HomeMy WebLinkAboutPermit Mechanical 1995-09-14COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitth Street, Springfield, Oregon 97477
SPRINGFIELE'a<JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:
h,
bto -t, arrd St<er
ASSESSORS MAP:TAX LOT:OA
PHONE:
O<ea"lSTATE:ZIP:
\4d
7Vl-6650
?7 v77
o
.TCITY;Q,opPN6 Fr'et
ADDRESS
OWNER
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE:
FDESCRIPTION OF WORK
ELECTFIICAL:
NAME ADDRESS PHONE
ADDRESS EXPI RES PHONE
I+a I
CONTRACTOR'S NAME
ARCHITECT:
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUM BI NG
PLUMBING
NO.FEE CHARG E
Single Fixture
Relocated Bldg.
(new f ix. addtl)
Water Service
ft
Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
TOTAL PERMIT
MECHANICAL
NO trFF CI{A FIGtr
/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
Permit lssuance $10.00
TOTAL PERMIT ,.Ara /^n
- OFFICE USE _
ZONING
HANDICAP ACCESS:
FLOOD PLAIN:
LIGHTING POWER BUDGET:
WATER HEATER
CONSTR. TYPE
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
SQ. FT.$/sQ. FT.VALUE
Ja Zra
TOTAL VALUE OF PROJ
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
%,?o
BUILDING PERMIT PLUMBI NG DEMOLITION
5% State
Su rch arq e aD
5% State
Surcharqe
MECHANICAL (? 7 &/7 FENCE
VALUE $
5% State
Surcharqe fi 7/r SIDEWALK
FT,
SUBTOTAL
PERMITS
PAVING CURBCUT
FT,
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
\7- REQUIRED INSPECTIONS
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 job number, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:00 a.m. wilt be made the same working day, requests made after 7:00 a.m. will be made
the following work daY.
stTE |NSPECT|ON: To be / ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. 67l6XaN1EA5ruo work is to asphalt or concrete.
B6Blerr:u*fii-rr rnese
UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: In accordance
ELECTRICAL & and approved. Section 306 of the State Specialty Code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DRAFT STOPS & Oy ine Owner/ Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: F'hE6r A E. I 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
6rected, all steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made arter a, insrab buirdins El::5::.':l 316:It"f,n;:r" ;llN'"J"'X3,t,Y5tT',rrr, ,
service equipment, conduit, and vents are complete and
:i?,l,?,i:".',:;?{:? ?$:'}:J :H'fl::Hlt"il:,1'JJ;[3:?: Bl?,Xf],ffi]noll",?,o,.'IHt,oin place but before any tightening operations. (306
concrete is placed. INSULATTON & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SPRAYED ONelectrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC.
storm sewer, water and before any lath or gypsum Standards 43-8.
drainage lines. To be made board interior wall covering is
prior to covering or filling applied. S'EC'AL GRAD'NG,trenches.
,NDERFL..R: p,umbins IlT:,$'"="fHJ3[ffi"' El;iJ!'iiil-tli:'[Jb:]'"t
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
f loor sheathing. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the city's
poST & BEAM: To be made interior and exterior, is in Building Division before
prior to installation of floor place but before any beams are placed' (2501 u'Bc'
insulation, decking or f loor plastering is applied or before STDS' 25-10J1)'
sheathing. gypsum 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 installing
any roof covering.
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.
"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.
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
?- / v-?,Signatu re
r \)
Date
times during c struction.
street, that the
at the proper time, that project address is readable f rom the
and the approved set of plans will remain on the site at allrmit card is located at the front of the
26.?oVALIDATIONAMOUNT RECEIVED:
RECEIPT g:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
x 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 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.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE