HomeMy WebLinkAboutPermit Mechanical 1991-4-18
COMM ERCIALlI N DUSTRIAL.
PERMIT APPLICATION
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.
JOB NUMBER ~\riT\{o
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORI<' 4'220 ~J..J\
ASSESSORS MAP: . \'l02'32.~ .
INSPECTION LINE: 726-3769
OFFICE: 726-3759
OWNER: . N\C\ &fi\. ~\...Q) u :'Lo..csi
ADDR~"'":... ,yn~ . \ ~ 0 ( cAl Cl mo0\L0
CITY q) (\ '- \ () ~ - STAT'" ( \A.
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ADD'~N ~ DE~~L1~H --
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TAX LOT fJ I'Y' nr)
PHONE: I (')hq~1-401
ZIP: Cfl:::, , ~I?
DESCRIPTION OF WORK:
NEW REMODEL
OTHER
VALUE:
NAME
ADDRESS
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR'
PHONE
~'"~"'''
ARCHITECT'
GENERA' .
.:~;H:::A\:' ~\CW Yo\r\(lJ~
ELECTRICAl'
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rl'J.~B3I' 1/(qj
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,
NO.
FEE
CHARGE
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1
PLUMBING
MECHANICAl
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Furnacel burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Sanitary Sewer
It.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
~.pJ4iQ "t
I pe~ance
1 TOTAL PERMIT
I.J~ 1P.UJ lolo r?
'~hlf'V.-U1-XlY . $10.00 I
1)1.0 ,W I
ft.
Storm Sewer
ft.
Backflow Device
I
I
111
TOTAL PERMIT
QUAD AREA'
- OFFICE USE -
LAND USF'
HANDICAP ACCESS:
FLOOD PLAIN:
. OF BLDGc'
. OF UNIT'"
ZONING'
OCCY GROUP'
'CONSTR. TYP"'
. OF STORIES'
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER'
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
SO. FTG ACCESS
X
x
SO. FTG OTHER
x
TOTAL VALUE OF PROJECT
PLAN CHECK F""'
RCPP
DAT"
BY
I BUILDING PERMIT
15% Stat.e
Surcharoe
I MECHANICAL
15% State
Surcharoe
I PAVING.
PLUMBING
DEMOLITION
.Ij\,?~
1 :5FD
I
5% State
Surcharoe
FENCE
VALUE $
SIDEWALK
FT.
1 SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
CURBCUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
" ~ .reD'
. REQUIRED INSPECTIONS .
It Is the responsibility of the permit holder to see that a!l inspections are made at the proper time. To request an inspection, call
726.3769 (recorder), state your City designated job number, job address, 1ype of inspection requested and when you will be ready
for inspection. Requests received before 7:00 a\LJm. .11 be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be ROUGH P BING, PAVING: After gravel is In .
made after excavation, but \.. c:.1.,;1 hlu4L & place but prIor to placing
prior to setup of forms. MECHANICA 0 work Is to asphalt or concrete.
be cover ntH these - ,
ons have been made SPECIAL INSPECTIONS: In accordance
and approved. Section 306 of 1he State Special1y Code
a special Inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testi ng reports shall
be furnished to the Building Division.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.l)
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 plac~d.
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 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 lath or gypsum
board interIor wall covering Is
applied. -
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening opera1ions. (306
a.6)
SPRAYED ON
FIREPROOFING: UB.C.
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.l1 &
Chapter 29)
POST & BEAM: To be made
prior to installation of floor
Insulation, 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 UBC.
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: S1eel location,
bond beams grouting or
vertl"cals 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 AND
NAILING: Prlo, to installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-------------------------------------------------------
FINAL PLUMBING
SITE PLAN REVIEW BOARD: Must be reques1ed 2 days in advance
of the date you wish Inspection. All project conditfons such as
landscaping, parking lot striping, etc. must be completed before
. requesting this Inspection.
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
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DAT"
By signature, I state and agree, that I have carefully examined the compieted 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 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 al/ required inspectIons are requested at the proper time, that project address Is readable from the
street, that the permit card is loca1ed ,;;/nt : the proper1y, and the approved set of plans will remain on the site a1 all
::::1:rco~~~) Date d~'~ ~/
uf\..4" . - ~ ~-? //.<7:
VALlDk~ AMOUNT RECEIVT, "lq. g-U DATE PAID: _ 4.. ( <6r q / )'
RECEIPT .. 1'-1 7 A ") RECEIVED ~-W() _
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