HomeMy WebLinkAboutPermit Mechanical 1995-7-24
C~ M M ERCIAl/lN DUSTRIA~r
PERMIT APPLICATION
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JOB NUMBER '?S.4?7Z
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726,3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: 7'?JC:;e> #A'?"'~ ?".?
ASSESSORS MAP: /:> ~2 --=3 '2 -""3/
TAX LOT: t1:'?~
OWNER-IIV~//E ~ /;;;'V~~
ADDRESS' t./7 ~O ~ '5-7, .
'<;iP~T::>_
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DESCRIPTION OF WORK: 0-"'!>T~..::''-
NEW REMODEL Y, ADDITION
PHONE:
--??4-7/&>'2
CITY'
STAT'"
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ZIP:
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VALUE:~-
DEMOLISH
OTHER
NAME
ADDRESS
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4 PHONE
CONST. I'
CONTRACTOR' r EXPIRES. .
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
".;
GENERA' .
,~ 6?? 77/#e~~~"
PLUMBING 13f1V'~f!"Y- / ~ /J7/~,~9::J~ ~#c:: hX .Y'~.
MECHANICA' .
ELECTRICA' .
,"; ?~-U-"i"'/
FEE
I
CHARGE I
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MECHANICAL
PLUMBING
NO
Nn
I ~1=1= ' ("~.o.!::In1=
II.
Furnace/burner & vent
, < 100.000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or lIoor
mounted unit healer
Appliance Vent
separate
Stationaryevap.
cooler
Vent Fan/Single
ducl
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Single Fixture
Relocated Bldg.
Inew fix. addtl)
Water Service
:-
Sanlt ary Sewer
ft.
Storm Sewer
II.
Backllow Device
Permit Issuance
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$10.00 I
/~-I
4J,~~
TOTAL PERMIT
TOTAL PERMIT A.. ....,
/r'vf7<.
,
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
QUAD AREA:
LAND USE:
. OF BLDG.~'
. OF UNITP'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP'
. OF STORIES'
CONSTR. TYPF'
HEAT SOURCE:
SQ. FT.
$fSQ. FT.
VALUE
SQ. FTG MAl N
x
SO. FTG ACCES~
SO. FTG OTHER
X
X
TOTAL VALUE OF PROJECT
PLAN CHECK FEE
RCPT'
OAT"
BY
I BUILDING PERMIT
15% State
SurcharQe
I MECHAl:>I}9AL/~
r-."."r
15% State 7""7'
Surcharae ;..r"'3
I PAVING
It:::'. ----
/'5', ....-
--?~
I PLUMBING
5% State
Su rcharoe
FENCE
VALUE $
SIDEWALK
DEMOLITION
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
.::
"
I CURBCUT
FT.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
, .
~."'2=
.,.-=-.. ...
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REQUIRED INSPECTIONS
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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, lob 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
prlor'to'sefup.of forms.
* In addition to the Inspec.
tlons specified, the Building
Official may make or require
CURB AND APPROACH other Inspections of any
ROOF SHEATHING AND APRONS: After forms are conlltructlon work to ensure
NAILING: Prior to Installing erected but prior to placing compliance with the Building,
~~_~~~~~co~rl~__________~o~~~______________~~~~Deve~m~~~~~_
UNDERSLAB PLUMBING,
ELECTRICAL &, ,
MECHANICAL: To be made
before any work Is covered.
.' ~,....: J
ROUGH PLUMBING,
ELECTRICAL & ,
MECHANICAL: No work Is to,
be covered until these
Inspections have been ,made
and approved""? . , '....
ATTIC DRAFT STOPS&,'
~ '.,CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
..... __....... e~cavatedB:.nd for~s are,
'erected, all steel In place, but
. ".." ,prior to placing concrete.
. ,
FIREPLACE: Prior to placing
facing materials and before
'franilng Inspectlori: ' . ;' -
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.
CONCRETE SLAB: To be
made after all Inslab building
s-ervlce equipment, conduit,
piping, accessories and other
ancillary equipment Items are
In place' but before any
concrete Is placed.
INSULATION & VAPOR
BARRIER: To be made after all' "
Insulatlon"and required. va-par .~
oarrlers are In....place but
before any lath or gypsum
board Interior wall covering Is
applied.
UNDERGROUND: Plumbing, - ~~.
electrical, gas, 'sanltary' 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 Installation, of
floor Insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans,
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,
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,
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FINAL PLUMBING
(
: (.. ..-
PAVING: After gravel Is in
place but prior to placing
a"sphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
'-. a special in-spector -shall be employed
. b'y:the Owner I Contractor during
cqnstruction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
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STRUCTURAL CONCRETE: In
,excess of 2500 P.S,1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
''''-SPRAYECf'6N ......'-
FIREPROOFING: U.Be.
Standards 43.8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 UBe.
STDS. 25.10,11).
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STRUCTURAL MASONRY: (306
a.7)
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SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project condittons such as
landscaping, parking lot striping, etc. must be completed before
requesting this Inspection.
FINAL ELECTRICAL
FINAL BUILDING: Requesled after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and
approved. No occupancy of the premises can be made until a
Certlflcale of Occupancy has been Issued by the Building Division
and posted on the premises.
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
DATF
By slgnature,l state and agree, that I have carefully examined the completed application and do hereby certify th:3t 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 agre'e 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 9f plans will remain' oil the site at all
tlmes during construction. '.,.
Slgnaturo~. . -<fl R ~ Date 7-;j Y - 9_~
,t
VALIDATION:
AMOUNT RECEIVED: -26 . ~
RECEIPT" /51: ~-::z./
DATE PAID'
RECEIVED BY:
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