HomeMy WebLinkAboutPermit Mechanical 1998-11-20COTUME
PERMIT i?'flliJlflusrR'AL SPfiI^.CFIELc,
225 Fitth Street, Springfield, Oregon g7477
LOCATION OF PHOPOSED WORK;QD N,6 'qj
JOB NUMBER 0 t?l
INSPECTION LINE:OFFICE: 226-3759
TAX LOT:9/ ta,
726.3769
ASSESSORS MAP t7 07 tf Ll
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PHON E
6R ZIPSTATE:lt t/7'7
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N 6 rrEt0CITY:
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ADDRESS:
OWNER 3.ru N
NEW
-
REMODEL ADDITION DEMOLISH VALUE
sDESCFIIPTION OF WORK:EPTFC EHT
OTHER
(rjt
NAME ADDRESS PHON E
ARCHITECT:
CONTRACTOR'S NAME ADDRESS
CO NST.
CONTRACTOR /EXPI RES PHON E
GENERAL:
PLUM B I NG
MECHANI a*nL"74 c0 qbb b aAd *too
ELECTRICAL:
you Furnace/burner & ventSingle Fixture the on < 100 000 BTUs $,a I Z.an
Relocated Bt
otification enter ose ru set Furnace/burner & vent
new >t ETUS
I ce in bynes of ru FIoor furnace and vent
tary
calling cente (Note:uspen WA Ior oor
mounted unit heater
rm ewer p Ven
)SC arate
at onary evap.
elBackf low Device coo I
nt an ng e
duct
nt tern apart
or htg,f rom
ec an EX aust
hood and duct
,L is 6-oo /2, oa
Permit lssuance t.?a $10.00
TOTAL PERMIT TOTAL PERMIT 95,?
_ OFFICE USE -
ZONING
LAND USE
HANDICAP ACCESS
LIGHTING POWER BUDGET.
WATER HEATER
OCCY GROUP
# OF STORIES
QUAD AREA:
r CF BLDGS:
FLOOD PLAIN:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SO. FTG ACCESS
SQ. FTG OTHER
RCPT#PLAN CHECK FEE DATE BY
js-q 7
BUILDING PERMIT PLUMBING DEMO LITION
5% State
Surcharge
5% State
Su rcharge
MECHANICAL I FENCE
VALUE $
5% State
Su rcharo e
SIDEWALK
FT.
SU BTOTAL
PERM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELO PMENT
I
TOTAL PERMIT FEES
EXCLUDING ELECTBICAL
I OF UNITS:
It is the responsibility of the pelr.mit ntlO:;
izo".iios (recorder), state your citv designat
i.'r i".o"J,'5n- Requests received before 7:o
REOUIRED INSPECTIONS
o see that all inspections are made at the proper time. To request an inspection' call
ed job number, ion aoore"sl, ivp;;i inspeciio;;;qu""t"o uld *i:: vou will be readv
r0 a.m. will be made tne s'me *orking day' '"q'""i" made atter 7:00 a'm' will be made
PAVING: Af ter gravel is in
Place but Prior to Placing
asPhalt or concfete'
SPECIAL INSPECTIONS: ln accordance
IL"ti." soo of the State Specialt.y Code
I "p""irL inspector shall be employed
rv ine Owner/ Contractor during
I6nstiuctlon of the following work' A ..;;;; "f the special testing reports shall
Le'f urnisneO to the Building Division'
the following work daY
SITE INSPECTION: To be
made after excavation' but
, Prior to setup of forms'
UNDERSLAB 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 ln Place' but
Prior to Placing concrete'
CONCRETE SLAB: To be
made af ter all inslab building
service equiPment, conduit'
PiPing, accessories and other
ancillarY equiPment items are
in Place but before any
concrete is Placed.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and aPProved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to Placing
facing materials and before
framing insPection.
FRAMING: To be made after
the roof, all f raming, Iire
blocki ng and bracing are in
Dlace and all PlPes, chimneYs
and vents are comPlete and
the rough electrical, Plumblng
and meihanical are aPProved'
INSULATION & VAPOR
BARRIER: To be made after all
insulatlon and required vaPor
barriers are in Place but
before arrY iath or gYPSUm
board interior wall covering is
appl i ed.
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, ls in
olace but before anY
plastering ls aPPlied or before
gypsum board ioints and
fasteners are taPed and
finished.
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
pl ace.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
STRUCTURAL WELDS:
Performed on the iob' (2722 I)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening oPerations. (306
a.6)
SPRAYED ON
FIREPROOFING: U'8.C.
Standards 43'8.
STRUCTURAL CONCRETE: IN
excess of 2500 PS.l. (306 a'1)
SPECIAL GRADING,
EXCAVATION AND FILLING:
Duri ng earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnsPection
Certif icate bY an aPProved
agencY, f urnished to the CitY's
Building Division before
beams are Placed. (2501 U.BC.
sTDS. 25-10,11).
STRUCTU RAL MASONRY: (306
a.7)
- ln addition to the insPec'
tions specified, the Building
Of f icial may make or require
other inspections of anY
construction work to ensure
compliance with the Building,
City or DeveloPment Code.
