HomeMy WebLinkAboutPermit Mechanical 1996-8-28
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER 96"#..::::' /
INSPECTION LINE: 726-3769
OFFICE: 726.3759
I COMMERCIALIINDUSTRI.
PERMIT APPLICATION
LOCATION OF PROPOSED WORK: ~~9"" A4~A/ ~
ASSESSORS MAP: 1"/ ~2. -'3~ - :r <>
OWNER: ~At-~4oc" ~.#;q./..??
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5"'~&/ .~AZ~,
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DESCRIPTION OF WORK: / ~-c.~ E
REMODEL ):' ADDITION
TAX LOT: _~S-c:::e::>
PHONE:
"? ~~ -0/6"9
ADDRESS'
CITY:
STATE: _
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ZIP:
-?J? ~ f<?
NAME
O..l'?:7'("y~.,tk 4..>-- ~/~'>-t~,-:--,...."?
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DEMOLISH OTHER . VALUE: "'3':5::::-.-
ADDRESS ~ PHONE
CaNST. '
CONTRACTOR # E IRES
PHONE
NEW
ARCHITECT:
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAL:~;ql/ey f'. ~~/' ~~~ r
ELECTRICA' .
ADD RESS
....,.."......,( 4it ;;:>
- ".
2-'2.e::-"9? "']% -A::::"? -,
. "7 7'0.:- .
I PLUMBING MECHANICAL
NO. I'EE I r:HARGE '-In I """ "'~.lI.Qr.lC
I Single Fixture I Furnace/burner & vent
< 100,000 BTUs
I Relocated Bldg, I Furnacelburner & vent
(new fix. addU) > 100.000 BTUs
I Water Service I Floor furnace and vent
fl.
I Sanitary Sewer I Suspended wall or floor
fl. mounted unit heater
I Storm Sewer -- -.-,- J Appliance Vent I
II. separate
I I Stationary evap. I
Backflow Device cooler
I J Vent Fan/Single I
duct
I Vent System apart I
I from AC or hlg.
I I I Mechanical eXhaust I I I
hood and duct
I j I #-./~~ ~-J.~ ~_ I
I ! PermIt Issuance $10.00 j
TOTAL PERMIT I TOTAL PERMIT Mljo/. /S. '4
,
- OFFICE USE _
aUAD AREA:
HANDICAP ACCESS:
. 01' SLOGS'
LAND US.'
. OF UNITS'
FLOOO PLAIN'
OCCY GROUP'
CONSTR. TYP'"
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
# OF STORIES:
HEAT SOURCE:_
sa. FT.
$/sa. FT.
VALUE
SO, I'TG MAl N
X
sa. FTG ACCESS
sa. FTG OTHER
X
X
PLAN CHECK F~"
TOTAL VALUE OF PROJECT_._ _
. RCPP.
DATE
BY
I BUILDING PE
/5% Slate
Surcharae
I MECHA~~?/,_
/5% Staib ';'fI,()
Surcharo~ ~
I PAVING
RMIT PLUMBING DEMOLITION
5% Stale
- SurcharQe
-. --,.--
/~. ~ I FENCE
.;'-5; - VALUE,~
- / SIDEWALK
CURB CUT
I'T.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT.
TOTAL PERMIT I'EES I
EXCLUDING ELECTRICAL
~.2~
-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 B.m, will be made
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.
JK ROUGH PLUMBING,
E~CTRICAL &
c:::rif~~ll,",I"'I~O work ls.,to
be covered iinttl these
Inspections have been made
and approved.
PAVING: After (}r;>vel Is In
place but prior to placing
asphalt or concrete,
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 .Inspectlon. .
SPECIAL INSPECTIONS: In accordance
Secti'on 306 of the State Specialty Code
a special Insp.ector shall be employed
by the Ownerl Contractor during
construction. of the followIng work. A
copy of the 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,
pIping, 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 P.S.1. (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
floor sheathing.
INSULATION & VAPOR
BARRIER: To be made alter 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.
St~ndards 4~: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
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 to the City's
Building Division before
beams are placed. (2501 UB.c.
STDS. 25-10,11).
POST & BEAM: To be made
prior to Installation of lIoor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7) .
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
_ROOF SHEATHING AND
. NAILING: Prior to Installing
any roof covering.
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.
'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 ELECTRICAL
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 PLUMBING
./ FINAL MECHANICAL
}1
FINAL BUILDING: Requested after the final plumbing, electrical,
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,
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DAT~
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify thflt 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 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 co?ttructlon. 17h~ .
Slgnijturp 1\ U mJ'f\ 'YY) - -1' W1 AI\ / Datp M- 2 C3-qb
VALIDATION:
AMOUNT RECEIVED: 2(;;. '<0
-:z Y~2<1?
RECEI PT #:
DATE PAID: ~-:z:~%
RECEIVED BY: M.....--.,
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