HomeMy WebLinkAboutPermit Mechanical 1996-5-8
.
COMMERCIAL/lNDUSTRIAL' SPRINGFIELD
PERMIT APPLICATION L~
225 Fifth Street, Springfield, Oregon 97477 ~
LOCATIONOFPROP\-lD4~~P \'N\JJ\ ~
ASSESSORS MAP' , , TAX LOT:
OWNER' ~ ~)C\ 1 C t \ m~jJ , PHONF'
ADDRF"'" !t::4\ kLgCl, L~_
CITY: r; In
.-
JOB NUMBER
l\\ot ~
INSPECTION LINE: 726,3769
OFFICE: 726-3759
- .
(rnl;d~
DESCRIPTION OF WORK:
'}~}~~I~:
OTHER
NEW
REMODEL
DEMOLISH
NAME
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME
GENERAl'
ADDRESS
CONST,
CO NT RACTO R .
PLUMBING:, .
MECHANICAL~l1\dI.\.l~i9f ./~'~J
ELECTRICA"
PLUMBING
I
In I
I I
I
I
I
Floor furnace and vent
Suspended wallar floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg,
Mechanical exhaust
hood and duct
NO,
CI-IARGE
MECHANICAL
I
I
I
I
I FEF
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Single Fixture
Relocated Bldg,
(new fix, addtl)
Water Service
It.
Sanitary Sewer
It.
I
I
I
I
I
I
I
I
I
TOTAL PERMIT
Storm Sewer
It,
Back flow Device
Permit Issuance
TOTAL PERMIT
- OFFICE USE -
n2i--6 [ )
ZIP:
C1lJ711~
--"Jl
~
VALUE:~~\
PHONE: ""
EXPIRES
PHONE
'Y60 '3132
~~E-I_CH.o.Rr.1=
$10,00
HANDICAP ACCESS:
FLOOD PLAIN:
QUAD AREA
LAND US",
. OF BLDG~'
. OF UNIT~'
OCCY GROUP:
CONSTR. TYP"'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
. OF STORIES'
HEAT SOURCF'
SQ, FT,
$/SQ, FT,
VALUE
SQ, FTG MAIN
SQ, FTG ACCESS
X
x
SQ, FTG OTHER
x
TOTAL VALUE OF PROJECT
PLAN CHECK FF" RCPP DATF
BUILDING PERMIT I I PLUMBING
5% State I I 5% State
SurcharQe SurcharQe
I MECHANICAL I I~~ I FENCE
VALUE $
15% State I (.W I SIDEWALK
Surcharae FT,
I/~^^/ I U),O() I CURBCUT FT,
BY
DEMOLITION
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
1
J
I
: I
)
I
r90,~
.
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 I PAVING: After gravel Is in
made after excavation, but place but prIor to placing
prior to setup of forms. asphalt or concrete.
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 In place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection,
SPECIAL INSPECTIONS: In accordance
Section 306 01 the State Specialty Code
a special Inspector shall be employed
by the Owner I Contractor during
constructlon of the fOllowing work. A
copy of Ihe special testing reports shall
be furnished to the Building Division,
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
pi ping, accessories and other
ancillary equipment items are
In place but before any
concrete Is placed.
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.
STRUCTURAL CONCRETE: In
excess of 2500 PS,I. (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
Iloor sheathing,
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering is
applied,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a,6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U,B,C,
Standards 43-8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor shealhlng,
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is In
place but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished,
GLU,LAM BEAMS: Inspection
Certificate by an approved
agency, furnished 10 the City's
Building Division before
beams are placed, (2501 U,B,C,
STDs, 25-10,11),
POST & BEAM: To be made
prior to Installation of floor
Insulation, deckIng or floor
sheathing,
STRUCTURAL MASONRY: (306
a,7)
MASONRY: Steel locallon,
bond beams grouting or
verticals in accordance with
UBC 2415,
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.
ROOF SHEATHING AND
NAiliNG: Prior to InstallIng
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
*In 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
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 striping, etc. must be completed before
requesting this Inspection.
FINAL BUILDING: Requested aller the final plumbing, eleclrlcal,
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,
r ELECTRICAL
r'/FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DAT~
By slgnature,l state and agree, that I have carefully 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 wlth 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 construction.
Slgn~jJ~~~ ,
/'/' _l/~ 'II}
VALIDATION: AMOUNT RECEIVED: ex. lei ' O'-L/
/ . RECEIPT ': cO\,~/J
Date
J--- If - f-t
DATE PAID' {) -)5' - ';tJt2
RECEIVED BY: ~--:-)