HomeMy WebLinkAboutPermit Mechanical 1996-6-19 (2)
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COM M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
JOB NUMBER
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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LOCATION OF PROPOSEO WORK:
ASSESSORS MAP'
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OWNER: ,I/ICI.{o(J/JIE. VUe-rr L.rll
ADDRESS: /<b~ L/A-/./ ~ ~.b'I"~
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STATE: ~ ZIP:_9740/
CITY'
c.o,.uA?r~ c.~
J/' ADDITION
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OESCRIPTION OF WORK:
NEW REMODEL
OEMOLlSH
OTHER
VALUE:
NAME
AODRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
GENERA' .
PLUMBINf"
MECHANICAl'
ELECTRICAl'
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I NO,
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ADD RESS
CONST,
CONTRACTOR #
PHONE
EXPIRES
i4 ....~v€'y ); 1=1z., ~€
To ~ ~<c~#4I.::>~
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Co.
PLUMBING
MECHANICAL
"fjAB.G~
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4,JDI
45"0 I
$10.00 I
/ .s-~I
FEE
CHARGE
"'"
I F'FF I
Furnacel burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
duCI
Vent System apart
from AC 0' htg,
Mechanical exhaust
hood and duct
J,./'
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
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Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
aUAO AREA'
# OF BLDG~'
vz,.., /rl J.I
, , .
- OFFICE USE -
HANDICAP ACCESS:
LAND USF'
FLOOD PLAIN'
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER'
# OF UNIT~'
CONSTR. TYP'"
OCCY GROUP:'
HEAT SOURCE:
-...-
# OF STORIES:
$/sa. FT.
VALUE
...... .
sa, FT.
, .
X
sa. FTG MAIN
X
sa. FTG ACCESS
X
sa. FTG OTH ER
TOTAL VALUE OF PROJECT
RCPTN
,
OAT"
BY
PLAN CHECK FEf
I BUILDING PERMIT
15% Stale
Surcharae
I MECHANICAL
15% State 7,...~d-
Surcharae I J =:rt' T.
1-'"~~/'5q'~=
PLUMBING
DEMOLITION
/5 a-->?
/ ;?.O
/t),OD
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT.
CURBCUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
~ 2.,,.0
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REQUIRED INSPECTIONS
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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 wlll'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 ;><S , !'lOll,.,... PLUMBING,
made after excavation, but ~~ ELECTRICA~
prior to setup of fo,ms, C1V1I:Cl'l'lmICll1::)No work is to
6en,verea until these .
inspections have been made
and approved.
f-
PAVING: 'After gravel Is In
place but prior to placl ng
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 prac'ing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Insp~ction.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner/ 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
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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.1. (306 a,1)
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.
STRUCTURAL WELDS:
Perfo,med o.n 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 lath or gypsum
board interior wall covering Is
applied,
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6) .
SPRAYEO ON
FIREPROOFING: U,B.c.
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
'-./
1'...........
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
LATH AND/OR GYPSUM
BOARO: To be made after all
lathing and gypsum boa,d,
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 U.B.c.
STDS. 25.10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation 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-
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.
ROOF SHEATHING ANO
NAILING: Prior to Installing
any roof covering.
CURB ANO APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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FINAL PLUMBING
SITE PLAN REVIEW BOARO: 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.
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FINAL ElECTRICAL
FINAL MECHANICAL
7"
FINAL BUILOING: 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.
'X FINAL FIRE DEPARTMENT
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ADOITIONAL COMMENTS'
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PLANS REVIEWED BY ~ ~- -
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1'r('C O~(""-_
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DATE ~~~~
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 I further certify that any and all work performed shall be done In accordance with the Ordln'ances
of the City bf Springfield, and the Laws of the State of Oregon pertaining to the wo,k 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 ensur
street, that the perm car
times during canst c
all re d Inspections are requested at the proper time, that project address Is readable from the
te at the front of the property, and the approved set of plans will remain on the site at all
Signature
Date -.c.:~ ~~
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RECEIPT .'
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DATE PAlO: tC-/~."7c:.
RECEIVED BY: 1J L M
VALIDATION:
AMOUNT RECEIVEO,