UNDERFLOOR: Plumbing,
electrical, mechanical' To be
made Prior to installation of
f loor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
UNDERGROUND: PIUMbiNg,
electrical, gas, sanitarY sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
FLOOR INSULATION &
VAPOR BARRIERS: TO bC
made Prior to installation of
decking or f loor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prior to lnstalling
any roof coveri ng.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all lnformation
herein is true and correct,-and I f urther certify tnat any and allwork performed shatl be done in accordance with the ordinances
of the city of Springfield, and the Laws of rhe state of oregon pertainlng to the work described herein, and that No occuPANCY
will be made of any structure without permission oi the Building Safety Divlsion. 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, t;,al the permit card is located it the front of the property, and the approved set of plans will remain on the site at all
tontimes duri ng
DateSignat u re
1t"3s.1 z-
VALIDATIO N 09ztt'/
rl Lo
AMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITEPLANREVIEwBoARD:MUstberequested2daysinadvance
ofthedateyouwishinSpection.Allprojectconditionssuchas
landScaping,parkinglotStriping,etc.mustbecompletedbefore
requestlng this lnsPection.
FINALBUILDING:Requestedafterthefinalplumbing,electrical,
mechanical and Fire Department inspections 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
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COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon 97477
SPRINGFIELO
JOB NUMBER 5Ll
INSPECTION LIN E: 726-3769
OFFICE: 726-3759afr,
LOCATION OF PROPOSED WORK:3ZD 6rH
ASSESSORS MAP:r1 n3 35 fu 24 TAX LOT:
PHONE:
STATE:ZIP:er?*
++1 ^l ?Jo(o
3Z-o torOWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH ffi VALUE:
DESCRIPTION OF WORK
Z?LI ecr 4loo q
NAME ADDRESS PHONE
ADDRESS EXPI RES PHONE
ELECTRICAL:
ARCHITECT:
CONTRACTOR'S NAME
MECHANICAL:
PLUM BI NG:
GENERAL:
CONST.
CONTRACTOR #
FFF CHARGENO.
Single Fixture
Relocated Bldg
(new fix. addtl)
Water Service
ft.
2r +b'Sanitary Sewer
ft.
Storm Sewer
ft.
Backf low Device
NU I IUE:
\LL EXP RE IFTHE WIHIU PHHMIT SH,
S PEBMIT ISAU IIIUHIZEU UN ]ER THI
IU AHAI {DONED FOFvvMlYltrl\LrtrU Uf
Alnr a^A
2{ c')TOTAL PERMIT
.ttlr rou UAY rtrnluu.
MECHANICAL
Nr|FFF l1I{AFIGF
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100.000 BTUs
Floor furnace and vent
Suspended wall or tloor
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 duct
$10.00Permit lssuance
TOTAL PERMIT .-u
K
- OFFICE USE -
ZONING
LAND USE FLOOD PLAIN
LIGHTING POWER BUDGET:
* OF UNITS:
OCCY GROUP:
g OF STORIES:
QUAD ABEA:
* OF BLDGS:
WATER HEATER:
CONSTR. TYPEr
HEAT SOURCE:
$/SQ. FT.VALUESQ. FT,
TOTAL VALUE OF PROJ
x
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SO. FTG OTHER
BCPT#DATEPLAN CHECK FEE BY
-#al
BUILDING PERMIT PLUMBING *as. -DEMOLITION
5% State
Su rcharoe
5% State
Surcharoe -ir0J lJtr ,l f
MECHANICAL FENCE
VALUE $
5% State
Su rcharqe
SIDEWALK
FT.
SUBTOTAL
PERMITS
PAVI NG CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
0 qt6v
1147+
HANDICAP ACCESS:
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. 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 tNSpECT1ONS: tn 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 tne Owner/ Contractor duringCURTAIN WALLS construction of the following w6rk. A
FOOTTNGS & FOUNDATTONS: copy of the special testing reports shall
To be made after trenches are FIREPLACE: Prior to placing be furnished to the Buildiig Division.
excavated and forms are facing materials and before
erected, ail steet 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 after an rnsrab buirding 3i::5 ::.":fl 3l'3:It"r.l;;3r" Bl}3,Hyll"t,Y5f3ol',rrz uservice equipment, conduit, and vents are complete andplping, accessories and other
incinarv equipment items are H:':::["",1i""ji':,X'j#[l:1: 5lf,:f],?E],?T*,?P*lH:".in place but before any tighte-ning operations. (306concrete is placed.
, ./ 'Jl"-HtH# fr"'fi".?i.,,", ",, a'6)
UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are ln 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
lrrJ::;:":*"rins or fillins apptied. spEctAL GRAD.NG,
,NDERFL.oR: prumbins Il::,$""=": m'J3[,Y3"' iffilUt']iil#ii:,5J:'i],"t
electrlcal, mechanical. To be according to plans. chapter 29)
made prior to installation of
ftoor insulatlon, decking or LATH ANDTOR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. BOARDT To be made after all Certificate by an approved
lathing and gypsum board, agency, furnished to the clty's
pOST & BEAM: To be made interior and exierlor, is in ' Building Division before
prior to lnstallatlon of floor place but before any beams are placed' (2501 U'B'c'
lnsulation, decking or floor plastering ls applied or before STDS' 25'10J1)'
sheathlng. - Sypsum 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: Prlor to installing
any roof coverlng.
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,
Clty or Development Code.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that ail informationherein is true and correct, and I further certify that any and all work performed shall be done in accoidance with tne Ordinancesof the City of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUpANCywill be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employeeswho are in compliance with ORS 701.055 will be used on this project.
inspections are requested at the proper time, that project address ls readable from thethe front of the property, and the approved set of plans will remain on the site at all
Signature Date
66
I further agree to ensure that all required i
street, that tl
times during
he t card ls located at
ction
5- ?-41VALIDATIONAMOUNT RECEIVED
RECEIPT #RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advanceof 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, etectricat,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until aCertificate of Occupancy has been issued by the Building Divisionand posted on the premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
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