HomeMy WebLinkAboutPermit Mechanical 1998-01-29CO M M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fiftn Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP
SPRINGFIELO JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT:F
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ADDRESS:
STATE:CITY:SPrco ZIP:?z rzz
REMoDEL y VALUE:ADDITION DEMOLISH OTHERNEW
-
ARCHITECT:
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
NAME ADDRESS PHONE
ELECTRICAL:
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MECHANICAL:
PLUM BI NG:
G EN ERA L:
PLU MBIN G
NO FEE CHARGE
Single Fixture
Relocated Bldg
(new f ix. addtl)
Water Service
f r.
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
IIEEHANICAL
NO FFF cl{ a EIG tr
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 System apart
from AC or htg.
Mechanical exhaust
hood and duct
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Permit lssuance $10.00
TOTAL PERMIT 2rz.,/6.-
- OFFICE USE -HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGET:
ZONING:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
* OF UNITS:
WATER HEATER:-
SQ. FT.$/so. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT#DATE BY
%.1o
BUILDING PERMIT PLUMBING DEMOLITION
5% State
Surcharqe
5% State
Su rcharoe
M
-'?FENCE
VALUE $
50h
Su rch :v SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
.4h / r) .<,/6LLP -{
owNER: IafAt C e cua g pHoNE:??A - 7Ae f
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DEScRrprroN oF woRK: v4r94zc rzt?te up ata tllt r ouez- i2,erpr Eeerrl
LAND USE:
REOUIRED INSPECTIONS V
It is the responslbility 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 7:00 a.m. will be made the same working day, requests made after 7:O0 a.m. will be made
the following work day. y
SITE INSPECTION: To be 4 ROUGH PLUMBING, PAVING: After gravel is in
til these
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
FOOTINGS & FOUNOATIONS:
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.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
FLOOR INSULAT]ON &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance wlth
uBc 2415,
RooF sHEATHTNG AND iHXS^H?,ti"t::f""X'.
NAILING: Prlor to installing erected but prior to placing
any roof covering. concrete.
made after excavation, but
prior to setup of forms.o work is to
inspections have been made^Yryrytr4t/s-
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 inlshed.
place but prior to placing
asphalt or concrete.
SPECIAL INSPECT]ONS: 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 furnished to the Building Division.
STRUCTURAL CONCRETE: ln
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 t\
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.l1 &
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.7)
*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.
r
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.
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 allwork 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 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 f rom 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
Signature
t
Date /^37-76
times during constructlon
DATE PAID:
RECEIVED
VALIDATION AMOUNT RECEIVED:=6,pa<84RECEIPT #
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 stri ping, 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
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
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FINAL MECHANICALper 6fr
F]NAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY oere/.23#z/v