HomeMy WebLinkAboutPermit Mechanical 1994-6-27
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JOB NUMBER !:J4LXo:::S~
COMMERCIAL/INDUSTRIAL &P~'NGPIELD
PERMIT APPLICATION ~
22S Fifth Street, Springfield, Oregon 97477 ~
LOCATION OF PROPOS~ j:(q,Elf ~ AA q- f\ ~OO+
ASSESSO~ MAP' ~ \U d. ~'d.~' ) TAX LOT:---Dl.9(J.J
OWN~\(J\ y,\) 0.1 ~ (\ ~m '~PHONE: \ W{) . \O',E~'
ADDRE~~~'4 , U\... ~ . ~" - ~ -r'd..
CIT~: ~ ~ \u1\ . 0 0 ti . STATE: , ~ \. ~ _ ZIP: C(r rr 'C1
DESCRIPTION 'OF WORK\ ~ ~ ~u.uoc. \ ~ .\ ,~'t \ \ Olt..p ,
NEW
REMODEL
ADDITION
DEMOLISH
NAME
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
GENERA' '
PLUMBING' ('\ : nL ' ,
MECHANICAt \m~J.. ~\<\ \ t'\\ol:>C::V
ELECTRICA' '
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PLUMBING
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NO,
FEE
Single Fixture
Relocated Bldg,
(new fix, addtll
Water Service
Sanitary Sewer
It.
ft.
It,
Storm Sewer
Backflow Device
TOTAL PERMIT
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I TOTAL PERMIT
ADDRESS
- OFFICE USE -
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
QUAD AREA-
I OF BLDGS'
LAND USE:
I OF UNIT~'
OCCY GROUP'
CONSTA. TYP'"
HEAT SOURCF'
I OF STORIES:
SQ FT,
$/SQ, FT.
SQ, FTG MAIN
SQ, FTG ACCESS
SQ, FTG OTHER
X
X
X
PLAN CHECK F<"
RCPT' '
I BUILDING PERMIT
[5% State
Surcharoe
I MECHANICAL I ~~
15% State 15
i~;~n" \'(~pu
~ ~ .1-5
I PLUMBING
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
CURBCUT
OAT"
FT,
FT,
INSPECTION LINE: 726,3769
OFFICE: 726,3759
OTHER
VALUE:
PHONE
CONST.
CONTRACTOR I
EXPIRES
PHONE
l.
--J~
'Yi..\
V ......
qdS.~~- ~
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MECHANIC,AL
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I'CI'
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
SuspenaeCi wall or floor
mounted unIt heater
Appliance Vent
separate
Stat lonary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg,
Mechanical exhaust
hood and duct
Permit Issuance
,,$10,00 I
I
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING: '
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF ,PROJECT
BY
I DEMOLITION
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SUBTOTAL
PERMITS
I SYSTEMS
OEVELOPMENT
· REQUIRED INSPECTIONS .
It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request en Inspection, call
726,3769 (recorder), state your City deSlgnated~ob mber, Job eddress, type of Inspection requested and when you will be ready
for Inspection, Requests received before 7:00 a,m II be made the seme working day, requests made after 7:00 a,m"wlll be made
the following work day. ,
SITE INSPECTION: To be ROUGH .eL!"'BING.' PAVING: After gravel Is In
made after excavation, but l - ,,',~.<t:-6,. place but prior to placing
prior to setup of forms, ECHANICAL: No rk Is 10 asphalt or concrete,
. be covered unt ase
UNDERSLAB PLUMBING, Inspectlo ave been made
, ELECTRICAL & and ved,
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,
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.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector 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 Dlvl.Slon:
ATTIC DRAFT STOPS &
CURTAIN WALLS
STRUCTURAL CONCRETE: In
excess of 2500 P'S,L (306 a,1)
CONCRETE SLAB: To be
made after all Inslab building
aervlce equipment, conduit,
pi pi ng, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed,
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines, To be made
prior to covering or filling
trenches,
INSULATION & VAPOR
'BARRIER: To be made after all
Insulation and required vapor
barriers are In place but
before any lalh 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)
SPRAYED ON
FIREPROOFING: UB,C,
Standards 43,S,
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing,
SPECIAL GRADING,
EXCAVATION AND FILLING:
Ourlng earlhwork, (306 a,11 &
Chapter 29)
POST & BEAM: To 'be made
prlor'to Installation of floor
Insulation, decking or floor
sheathing,
LATH AND/OR GYPSUM
BOARD: To be'made after all
lalhlng and gypsum board,
Interior and exterior, Is In
place but before any
plastering la 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),
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to I nstallatlon of
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a,7)
MASONRY: Steel location,
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,
'In addition to the Inspec,
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Oevelopment Code,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering,
CURB AND APPROACH
APRONS: After rorms are
erecled but prlor,to placing
concrete.
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FINAL PLUMBING
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection, All project conditions suCh as
landscaplnl). parking lot striping, etc, must be completed before
requesting fl1Il>.",spectlon,
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 ELECTRICAL
( () FINAL MECHANICAL
T FINAL FIRE DEPARTMENT
A+ITIONAL COMMENTS:
PLANS REVIEWED BY
OAT"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information
herein Is true and correct, and 1 further certify that any and all work performed shall be done In accordance with the OrdlnaGlpes
of the City 01 Springfield, and the Laws of the State 01 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 conlractors and employees
who are In compliance with ORS 701,055 will be used on this project.
Ilurther agree 10 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 Ihe property, and the approved set 01 plans will remain on the site at all
times dupn/c~tructlon,
Slgnaturl"\ !7L 1 b' DJ,'<y A Yl~-") ~ Dato
, t...J)I..... fir)
VALIDATION: AMOUNT RECEIVED:~ ....JJ.
RECEIPP:'~\Q.l] )
OATE PAlO: -d ~,O .JL' ~
RECEIVED BY:c;A\L. \'CV