HomeMy WebLinkAboutPermit Mechanical 1995-8-3 (2)
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COMMERCIAL/lNDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
~OB NUMBER
95,'/),5"" /7
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INSPECTION LINE: 726.3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK: _-..t!2 )"2-
ASSESSORS MAP: /702- ? ;
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ST.
TAX LOT'
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OWNER: ~~c; .K/) c/T-
A..- ~ .J f"'~ k../ .G
PHON~'
CITY:
/2-5";-
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STATE"
tS.4
ZIP:
q 7"fA d
ADDRE~~'
DESCRIPTION OF WORK: _~ L/Ll6
NEW REMODEL ~ ADDITION
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NAME
ADDRESS
PHONE
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DEMOLISH
OTHER
VALUE:
ARCHITECT'
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES PHONE
GENERAl _~ 4# -':-.~ ~ /"C'>>a..:?;~f"'7:. CdxJ~ ~
PLUMBING: _____ '-- 1 . f.-.y - - '-1 - ~
-?; ~ G7? ~-1'a4r '.-;1'R f" '7 5'~ -J
;~ECc::~7~"Y ~~:"u~<.~#rpx~._ r; tOr "t'- ~- ~~I
\..... -
-
NO.
t Single Fixture
Relocated Bldg.
Inew lix. addll)
Water Service
II.
Sanitary Sewer
It.
Storm Sewer
It.
Backllow Device
FEE CHARGE
/J1/P'
Nn
MECHANICAL -. I
~EE_ _CHARGi
Furnace/burner & vent
< 100.000 STUs .
Furnace/burner & vent I
> 100.000 BTUs
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Permit Issuance
$10.00
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I TOTAL PERMIT
PLUMBING
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./-:5fWl
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stat ionary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA-
'OF SLDG~'
LAND US~'
FLOOD PLAIN:
. OF UNIT~'
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUP:
. OF STORIES:
CONSTR. TYPF'
HEAT SOURCE:
SO. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
X
SO. FTG ACCESS
x
. SO. FTG OTHER
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE . Af;/'A-
RC PT' .
DAT~
BY
I BUILDING PERMIT
15% State
SurcharQe
I MECHANICAL'
/SSHA7Ut'....
15% State 7-- ..K'r
SurcharQe' ~""-'TJ
I PAVING
I PLUMBING
/'5'.-
I. ;;LV
I DEMOLITION
/"::;Jr-
/ o. &>0
1.;2.0
5% State -" .
Surcharqe ,7t;;r~-r$
FENCE
VALUE $
1 SIDEWALK
I CURBCUT
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT.
'--TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
~;2.~
!
~ .""....
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It Is Ihe responsibility of the permil holder 10 see Ihal all Inspections are made at Ihe proper lime. To requesl an Inspeclion, call
726.3769 (recorder), stale your City deslgnaled job number, job address, type of inspection 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
the following work day. ,~.
SITE INSPECTION: To be .7'-... ROUGH PLUMBING.
made afJer excavalion, bul '" " CAL &
prior to selup of forms. G ME'CHANIC ..' 0 work is 10
-Ot:t \;U\lt:ltW unu these
Inspections have been made
and approved."*, V~r
""=-=- .
REQUIRED INSPECTIONS
'.
PAVING: Afler gravel is In
place bul prior to placing
asphalt or concrete.
.~
UNDERSLAB PLUMBING,
ELECTRICAL & .
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Seclion 306 of Ihe Slale Specially Code
a special inspector shall be employed
by the Owner! Contractor during
. .conslruclion of the following work. A
copy of Ihe special lesllng reporls shall
be furnished to the Building DivisIon.
,
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erecled, all steel In place, bul
prior 10 placing concrete. . '.:..
FIREPLACE: Prior to placing
facing materials and before'
framing Inspection.
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
.~ .
FRAMING: To be made afJer
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 IhQ job. (2722 fl
CONCRETE SLAB: To be
made after all Inslab building
~ervice equipment, 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
bQfore any lath or gypsum
boarcnnterlor wid! covering Is
applied. .
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operatfons. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.C.
Slandards 43.8.
UNDERFLOOR: Plumbing,
Qlectrlcal, mechanical. To be
made prior to Installailon of
floor Insulation. decking or
floor shealhlng.
FIRE & SEPARATION WALL:
Located and constructed
according to' plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earlhwork. (306 a.11 &
Chapler 29)
POST & BEAM: To be made
prior to Installation of floor
Insulallon, decking or floor
sheathing.
LATH ANDIOR GYPSUM
BOARD: To be made afler. all
lathing and gypsum board,
Interior and exterior. Is in
place bul before any
plaslerlng Is applied or before
gypsum board joints and
fasteners are taped and
finished.
GLU.LAM BEAMS: Inspeclion
Cerliflcale by an approved
agency, furnished 10 Ihe Cily'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
dQcking 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.
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.In addition to the Inspec.
tlons specified, the Building
Official may make or require
CURB AND APPROACH other Inspecllons of any
ROOF SHEATHING AND APRONS: After forms are con:;tructlon work to ensure
NAILING: Prior to Installing erecled but prior to placing compliance with the Building,
any roof coverIng. concrete. City or Development Code.
-~~NAL~UM~NG-------------SITE~LA:~EV;~W;OA~;M:~:reques~~~;~~~::~
- 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
Y FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
FINAL BUILDING: Requesled afler the final plumbing, electrical,
mechanical and Fire Department Inspections are made and
approved. No occupancy of the premises can be made unlll a
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
PLANS REVIEWED BY
DAT"
By signature, I state and agree, that I have carefully examined the completed application and do her.eby certify thpt all information
herein Is true and correct, and I further certtfy that any and all work performed shall be done In accordance with the Ordinances
of Ihe Cily of Springfield, and Ihe Laws of Ihe Slate of Oregon pertaining to the work described herein, and thai NO OCCUPANCY
wlll be made of any structure without permission of the.Bulldlng Safety Division. I further certi fy that only contractors and employees
who are in compliance with OAS 701.055 witl be used on this project. .
I further agree to ensure that all required Inspection's are requested at the proper time, that project address Is readable from the
street, that the permit card Is located at th~front he property, and the approved set of pl~ns 'will remain on the site at all
limes durfng ./"/lrUCIIO)/1 /J () : ..'~-' . '.' ..
Slgnature/~ Dr; A .#. Dale
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. ,5. ,
AMOUNT RECEIVED:
RECEIPT N'
f2~O
1-:' c;- 7/
DATE PAID:
0/0s-
VALIDATION:
RECEIVED BY'