HomeMy WebLinkAboutPermit Mechanical 1995-1-30
COMMERCIAL/lNDUSTRIAL .
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
,~
~B NUMBER <9 0/' /?'?~
INSPECTION LINE: 726,3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK' "3'"<V'/S ##//V -:17:
ASSESSORS MAP' /7......&;;>-..3/-5 /'
TAX LOT' ~b /~O
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ADDRESI" ~?.::::: <<<<> -=J '7"m- .$X.
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DESCRIPTION OF WORK: ~'1r~~ ~
'NEW REMODEL ADDITION
OWNER'
PHON~'
?V)-/tC/zB
CITY'
STATE:_~ -
ZIP:
9?~
NAME
5;'.-r/'2-Z7?:?~~ ~ ~5~/C/~5 ?~~.;':-;r,
DEMOLISH OTHER . VALUE: ~. - ,
ADORESS ~ PHONE
CONST, .r~ ,
"""",",,. ""'"
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
GENERA' '
PLUMBING:
MECHA'NICAL:~~ ~a~-
.. "
ELECTRICAl'
<~?.!t>:> <<S>,Y-P'~Ai'Y..;;c,/7-.n
~~~~.-:- -,~2 ~~~.:~
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~sr-~~_ #~-S-- ?cv5'-'/ ").77
"
NO,
FEE
CHARGE
I MECHANICAL ,
I "'" ~cc "....tl.Q(.!:t:' I
I Furnace/burner & vent j
< 100,000 BTUs
'3 Furnace/burner & vent 7.5c::: :::?:2 - S'~
> 100000 BTUs
Floor furnace and vent ]
I Suspended wall or floor J
mounted unit healer
I ApplIance Vent I
separate
I Stat lonary evap. I
cooler
I Vent Fan/Sln9le j
duct
I Vent System apart J
from AC or hlg.
I Mechanical exhaust
hood and dUCI J
I C~ ~,,3?~ :<.-1
I Permit Issuance $10,00 ]
I TOTAL PERMIT , ':??(~
P\.VMBING
Single Fixture
Relocated Bldg,
(new fix, eddUl
Water Service
II.
Sanitary Sewer
II.
II.
Storm Sewer
-.
Backflow Device
TOTAL PERMIT
aUAD AREA'
- OFFICE USE -
LAND USF'
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET: '
WATER HEATER:
, OF BLDGI"
, OF UNITS'
OCCY GROUP'
.
, OF STORIF~'
CONSTR. TYpO',
HEAT SOURCE:
sa, FT,
$/sa, FT,
VALUE
sa, FTG MAIN
sa, FTG ACCESS
sa, FTG OTHER
x
x
x
TOTAL VALUE OFPROJE('T
PLAN CHECK FEE
RCPT'
DATF
BY _
I BUILDING PERMIT
15% Slate
Surcha!,\"e
I MEC~~;,(p
15% Stale 1"~ '
Surcharae r-~
I PAVING
I PLUMBING
, DEMOLITION
CURBCUT
FT,
FT,
.
SUBTOTAL
,PERMITS _ \',
SYSTEMS
DEVELOPMENT
I
I
J
I
I
I
I'.&? -~
'2........S~
/ .~.:r
, ?~
5% Stale
Surcharae
FENCE
VALUE $
SIDEWALK
"
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
%<77
.
REQUIRED INSPECTIONS ..
~
I
,I
Ills the responsibility of the permit holder to see that all Inspections are made at the proper time, To requesl en Inspection, call
726.3769 (recorder), state your Clly 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 setu p of forms,
UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL & '
MECHANICAL: No work Is to
be covered until Ihese
Inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAtN WALLS
FOOTINGS & FOI1NDATIONS:
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,
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
service equipment, conduit,
piping, accessories and other
ancillary equipment lIems are
In place but before any
concrete Is placed.
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,
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 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 wllhln street right of
way, to be made atter all
excavating complete and form
work and sub.base material In
place,
MASONRY: Steel location,
bond beams grouting or
vertlcals In accordance with
UBC 2415,
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering,
CURB AND APPROACH
APRONS: After forms are
erected but prior to placl ng
concrete.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner/ Contractor during
construction of the following work, A
copy of the special testing raporls shall
be furnished to the Building Division,
STRUCTURAL CONCRETE: In
excess of 2500 P.S.I, (306 a,l)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U,B.c.
Slandards 43.8,
SPECIAL GRADING, "
EXCAVATION AND FILLING:
,During earthwork, (306 a,ll &
Chapter 29)
v
GLU.LAM BEAMS: Inspection
Certificate by an approved
'agency, furnished to the City's
Building Division before
beams are placed, (2501 U,B'c,
STDS, 25.10,11),
STRUCTURAL MASONRY: (306
a,7)
~~&; h/?,^,,~y::,
'In addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inapectlons of any
construction work to 'ensure
compliance with the Building,
City or Developmenl Code,
FINAL PLUMBING
-------------------------------------------------------
SITE PLAN REVIEW BOARD: Must 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 BUILDING: Requested acter the final 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 ELECTRICAL
,(
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
OAT"
By signature, I stale 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 Clly 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 agree to ensure that all required Inspections are requested at the proper time, that project address Is readable from the
streel, thai the permit c~rd Is cated at the fronl of the property, and the approved set of plans will remain on the site at all
times during constr.wdfTbn,
Slgnatur~~ JZ..-d'/'f.-4. f' Da;e / - 30- 9' $-
/' . r /""--
y
AMOUNT RECEIVEO: -=$'&, V"')
RECEIPT N: /?;.r3 ?
VALIDATION:
DATE PAID' /- ~5'<>--
RECEIVED BY~~ "f'"": "