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Home My WebLink AboutPermit Mechanical 1999-04-23COM M ERCIAL/ I N DUSTRIAL PERMIT APPLICATION 225 Fitth Street, Springfield, aregon 97477 SPRINGFIELO JOB NUMBEFI INSPECTION LINE: 726.3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK:3a> s Ae_lbM +4c ASSESSORS MAP:TAX LOT o7 L,o I PHONE:3oz- ZIP: /- e'/\STATE:77 mn4OWNER: ADDRESS CITY: // N VALUE: (<OtDESCRIPTION OF WORK: DEMOLISH OTHERNEW- REMODEL ADDI ARCHITECT coNsT. CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE NAME ADDRESS PHONE ltA^tL ELECTRICAL: v MECHANICAL:Cs * rn-LrL 00dt-D oo /61qrL/ G E NE RAL: PLUMBING NO FEE CHARGE Single Fixture Relocated Bldg. (new fix. addtl) Water Service ft Sanitary Sewer ft Storm Sewer ft Backflow Device TOTAL PERMIT MECHANICAL Nr)FFF NHA trNtr I Furnace/burner & vent < 100,000 BTUs E oe Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or f looi mounted unit heater Appliance Vent separate Stationary evap. cooler Vent Fan/Single duct Vent sys AC tem apart or htg.f rom Mechanical exhaust hood and duct e/'7rzs71a ffi -&<aa . aa, la Permit lssuance $10.00 TOTAL PERMIT /Wr.r"/r, oa _ OFFICE USE - LAND USE: * OF UNITS: LIGHTING POWER BUDGET: WATER HEATER: HANDICAP ACCESS FLOOD PLAIN ZONING: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: SQ. FT.$/SQ. FT,VALUE TOTAL VALUE OF PROJECT X X X SQ. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER RCPT#PLAN CHECK FEE DATE BY 24;,4 BUILDING PERMIT PLUMBING DEMOLITION 5% State Surcharqe 5% State Surcharqe*"wYV.y''4-,7a FENCE VALUE $ SY" Stat'e- Surcharge B -?y4 SIDEWALK FT. SUBTOTAL PERMITS PAVING CURBCUT FT. SYSTEMS DEVELOPMENT TOTAL PERMIT FEES EXCLUDING ELECTBICAL oro j- ( REQUIRED INSPECTIONS It is the responslbility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call 226-9769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for lnspection. Requests received before 7:00 a.m. will be made the same working day, requests made after,T:OO a.m' will be made the following work day. r stTE |NSPECTION: To be ^ ROUGH PLUMBING, PAVING: After gravel is in made after excavation, but ' ELECTRICAL & place but prior to placing prior to setup of forms. @EEADI@: No work is to asphalt or concrete. be covered until these inspections have been madeUNDERSLAB 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 equi pment, conduit, piping, accessories and other ancillary equipment items are in place but before any concrete is placed. UN DERGROUN D: Plumbi ng, electrical, gas, sanitary sewer, storm sewer, water and dralnage llnes. To be made prlor to covering or f illing trenches. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulatlon, decking or floor sheathlng. POST & BEAM: To be made prlor to lnstallatlon of floor lnsulation, decklng or floor sheathlng. 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: Prlor to installing any roof covering. x ru?ai##"r. SPECIAL INSPECTIONS: ln accordance Section 306 of the State Specialty Code a special inspector shall be employed by the Owner/ Contractor duri ng construction of the following work. A copy of the special testing reports shall be furnished to the Building Division. STRUCTURAL CONCRETE: In excess of 2500 P.S.l. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 t) SPRAYED ON FIREPROOFING: U.B'C. Standards 43-8. SPECIAL GRADING, EXCAVATION AN D FILLING: During earthwork. (306 a.11 & Chapter 29) GLU-LAM BEAMS: lnspection Certificate 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.7l *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. 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 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. lly 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 Clty 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 Bullding 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 roperty, and the approved set of plans will remain on the site at all Signature Date By slgnature, I state and agree, that I have carefu street, that the permlt card ls located at tof times during n. qz >oVALIDATIONAMOUNT RECEIVED RECEIPT *: DATE PAID: RECEIVED FINAL PLUMBING FINAL ELECTRICAL 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 before requesting this inspection. FINAL BUILDING: Requested after 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. ,u ,K FINAL MECHADTICALrrrt//1 */tr FINAL FIRE DEPARTMENT co MENTS: PLANS REVIEWED BY DATE ?"27€477 HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6)