HomeMy WebLinkAboutBuilding Mechanical 1994-07-26COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
SPRINGFlELO q//D:fJOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:1565 Mohawk Blvd. (aAAQX{!Q'S)
ASSESSORS MAP:rAX Lor: Odi!@'
ADDRESS: 1782 N. Sth
72A-qR6RPHONE:
Sprinqfield
N.I.P.I. Corooration
ztP: 97477STATE: oregonCITY:
OWNER
NEW
-
REMODEL ADDITION DEMOLISH OTHEFT VALUE:
Replace 3 roof to p qas/electric uni-tsDESCRIPTION OF WORK
ARCHITECT
GENERAL:
NAME ADDRESS PHONE
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
PLUMBING
NO FEE CHARGE
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft
Storm Sewer
t(
Backf low Device
TOTAL PERMIT
MECHANICAL
NN FFtr CHARGE
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 Sys
from AC
tem apart
or htg.
Mechanical exhaust
hood and duct
3
replace 60,000 BTU I)/8uoo/ srsu ur rL PEElsuguu--
Permit lssuance Units $10.00
TOTAL PERMIT
- OFFICE USE -
ZONING
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET:
LAND USE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
Y OF UNITS:
WATER HEATER:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
??,//.
BUILDING PERMIT PLUMBING DEMOLITION
5% State
Surcharge 5% State
Surcharge
MECHAN /trZ FENCEnnlue s
s% Stat6-
Surcharge
)oN4 SIDEWALK
FT.
SUBTOTAL
PERMITSPAVI N G CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
Cnmfor"t F] ow Heati ng 855 tnl- Fi rst , Frrgene , 0R 974O2 00460 6/27/95 342-8101
v.
REQUtRED TNSPEcnoNS
It is the responsibility of the permit holderto 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.
S|TE 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 during
CURTAIN WALLS construction of the following work. A
FooTINGS & FoUNDATIoNS: E,bEn, A^E. r copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to plaqing be furnished to the Building Division.
excavated and forms are facing materials and before
erected, ail steel in place, but framing inspection' STRUCTURAL CONCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l' (306 a'1)
coNcRErE sLAB: ro be t["];:l ilJ'il'Jlfli,t]i ,^ srRUcruRAL wELDS:
made after all inslab building place and all pipes, chimneys Performed on the lob. (2722f')
service equipment, conduit, and vents are'complete andpiping, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and meLhanical are approved. During all bolt installation and
in place but before any tightening operations. (306
concrete is placed. INSULATION & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ON
electrical, 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 filling applied. SpECIAL GRAD;NG,
;::"j:,""R: p umb ns [;x1],f.'3*,Jfl]"g]* il;fut'iix-tli.:,5J:'j],"1
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of , ^?u Art^,A6 ^vDcrrir GLU.LAM BEAMS: lnspectionfloor insulation, decking or LATH AND'OR GYPSUM
floor sheathing. BOARD: To be made after all Certificate 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 fiace Uut before any beams are placed' (2501 U'B."'
insulation, decking or f loor plastering is applied or before STDS' 25-10J1)'
sheathing.
Jvvr\rrrv gypsum board joints and
fasteners are tiped 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.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right oi
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.
ROOF SHEATHlNG AND
NAILING: Prior to installing
any roof covering.
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 thit 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 occuPANoY
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.
requested at the proper time, that project address is readable f rom the
property, and the approved set of plans will remain on the site at all
Signature Date
I further agree to ensure that all required inspections are
street, that the permit card is located at t front of t
times during constru ton
?e. yr/
VALIDATION ^?,AMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
\FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITEPLANREVIEWBOARD:Mustberequested2daysinadvance
of the date you wish inspection. All project conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requesting this insPection.
FINALBUILDlNG:Requestedafterthefinalplumbing,electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
iertificate of Occupancy has been issued by the Building Dlvision
and Posted on the Premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
?- 2 {-7L/
CITY OF SPR'A'GFIELD, OREGON
rhe ro[owr ns. ffi, ffX,m*#f,"*225 FTII]H STREET zoning' and d<
spRrNGprEID, OREGOII 97472roval'
TNSPBCTIoNREOUESTz 726-3762*ng- CC ,
oPFrcE: 726-3759 r,,e-?iz3b,- 3. coupr,ETE EEE scEEDIILB BELoIT
1.LOCA,TION OF Nev Resident ial-Single orr55Multi-Famity per dvelling unit.
Service Included:ftems Cost
JOB DBSCRIPTTON 1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modul-ar Dvelling
Service or Feeder
s 8s.00
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address
Ci Phone r1+l -AA3 b
Superv i sor cense Num ber I lo9 ,\
Expiration Date lo-t-q5
Constr Contr. Number c I s4q
Expiration Date q-t-q+
ure of SuPervising Electrician
SPRllt GFIELD
Services or Feeders
Installation, Alterations
or Relocation:
Sum
o
B
200 amps or 1
201 amps to 4
401 amps to 6
601 amps to 1"
ess
00 amps
000 amps_
s 1s.00
$ 40.00
100
130
300
40
$ 3s.00
$ 2.00
)
$
)
)
)
s
00
00
00
00
00
00
50
60
S
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
over 4b1 to 600 amps
-
$ 80.00
Over 600 amps or 1000-toTTs see 'rB" above
Branch Circuits
Nev, Alteration or Extension Per Panel
35ao
Ovners Name
Address o
Ci ty pnone rl kb'98bb
OIJNER TION
The installation is being made on
property f ovn vhich is not intended
for safe, ]ease or rent.
Ovners Signature:
DATE:
Over 1000 amps/volts
One Circuit I
Each AdditionaL
Circuit or vith Service
or Feeder Permi t A
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
C
D0
-4rlo
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
sign/outline Lighting- $
t imited Energy/Res
-
$
Limited Energy/Comm S
40.00
40.00
20.00
36.00
39'oo
t^q5
t. t'l
+A, t L.RECEIVED
5
mtrl,ucrntcAl, PERHTT APPLTCATToN
city Job N*b", ?727-{
I,EGAL DESCRIPTION
/"e7-2<^7// alFa-