HomeMy WebLinkAboutPermit Mechanical 1999-04-05.-{,I M E RCIAL / I N D USTR IA L
\nnarr APPLTcATToN
l5 Fifth Street, Springfield, Oregon 97477
SPRINGFIELO a€ r, "t{fJOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK:8oo -s. l8e sT (c-/ t,{
ASSESSORS MAP:TAX LOT:o/// o
PHONE
ztP
e 3
?1 t-_fc z I
STATE:rn-CITY:Cltz4
3ADDFIESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHEFi VALUE:F
DESCRIPTION OF WORK
NAME ADDRESS PHONE
e't/onle_
ADDRESS EXPIRES PHONE
Jo3o s,
72t.o/
ARCHITECT:
CONTRACTOR'S NAME
E nE^ ^^.
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOFI #
G EN ERAL:
PLUMBING
NO rutuu uy trtrF EHARGF
Y )Furnace/burner & vent
< 100,000 BTUs
Furnace/
> 100,000
burner & vent
BTUs
Floor furnace and vent
Suspended wEll-oi f l,cor
rnounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
141,.4 ,4/c ur,//fn'
Permit lssuance $10.00
TOTAL PERMIT 2(-k)
PLUMBING UUVT'; TO
NO.FEE CHARGE
Single Fixture numbe
Relocated Bld
(new fix. addtl s
)
Water Service
ft.
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
I!^TICE:
)qRM[S HALL E)(PIRE IFTHE
n HIS PEHMIT
TOTAL PERMIT \NDONED i
S NOT
ORK
)r the
may
he ce
SQ. FT.$/SQ. FT.
TOTAL VALUE OF PROJ
X
X
X
- OFFICE USE -
ZONING* OF UNITS:
HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POWER BUDGET;
VALUE
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHEH
LAND USE:
OCCY GBOUP:
* OF STORIES:
QUAD AREAI
# OF BLDGS
CONSTR. TYPEr
HEAT SOURCE:WATER HEATEB:
PLAN CHECK FEE RCPT#DATE BY
26.?)
BUILDING PERMIT PLUMBING DEMOLITION
5% State
Su rch arge
5% State
Surcharqe
MECHANICAL FENCE
VALUE $
5% State
Surcharoe
SIDEWALK
FT.
SUBTOTAL
PEBM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAI-
--
/f t3b/ 0t)
Utility
1
NDEtr
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
226-9769 (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 |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. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNOERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance
ELECTRICAL & and approved. section 306 0f the state Specialty code
MECHANTCAL: To be made a special inspector shall be employed
before any work ls covered. ATTIC DRAFT STOPS & by the Owneri Contractor during
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATIONS: ErErEDr AfaE. r 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.' FRAMii,lG: To be nrade after excess of 2500 P'Sl' (306 a1)
coNcRErE sLAB: ro be t?:J;:f6 i[J'3['Jlfli,t]i ," srRUcruRAL wELDS:
made after all inslab building place and all pipes, chimneys Performed on the iob' (2722 tl
service equipment, conduit, and vents are complete and
piping, accessories and other the rough electrical, plumbing HIGH STRENGTH BOLTING:
ancillary equipment items are and mechanical are approved. During all bolt installation and
in 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 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 GRADING,trenches. EXCAVATTON AND FILLING:
,NDERFL..R: prumbins [:::,].t"="fmtl3]"H3tt' Durins earthwork' (306 a'11 &
electrical, mechanical. To be according to plans' chapter 29)
made prior to installation of Avh6r,ri GLU.LAM BEAMS: lnspectionfloorinsulation,deckingorLATHAND/ORGYPSUM
floor sheathtng. 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 interior and exierior, is in Building Division before
priortoinstallationoffloorpl."uoutbeforeanybeamsareplaced.(2501U.Bc.
insuta,on, decking or ftoor plastering is ipprieo or before STDS' 25-10J1)'
sheathins.
Jsvr\ rIY
?J$:'i1"t:iliji[i".ilt srRUcruRAL MASoNRy: (306
f inished. a'7)
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 coverlng.
SIOEWALK & 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 inspectlons of any
construction work to ensure
compli.ance with the Building,
Clty or Development Code.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify thgt all information
herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordlnances
of the City of Springf ield, and the Laws of the State of Oregon pertainlng to the work described herein, and that'NO OCCUPANCY
wiI 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 proiect.
all required inspections are requested at the proper time, that project address ls readable from the
the front of the property, and the approved set of plans will remaln gn the glte at all
Signature Date
se
I further agree to ensure that
rmltstreet, that th
tlmes durlng r
card i
tlon.
J 6. ?-,?)
033 Toz--
VALIDATION 7AMOUNT RECEIVED:
BECEIPT *:BECEIVED BY:
DATE PAID:
FINAL PLUMBING
INAL ELECTRICAL
AL MECHAN]CAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish lnspection. All proJect conditlons such as
landscaplng, parking lot striping, etc. must be completed before
requestlng thls insPection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspectlons are made and
approved. No occupancy of the premises can be made until a
iertificate of Occupancy has been issued by the Building Division
and posted on the Premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE