HomeMy WebLinkAboutPermit Mechanical 1997-10-31
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED Wf.?fiJf:j.:-:i;} C? ~
ASSESSORS MAP' \'1{~JJ\\
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JOB NUMBER
ala~llk
INSPECTION LINE: 726.3769
OFFICE: 726,3759
1M 1A-11'\.1 ~ 'Ile. E...iC. ..
OWNER:~)A<.'\L"L,\ n,,\
ADORES'"
CITY' ""-.r.+~ <'_
J/\I\"'\-1^A-i_
TAX LOT:
PHONE: ./.01"
STATE:
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ADDITION
Mfd ~hr f\.1_ .. \-\-),,)'/-\c... -
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ADDRESS
t ~2..o -S"-n 4\.v" a~~On ~-",'Uo It\J~
CONST. '
AODRESS ga, s,,-! . CONTRACTOR'~ EXPIRES S"O;' PHONE c-..
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I $10,00 j
-:?5: 5.0 I
DESCRIPTION OF WORK:
NEW ;><... REMODEL
DEMOLISH
ARCHITECT:
NAME
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f+ IA
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
l- t-I'\~
MECHANICA' .
E NI'E ,,- (" ,,,,po J>
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ELECTRICAl'
PLUMBING
NO,
FEE
C':HARGE
Single Flxlure
Relocated Bldg.
(new fix. addtll
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
TOTAL, PERMIT
M~CHANICAL
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13'
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OTHER
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1A1
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I TOTAL PERMIT
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
I Vent System apart
from AC or hlg.
'I' Mechanical exhaust
hood and duct
I
Permit Issuance
QUAD AREA'
LAND U!".'
- OFFICE USE -
. OF BLDGS:
. OF UNITS'
CONSTR. TYPF'
HEAT SOURCE:
OCCY GROUP:
. OF STORIE~'
SQ. FT,
$/SQ, FT.
SO. FTG MAIN
X
SO. FTG ACCESS
SO. FTG OTHER
X
X
PLAN CHECK FEF
RCPTN
BUILDING PERMIT I
5% State I
Surchar9.e
I ME~~:tk~'1
15'" State ')':5""
Surcharoe ~
I PAVING
I PLUMBING
15% State
Surcharoe
I FENCE
VA11IF= $
ISib-EWALK-
I CURBCUT
J
FT. I
FT. I
rtJ:il. &<r'__
;z.~. 5cP
1.2S
.7'7
n~ct)
,
ZIP:
*
TN<.- ~L,f)."'ln^,
VALUE:
PHONE
2OG-Io~'-<HAb
/;?_OS
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HANDICAP ACCESS:
FLOOD PLAIN:
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
10
VALUE
N{\TIr.E: WORK
T\.ll~ PERMIT SHALL EXPIRE IFR:~ IS NOT
AIITHORIZED UNDER THIS PE
D N'luu!:l\Ir.FO OR IS ABANDONED FOR
TOTAL VAlI:fE"OF'1'1l0JECT
,:.~~. ~':? MV ..."kjv\;,
BY,
DATF
I DEMOLITION
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
?7.~S
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REQUIRED INSPECTIONS
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It Is the responsibility of the permit holder to see that all Inspections ere made at the proper time. To request en Inspection, call
726.3769 (recorder), state your City designated job number, lob address, type of Inspection requested and when you will ba 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 INSPECfION: To be
made after excavation, but
prior to setup of forms.
x
ROUGH PLUMBING,
~"""JC~~&
(MECHANICAL~O work Is to
Ul;;;I (,,;vvt:rl;#u uri. ,I these
Inspections have been made
and approved.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
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CONCRETE SLAB: To be
made aftar all Inslab building
service equipment, conduit,
piping, accessorIes and other
ancillary equipment Items are
In placa but befora any
concrete Is placed.
FIREPLACE: Prior to placing
facing malarlals and before
framing Inspactlon.
FRAMING: To ba made after
the roof, all framing, fire
blocking and bracing are In
place and all pipes, chimneys
and vents are complete and
the rough elactrlcal, plumbing
and mechanical are approved.
SPECIAL INSPECfIONS: In accordance
Section 306 of the State Specialty Code
a spacial Inspector shall be amployed
by the Ownerl Contractor during
construction of tho following work. A
copy of the special testing reports shall
be furnished to the Building Division,
UNDERSLAB PLUMBING,
ELECfRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS '&
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches BrB
excavated and forms are
erectad, all steel In place, but
prior to placing concrete.
STRUCfURAL CONCRETE: In
excess of 2500 P,S,I. (306 a,1) .
STRUCfURAL WELDS:
Performed on tho Job. (2722 n
UNDERFLOOR: Plumbing,
electrical, mechanical. To ba
mada prior to Installation of
floor Insulation, decking or
floor sheathing.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are In place but
befora 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. (30d,
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
dralnaga 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 sheathing.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is In
plaee but belora any
plaslarlng Is appllad or bafore
gypsum board Joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to tho City's
Building Division belora
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,
STRUCfURAL MASONRY: (306
a.7)
MASONRY: Staal location,
bond beams grouting or
verticals In accordance with
UBC 2415.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving wllhln slraat 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: Altar forms are
erectad bul prior to placing
concrete.
'In addition to Ihe Inspec.
tlons spacllled, tho Building
Official may maka or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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FINAL ELECfRICAL
SITE PLAN REVIEW BOARD: MuSI ba requestad 2 days In advance
of tho date you wish Inspection, All project conditions suCh as
landscaping, parking lot striping. etc. must be completed before
requesting this Inspection.
FINAL PLUMBING
FINAL FIRE DEPARTMENT
FINAL BUILDING: Requasled aller tho final plumbing, electrical,
mechanical and Fire Department Inspections are made and
approved. No occupancy of the premises can be made until a
Certificate 01 Occupancy has been Issued by the Building Division
and posted on tho premises,
K FINAL MECHANICAL
ADDITIONAL COMMENTS:
;1-' ,
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~i;ANS REVIEWED BY /' Z -7 -- ~
'/r
, ;;, ',' - ." /
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By signature, I state and agree, that~,havecarefu"y examined the completed application and do hereby certify th~t 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 tho Laws of the State 01 Oregon partalnlng to the work described herein, and that NO OCCUPANCY
will ba made of any structura without permission of the Bulldl.flg Safety Division. I further cerllfy that only contractors and employees
who are In compliance with ORS 701,055 will be used on 1I11s prolact. '
I further agree to ensure that all required Inspections are requested at the proper time, that project address Is readable from the
street, that tho permit card Is located at the front of the property, and the approved set of plans will remain on the slle at all
times during construction.
DATE /if/) ~2L9-:::>
SlgnaturD
, Data
VALIDATION:
AMOUNT RECEIVED: ;;a, '1. ~S-
/_"7 ~~ 1
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RECEIPT ':
DATE PAID:
RECEIVED BY:
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