HomeMy WebLinkAboutPermit Mechanical 1991-4-3
I
COM M ERCIALlI N DUSTRIA~.
PERMIT APPLICATION
~
. JOB NUMBER 9/~ y6
INSPECTION LINE: 726-3769
OFFICE: 7.26-3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: 1/22 '3 ~A1/ /V --:ST
ASSESSORS MAP: /7-~:z-?:Z.'32
TAX LOT: ~/9~
OWNER..M4~.N'::?/C" ~ ~/ / ~Af17q~#dP:i~
ADDRESS::2&'~/ &~ ,#~~~. d-:-,7G ..e7...,
CITY' ~JC//~E / STATE: c:::t:7.
DESCRIPTION OF WORK: $..&.#-
REMODEL )( ADDITION
I~
PHONE:~d~~$"~~/ ~*
ZIP: 9:5/<6 ty ""\
NEW
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.Y DEMOLISH
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VALUE:~~~'"
OTHER
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR'
EXPI RES
PHONE
GENERA' .
PLUMBIN'"
.u'.. _ _ 1;Z~:i::l4"' <":;l'---~
MECHANICAL::5~ #_~-r~~., ~~__A. ~
ELECTRICA' .
O\c:.o~ 5!B!Q'.51!I-IS3t.
PLUMBING MECHANICAL I
NO. FEE CHARGE Nn """ ('HARGi
Single FIxture Furnace/ burner & vent
< 100.000 BTUs
Relocated Bldg. Furnace/burner & vent I
Inew fix. addtl) > 100.000 BTUs
Water Service Floor furnace and vent I
ft.
Sanitary Sewer :z. Suspended wall or floor ".",.. /2. - 1
ft. mounted unit heater
Storm Sewer Appliance Vent 1
It. separate
Stationary evap. I
Sackflow Device cooler
:z Vent Fan/Single ~- ~. <>-b I
duct
Vent System apart 1
from AC or hlg.
Mechanical exhaust 1
hood and duct
c:;,~ ~;;...y,-", z- --0 1
Permit Issuance $10.00 . I
TOTAL PERMIT TOTAL PERMIT '7.0, .".. 1
OUAD AREA:
- OFFICE USE -
LAND USE:
HANDICAP ACCESS:
. OF STORIES:
HEAT SOURCE:
FLOOD PLAiN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
. OF BLDGS:
. OF UNIT~'
OCCY GROUP'
CONSTR. TYP"'
SO FT.
$/SO. FT.
VALUE
SO. FTG MAl N
SO. FTG ACCES~
x
'.
X
SO. FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEf
RCPP
oATF
BY
1 BUILDING PERMIT
15% St,ate
SurcharQe
1 MECHANICAL
15% State
Surcharoe
1 PAVING
PLUMBING
. DEMOLITION
:3 <i:lV,c::>
I _-S-C
5% State
Surcharoe
FENCE
VALUE'
1 SIDEWALK
1 CURBCUT .
FT.
FT.
SU6TDTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
;1/. :;-0
. 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 a.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 ~ork Is covered.
)( ROUGH PLUMBING,
~CTRICAL &
~HANICAL:)'Io work is to
be cove rea Until these
inspections have been made
and approved.
PAVING: After gravel is in
place bu1 prior 10 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 Inspection.
SPECIAL INSPECTIONS: in accordance
Section 306 of 1he State Specialty Code
a special inspector shall be employed
by the Owner! Contractor during
construction of the followi ng 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 I"
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.l)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d rai nage II nes. 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)
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.ll &
Chapter 29)
POST & BEAM: To be made
prior to ins1alla1ion 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 15 applied or before
gypsum board joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspec110n
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 UB.G.
STDS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
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.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
-In addition to the inspec-
tions specified, the Building
Official may make or require
CURB AND APPROACH other inspections of any
ROOF SHEATHING AND APRONS: After forms are construction work to ensure
NAILING: Prior to installing erected but prior to placing compliance with the Building,
____a~ro~co~rl~__________~oncret~______________~~~~oeve~m~~~~~_
FINAL PLUMBING
SITE PLAN REVIEW BOARD: Mus1 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 ELECTRICAL
x
FINAL MECHANICAL
FINAL BUILDING: Requested after the Ilnal 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 -.L~#JNt!r ~~~E?f> DAT" "3-"2'/-9/
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 Ordinances
of the Ci1y of Springfield, and the Laws of the Sta1e of Oregon pertaining to the work described herein, and tha1 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 constructl..on. (\ IL L.L&b ~
Slgnatu~O )siO(\~~')r.l~Q ,~to 4'l~q\
\
AMOUNT RECEIV~: 31. ~
RECEIPT ': -1-4 [;i3 ~
VALIDATION:
DATE PAID: -.1 .\. ~ ' Cj /
RECEIVED BY: ~/m _ /