation of ftoor place but before any :3fl:":t?J]aced. (2501 U.BC.
insulatiOn, decking or floor plastering is applied or before rru>' zc'ru,ll)'
sheathing. - Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & 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 installlng
any roof covering.
SIOEWALK & 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.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'ln addition to the inspec-
tions specified, the Building
Off icial may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thit all information
herein is true and correct, and I f urther 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 Buildlng Safety Divlsion. I further certlfy that only contractors and employees
who are in compliance with ORS 701.055 will be used on this project.
I further agrde to ensure that all required inspections are requested at the proper time, that project ad
DateSignatureI
street, that the pe rmlt card ls located at the front of the
times durlng construc
y, and the approved set of plans wi
ldress is readable from the
ll remain on the sitejat all
-//-v 75
VALIDATION ?,6
RECEIVED BY:
DATE PAID:AMOUNT RECEIVED:
RECEIPT *:
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 proiect conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requestlng this inspection.
FINAL BUILDING: Requested af ter the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certiflcate of Occupancy has been issued by the Building Division
and posted on the premises.
ADDITIONAL COMMENTS
PLANS REVIEWED BY DATE
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