HomeMy WebLinkAboutPermit Mechanical 1995-3-6
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COM~ERCIALlINDUSTRIAL .
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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'B'NUMBER 92/~/<;""
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSEO WORK' 5"=3 '7.5' Ao?#/A?" -57
- - - /' -
A'SSESSORS MAP' /7 -.?2 - '5 ? - ~ 2
. TAX LOT' C::Y:i?::;>~ /
OWNER'
ADDRESS:
~"'=N€" ~LL
,~ 1I;"ut""?/
/' #~/5~
PHONE:
"? 2,c -.h s-'0<.7
&I~.
DESCRIPTION OF WORK: ~/~LL ~~ ~L6R ,~~~..::? ~__~
. NEW X REMODEL ADDITION DEMOLISH OTHER VALUE: ~7~
CITY:
STAT'"
ZIP: ~7sr$~
-.
NAME
ADDRESS
~_ A
CONST, ~
CONTRACTOR' ~EXPIRES
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERAl'
PLUMBIN'"
MECHA'NICAl . K~7'At<-~ ~.....P,
ADDRESS
PHONE
5 - ~ r A"W'T .,." "'" .
6:..._._...,.,~ - 9~2
r ,
9","~. /-Y";? ~. bJ?&'- ~//
ELECTRICA' .
PlUMBING
. I I M~HAN1~Al ,
CHARGE I I entTU--CH4
Furnace/burner & vent
< 100.000 BTUs ,
I Furnace/burner & vent I
> 100.000 BTUs
I Floor furnace and vent I
I Suspenaed wall or IIoor I
mounted unit heater
I Appliance Vent I
separate
I I ---- Stallonary evap, I
cooler
I I I Vent Fan/Single I
duCI
1 I I Venl System apert I
Irom AC or htg,
I I --I Mechanical exhaust I
hood and duct
I I I~~ R,3/____ I
I 1 - 1 I
Permit Issuance S10.00
I I TOTAL PERMIT ~/y. I /5'. -1
NO I FEE
Single Fixture
Relocated Bldg.
Inew fix, addtll
Water Service
fl.
Sanitary Sewer
fl.
Storm Sewer
fl.
8ackflow Device
TOTAL PERMIT
- OFFICE USE -
LAN D USE:
HANDICAP ACCESS'
FLOOD PLAIN'
ZONINC"
LIGHTING POWER BUDGET:",
WATER HEATER'
OUAD AREA-
I OF BLOGS'
OCCY GROUP'
· OF UNITiO'
.
. OF STORI"'"
CONSTR. TYPF'
HEAT SOURCF.
sa. FT.
S/SO. FT.
VALUE
sa, FTG MAIN
sa. FTG ACCESiO
sa. FTG OTH ER
x
x
x
TOTAL VALUE OF ,PROJECT
PLAN CHECK FEF
RCPT'
OAT>'
BY-
I BUILDING PERMIT '
15% State
Surchame
I MECHANJ,PtX;q.
15% State - I"...s
Surcharc;18 ,.. ":l
1 PAVING
, PLUMBING
DEMOLITION
j
J
I
I
I
5% State
Surcharpe
/~.--~ FENCE
/ ~. #0- VAllIF ,$
-?.? SIDEWAL~
-U- FT.
CURBCUT
FT.
I
I SUBTOTAL
PE RM ITS
~SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
"26. ::?~
. 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,lob address, type of Inspection requested and when you will be ready
for Inspection. Requests reoelved 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
made after exoavatlon, but
prior to setup of forms,
UNDERSLABPLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
Jt' ROUGH,PLUMBING,
'~N~ work Is to
8e cOVerell until these
Inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOI1NDATIONS:
To be made after trenches are
excavated and forms are
erected, all. steel In place, but,
prior to placing concrete.'
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.
-'. CONCRETE SLAB: To be
'made after alllnslab building
service equIpment, conduit,
piping, acoessorles and other
anolllary equipment Items are
In place but before any
concrete Is placed.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior, walLcoverlng Is
applied. .. '
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
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.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is In
plaoe but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished.
POST & BEAM: To be made
prior to Instellatlon of floor
Insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
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.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner/ Contrector during
construction of the following work. A
copy of the special tesUng reports shsll
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess, of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During ell 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,11 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
'agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.c.
STD5. 25.10,11).
x
STRUCTURAL MASONRY: (306
a.7)
0~ ~~~
'In addition to the Inspec.
tlons speolfled, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
\1
FINAL PLUMBING
-------------------------------------------------------
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project oondltlons such as
landscaping, parking lot striping, efc. must be completed before
requesting this InspecUon.
FINAL BUILDING: Requested after the final plumbing. electrical,
mechanical and Fire Department Inspeotlons are made and .
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been Issued by the Building Division
end posted on the premises.
FINAL ELECTRICAL
)'" FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT1'"
PLANS REVIEWED BY
OAT"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformaUon
herein Is true and oorrect, and I further certify that any and all work performed shall be dO<1e 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 Dlvlalon. I further cerUfy 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
Umes during construotlon. ' ,
Slgnature~~ r:~
VALIDATION:
AMOUNT RECElv"n,. -:;;:6.
/.,:::?"/':?
2.:::>0
RECEIPT ..
Datp
'7 ...c . '9-S-:-
DATE PAID:
3~~S--
RECEIVED BY:
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