HomeMy WebLinkAboutPermit Mechanical 1995-8-3
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COMMERCIALlINDUSTRIAl .
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER
9 5/)~ /7
INSPECTION LINE: 726.371j9
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: -..-..t/2.}) 2-
ASSESSORS MAP: /7C? 2- ? /
#7' k..,u
r
'? /
~T.
TAX LOT
c:D2 2.....(;) 0
OWNER'
ADDRESS:
r:::reA-cc:;
/ LJ...r
,F;d C;
.~ c/r-
~-t}p/ Avs
. ,.... v .
PHON"'
CITY:
STATE:
64
ZIP:
q7~tL4
DESCRIPTION OF WORK: ~ L,/L/6
NEW REMODEL ~ ADDITION
1"'K2
CQ_A?___~ ~~~:" N'~
NAME
ADDRESS
PHONE
Ji~~'
~
DEMOLISH
OTHER
VALUE:
ARCHITE"T.
CONTRACTOR'S NAME
ADDRESS
CONST,
CONTRACTOR' EXPIRES PHONE
L f2.;7S-"'-c,{- ... r-::?hl/ /",:j}.:!;i..?2.r'?: CdxJ /X #:
6;~~4:;. ;~o ~r'-~~~/"I
GENERA' .
PLUMBING: ."
MECHANIC~L:-'~LAy~"""'A,
..' "-...-.
ELECTRICA' '
-------.-.--.-- .~~,-~-
PLUMBING I I MECHANICAL J
NO. FEE CHARGE I ~i i-EEE- _CI:IARGi
I Single Fixture ?J1/,v, I Furnace/burner & vent
< 100,000 BTUs
Relocaled Bldg. I Furnace/burner & vent I I
fnew lix. addUI > 100.000 BTUs
Water Service I Floor furnace and vent I
II.
Sanitary Sewer HI Suspended wall or floor I
II. mounted unit heater
Storm Sewer I Appliance Vent I
II. separate
1 Stationaryevap. I
Backflow Device cooler
I Vent Fan/Single I
duct
I Vent System apart I
Irom AC or hlg.
I Mechanical exhaust I
hood and duel
I I
I Permit Issuance S10.00 J
'TOTAL PERMIT I/?~I TOTAL PERMIT I
- OFFICE USE -
HANDICAP ACCESS'
FLOOD PLAIN:
ZONING:
OUAD AREA-
'OF BLDGS:
LAND US",
, OF UNIT~'
OCCY GROUP:
, OF STORIES'
CONSTA. TYPF'
HEAT SOURCF'
LIGHTING POWER BUDGET:
WATER HEATER'
SO. FT.
S/SO, FT.
VALUE
SO. FTG MAIN
SO. FTG ACCES~
SO. FTG OTHER _...
X
x
...._______ X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
.A<<~
RCPT"
DAT"
BY _n
I BUILDING PERMIT
15% Stale
Surcharge
I MECHANICAL'
/S<;HA.UI"....
15% Slale 7'- ..-'r
Surcharqe I ':I7"'~T...I
I PAVING
, PLUMBING
.
/~,~-
/0..:>0
;.:20
5% Slale .J'r
Surcharoe ,1<;''',,,,.5
FENCE
VALUE S
SIDEWALK
/ S.6.:>
/.;2.<.>
DEMOLITION
I
I
!
I
I
J
FT,
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
CURBCUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAL
~;2.~
. . REQUIRED INSPECTIONS . -' '--:-.
Ills Ihe responsibility of the permll holder 10 see Ihat all Inspections are made allhe proper lime. To requesl an inspeclion, call
726.3769 (recorder), slate your Clly deslgnaled jab number, job address, type of inspeclion requesled 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
Ihe following work day. 'J'
SITE INSPECTION: To be /'-... ROUGH PLUMBING, .__....._.. PAVING: Afler gravei is In
made aHer excavation, bul ~L &. place bUI prior 10 placing
prior to setup of forms. MECHANIC . 0 work is to asphalt or concrete.
'-De coverea Untt these
Inspections have been made
and approved. "'~ j/avr
"In addition to the Inspec-
tions specified, the Building
Official may make or require
CURB AND APPROACH olher Inspecllons of any
ROOF SHEATHING AND APRONS: AHer forms are con:;lrucllon work 10 ensure
NAILING: Prior 10 Installing erected but prior to placing compliance wllh Ihe Building,
any roof covering. concrete. City or Development Code.
-~~---------------------------------------------------
X, FINAL PLUMBING SITE PLAN REVIEW BOARD: Musl be requesled 2 days in advance
of the date you wish Inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
rsquattlng thIs Inspection.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work ls covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erecled, all steel In place, bul
prior to placing concrete.
FIREPLACE: Prior 10 placing
facing materials and before
framing Inspecllon.
FRAMING: To be made afler
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.
CONCRETE SLAB: To be
made after all Inslab building
~ervlce equl pment, conduit,
piping, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed.
INSULATION & VAPOR
BARRIER: To be made afler 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 10 plans.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Ins lallation of
floor Insulation, decking or
floor sheathing.
LATH ANDIOR GYPSUM
BOARD: To be made aHer all
lathing and gypsum board,
Interior and exterior, Is In
place bul before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished.
POST & BEAM: To be made
prior to Installation of floor
Insulallon, decking or floor
shealhlng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Ins lallation of
decking or floor sheathing.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street rlghl of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
MASONRY: Steel location,
bond beams groutlng or
vertlcals In accordance with
UBC 2415.
FINAL ELECTRICAL
/- FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SPECIAL INSPECTIONS: In accordance
Seclion 306 of Ihe Slale Specialty Code
a special inspector shall be employep
by the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Perlormed on 1110 job. (2722 I)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earlhwork. (306 a.11 &
Chapler 29)
GLU.LAM BEAMS: Inspecllon
Certificate by an approved
agency, furnished 10 Ihe Cily's
Building Division before
beams are placed. (2501 U.B.G.
STDS. 25.10,11).
STRUCTURAL MASONRY: (306
a.7)
.>< ~As1
..s:ffA-'S
l/,U ~ ;
eM~
,
FINAL BUILDING: Requesled aller Ille final plumbing, eleclrical,
mechanical and Fire Department Inspections are made and
approved. No occupancy of the premises can be made until a
Cerllflcate of Occupancy has been issued by Ihe Building Division
and posted on Ihe premises.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
OAT"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th.at all tnformatlon
herein is true and correct, and I further certify that any and all work performed shalt be done in accordance with the Ordinances
of the Clly of Springfield, and the Laws of Ihe Slale of Oregon pertaining 10 the work described herein, and Ihal NO OCCUPANCY
will be made of any structure without permission of the BuildIng Safety DivIsion. I further certl fy that only contractors and employees
who are In compliance with CRS 701.055 will be used on this project. .
I further agre'e to ensure that all required Inspections are requested at the proper time, that project address is readable (rom the
street, that the permit card Is located at~t~e front he property, and the approved set of plans will remain on the site at all
times during yn/tructlo//1 /J 0
Signalure/~ lOr; ~ ., Dale
VALIDATION:
AMOUNT RECEIVED: f2 #0
RECEIPT ': /~ c;- 7/
DATE PAID: ~~~cS--
RECEIVED BY:
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