HomeMy WebLinkAboutPermit Mechanical 1999-4-16
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I TOTAL PERMIT
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spnlNCFIELD .
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225 Filth Slreet, Springfield, Oregon 97477 .... til'1-'11t1
LOCATION OF PROPOSED WORK' t,.".,:l-I-tA/o/4,;' ~.e-'j),v'l:
o I C'i6n
COM M ERCIALlI N DUSTRIAL
PERMIT APPLICATION
ASSESSORS MAP:
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OWNER'
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CITY:
STAT~'
C;.....
DESCRIPTION OF WORK'
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NEW
REMODEL
ADDITION
DEMOLISH
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
AODRESS
GENERA' .
PLUMOING:
MECHANICAl' /./'t<'(L 4""n;r.t- /M,
7..:>t Lf&~
ELECTRICAl'
PLUMRING
_N.9
FEE
CHARGE
Single Fixture
Relocaled Bldg,
(new lix. addUl
Water Service
It.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backllow Device
TOTAL PERMIT
- OFFICE USE -
OUAO AREA-
. OF BLDGS:
OCCY GROUP'
LANO USE:
. OF UNITS'
. OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
SO, FT.
$ISO, FT.
so. FTG MAIN
x
X
X
so. FTG ACCESS
so. FTG OTHER
PLAN CHECK FEE
RCPP
DATE _
I BUILDING PERMIT
15% Slale
Surcharge
\ MECHANICAL
15% Stat,e
Surcharae
I, PAVING
PLUMBI NG
5% Stale
Surcharce
FENCE
VALUE $
SIDEWALK
p;s- -
, 7S-r''1S-
.1:/6J-
FT,
CURBCUT
FT,
.
JOB NUMBER
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INSPECTION LINE: 726,3769
OrFICE: 726.3759
~t;V,.,(/fU- -;
, TAX LOT'
PHONE: .t.CLt-~(?/)
OTHER
ZIP: 9?y<:)/ ,
lit\
VALUE: ~.
y ,
PHONE
CaNST,
CO NT RACTO R .
EXPIRES
PHONE
Frcr/t.l{
~/~
~S>-,:}-"39'
MEr.HANICAL
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
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FEE- _CHARG~
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1
Floor furnace and vent
Suspended wall or floor
mounted unll heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
ducl
Vent System apart
from AC or hlg,
Mechanical exhaust
hood and duct
irK -
Permit Issuance
.
$10.00
$,::).(",ao
ATTENTIOi'HIIlIJrRe,!\:l'1~c\!g~!rtJ:; yuu ,u
follow rules adoptea iiv' tne 'CreguII uu"'y .
~l~ation Cei\OOPTl'kMl!If"'"'' '''''' ,,"', forth
in OAR 952-0%QIlJ8. through OAR 952-001-
0090. You may obtam cople:; UI "''' I U,"'''" 1",
s:::J!ing the ~jl'(ilIlenwtlmlle~ne
number for t~RWBQ~I,JU!ity Notification
Center IS ':etnf-:l32-"'"....'.
VALUE
TOTAL VALUE OF PROJECT
BY
DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
OEVF.LOPMENT
TOTAL PERMIT FEES I I. d(, rO
EXCLUDING ELECTRICAl \.:tf '
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. REQUIRED INSPECTIONS .
It is the responsibility of the permit holder to see that all inspections arc 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 rcady
tor 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
made after excavation, but
prior 10 setu p of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been. made
and approved.
PAVING: AHar gravel is in
place but prior to placlng
m,phalt or concrete.
FOOTINGS ,& FOUNDATIONS:
To be made alter trenches are
excavated ci'nd 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 of the Stale Specialty Code
a special inspeclor shall be employed
by Ihe Owner I Contractor during
construction of the following work. A
copy 01 the special testing reports shall
be furnished to the Buildiny Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made atter 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
Ihe rough electrical, plumbing
and mechanical arc approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechnnlca!. Io be
made 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
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)
UNOERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or tilling
trenches.
SPRAYED ON
FIREPROOFING: U.BC.
Standard;> 43-8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthworl<. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to Installation ot floor
Insulation, decking or floor
sheathing. '
LATH ANOIOR 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: tnspection
Cerll ficate by an approved
agency, furnished 10 tho City's
Building Division bofore
beams are placed. (2501 U,BC.
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 & ORIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base malerial in
place.
"
ROOF SHEATHING ANO
NAILING: Prior to Installing
any root covering.
CURB ANO 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
construe lion work to ensure
compliance with the Building,
City or Oevclopmcnl Code.
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FINAL PLUMBING
StTE 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 ELECTRtCAL
J . FINAL MECHANICAL
FINAL BUilDING: Requested after 1110 Hnal plumbing, electrical,
mechanical and. Fire Department inspections arc 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 COMMENTf"
PLANS REVIEWED BY
DATi=
By signature, I state and agree, that I have carefully examined the completed Jpplication and do hereby certify that all information
llorein is true and correct, and I further certify that ilny and all work performed shall be done in uccordance with the Ordinances
ot the City of Springfield, and the Laws of the Stale of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made ot any structure without permission of the Building Safety DIvision. I furlllcr certi fy that only contractors and employees
who are in compliance with OAS 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
streel, that the permit card Is located at the IrojlL9Uhe,Rroperty, and the approved set 01 plans will remain on the site at all
times during coryruction. ~~../ ~
Signature ~~" / /~ ' Dato ~-/C-:7'7
'-''Vb/ ~
VALIDATION: AMO~NT RECEIVrro;~'E# ;)~. ;r-O /
/ (
RECEIPT" ~7,'3") Ill-
DATE PAID'
;f- /tr "i '7
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RECEiVEO BY'