HomeMy WebLinkAboutPermit Mechanical 1996-1-3
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COMMERCIALIINDUSTRJAL.
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER 9~/~_
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: "3'~~~ /10/#$ -:j7
ASSESSORS MAP: J ?-<!:)Z- 3/- ?I /
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OWNER:
!~L'- "'/~.T-
''3 SI.o::z ~~.
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5;p",.z::.-~~
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TAX LOT: L) :?2~._._ .
PHONE:
?Y6 - 7'5--3"'..<
ADDRESS:
CITY:
STATE:
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ZIP: ~5"':..2'E'=
DESCRIPTION OF WORK: #-'1~L/ '7 0.--:; _<);-''7~'''''''~L:'''' /~~ #~&~
NEW REMODEL ADDITION DEMOLISH OTHEfl ....___._ VALUE:~:?4::?
NAME
ADDRESS
.
.
PHONE
ARCHITECT:
-'
CONTRACTOR'S NAME
ADDRESS
CONST
CONTRACTOR'
EXPIRES~"ONE
~'... --..
PLUMBING' '. ..... _. . '__. .
i:~~ g.v. - - '-
MECHANICAL:L~~~ 3!?f/ ~~ ~...?, _ 4.f-,0 '/-9::: ~~::.r&":2/
ELECTRICAl'
GENERAL'
I . PLUMBING I
I NO. I FEE r:HAPt;~ I I
I Single Fixture I
I Relocated Bldg. I I I
{new fix. addtll
I Water Service I I
[ It.
I Sanitary Sewer I I 2.
It.
I Storm Sewer I I
It.
Backflow Device I
I
I
I
I
I
~/ 73-
~---
. _ 0~-:-"
MECHANICAL I
~~;~gg6bB{G;r & vent 1~~Ej=-_CHAI
Furnace/burner & vent I I I
> 100.000 BTUs
I I
I I
I I
I I J
I-~-i-'" I
I I
I
S1000 I
N~ /~-~
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Venl Fan/Single
duct
Vent System apart
from AC or htg.
Mecllanical exhaust
hood and duct
6
I
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
OUAO AREA:
LAND USo,
, OF UNITS'
FLOOD PLAIN: ___..____...
. OF BLDGS:
ZONING:
\.~~""....:---,--_.
OCCY GROUP:
. OF STORIEi"
CONSTR. TYpo.
HEAT SOURCF'
LIGHTING POWER BUDGET:
WATER HEATER:
SO. FT. .
S/SO. FT.
VALUE
SO. FTG MAIN
SO. FTG ACCESP
SO. FTG OTHER
X
X
X
TOTAL VALUE OF PROJECT......_..
PLAN CHECK FE.E
RCPT'
DATE. _.
__. BY
I BUILOING PERMIT
15% State
Surcharge
I MECHA~~~I'
15% State '~.'J
Surcharoe . ;-"""31
I PAVING I
-I PLUMBING
I. 5% State
_ SurcharQe
/e:> - - FENCE
{I ~ _z:> I VALUE S
'.~ SIDEWALK
I CURB CUT
DEMOLITION
I
I
..~
I
."
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT.
FT.
.. I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
26. ;2d:>
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REOUIRED INSPECTIONS
-It Is the re~ponSibilitY of the permit holder \0 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 wlll 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.
)(
ROUGH PLUMBING.
ELECTRH::AL &
.(1l'I'ECHANICA~;)NO work is to
be covered until these
irlspectlons have been made
and approved.
PAVING: After gravel is In
place but prior to placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be Illade 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 the State Specialty Code
a special Inspector shall be employed
by the Owner/ Contractor during
constructlon of the following work. A
copy of the special testing 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
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items are
j n pi ace bu t before any
concrete is placed,
FRAMING: To be made after
Ihe rool, 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 CONCRETE: In
excess of 2500 PS.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the Job. (2722 I)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor insulation, decking or
floor Sheathing.
INSULATION & VAPOR
BARRIER: To be made alter all
Insulation and required vapor
barriers are In place but
befo,e any lath or gypsum
board Interior wall covering Is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (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.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
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 belore
beams are placed. (2501 U.B.C.
STDS. 25.10.11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing,
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
STRUCTURAL MASONRY: (306
a.7)
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.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
CURB AND APPROACH
AP RONS: After forms are
erected but prior to placing
concrete.
'In addition to the Inspec.
tlons speCified. the Building
Official may mak~ or require
other Inspections of any'
construction work to ensure
compliance with the Building,
City or Development Code.
-------------------------------------------------------
FINAL ELECTRICAL
SITE PLAN REVIEW BOARD: Must be reques,ted 2 days in advance
01 the date you wish Inspection. All project conditions such as
landscaping, parking lot stplplng. etc. must be completed before
requesting this inspection.
FINAL PLUMBING
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 untll a
Certificate of Occupancy has been Issued by the Building Division
FINAL FIRE DEPARTMENT ~d posted on the.. pr~ses. .
ADDITIONAL COMMENTS:0'~~~ (.. ~;;:. L.(./?7/;r/ ~7;i9'..?':'S'" ~
~#z?~s ~~~Y ~ L-h~:",'/=-Z/ :Y--~~.
----X- FINAL MECHANICAL
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.
-
PLANS REVIEWED BY
//~
C~
DATI'
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By signature, I stete 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 certi fy that any and all work performed shall be done In accordance with the Ordinances
of the City of Springfield, and Ihe Laws of the Slate of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be rnade 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 furtller agree to ensure that all required inspections are re ested at the proper time, that project address Is readable from the
street, that the permit card is located \;20nl of t e ro arty, and the approved set of plans will remain on the site at all
times <.jurlng~ ) _ ~ _
Signature ..- ~-1..A. J Date / '5 f,b
- - ........ - I
VALIDATION: AMOUNT RECEIVEO: ":2~ . '<=
/9''' "5'9'
DATE PAID:
1-'3~"Y6
"...-/ ~ .
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REaElPT ':
RECEIVED BY:
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