HomeMy WebLinkAboutPermit Mechanical 1992-10-14COM M ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fillh Street, Springf ield, Oregon 97477
SP;IIi.GFIELE,JOB NUMBER ?z/y'c/2
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK
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irt lns /nne 3716 ' 4,.
TAX LOT:Efe?ASSESSORS MAP:
PHONE:
CN &f ? t+r,tSTATE:ZIP
6 E \Xo1 3
-F L e
tuOWNER:
ADDRESS
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE
(.,
@Oo,/
rDESCRIPTION OF WORK
MECHANICAL:
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NAME ADDRESS PHONE
EXPIRES PHONE
6s:scrg3rrGENERAL:ra4s &-tT fitu
ADDRESSCONTRACTOR'S NAME
PLUM BI NG
CONST.
CONTRACTOR #
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl
s
)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft
Backflow Device
TOTAL PERMIT
MECHANICAL
NO FFF EHA RG 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
f rom
System apart
AC or htg.
Mechanical exhaust
hood and duct5*t ?trt*o v,a,/p
c
Permit lssuance $10.00
TOTAL PERMIT
_ OFFICE USE _
LAND USE:
ZONING
FLOOD PLAIN
LIGHTING POWER BUDGET:
WATER HEATER
OCCY GROUPT
# OF STORIES
QUAD AREA:
r OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
SO. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ, FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
2r?7
BUILDING PERMIT PLU M BI NG DEMOLITION
5% State
Su rc haroe
5% State
Su rc harqe
ME1HAV6AVT?//*fr,*>zr 'l€2,FENCE
VALUE $
5% State
Surcharge -?;SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
ARCHITECT
* OF UNITS:
HANDICAP ACCESS:
REQUIRED INSPECTIONS .J
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 iob 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.
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 SpEC;AL TNSPECTTONS: tn 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 duringCURTAIN WALLS construction of the following w6rk. A
FOOTINGS & FOUNDATTONS: 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 place, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMTNG: To be made after excess of 250o PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter ar insrab buirding 3l::5::.":fl |ffi:I?;,Hl:r" FII:,"J"'f3l Hf tT',rrr, ,,
service equipment, conduit, and vents are complete and
:#[3;'"",",];""{!? ?i:1""'5J *?'fl::lilig5X'JJ;[3:l: Bl?Xf],ffi]*'l*,1o,hlg:"0in place but before any tighteiing operations. (306concrete is placed. INSULATTON & 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
P,tl:::,:-".*rins or fillins applied. SpEctAL GRADING,
,NDERFL..R: p,umbins [l::,S'i^: m'J3[H3"' El;lUt'iii#li:,5Jb'i],"i,
electrical, mechanical. To be according to plans. chapter 29)
made prior to installation of
floor insulation, decking or LATH ANDToR 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
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' (250'1 U'B.C'
insulation, decking or floor plastering is applied or before STDS' 25-10'11)'
sheathing. Sypsum board joints and
fasteners are taped and STRUCTURAL MASONRY: (306
FLooR INSULATIoN & finished' a'71
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 sHEATHTNG AND iHffi^H?,tJ",::f""!|'"
NAILING: Prior to installing erected but prior to placing
any roof covering. concrete.
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.
*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.
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 pi ng, 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.
ADDITIONAL COMMENTS
PLANS REVIEWED BY DATE
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 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 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 tructi on
/O-rv-7LSignatu re Date
VALIDATION
RECEIPT *:648a DATE PAID:
RECEIVED BY:
AMOUNT RECEIVED:
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