HomeMy WebLinkAboutPermit Mechanical 1997-10-21
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COMM ERCIAL/I N DUST RIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER 9//~/"2'
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORI<' '~~~? M~~ f~~-
ASSESSORS MAP' /'7..t!X2-3/,~/ . TAX LOT:---L:\:,-r:..~
OWNER: j~_~~~~/~~~.rAJ1'D
ADDRESS: --:i?e./c/..r;- ~./.Ai" ~.
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DESCRIPTION OF WORK: /~/.?l~L ~ ~/.::::.
NEW REMODEL ,ADDITION DEMOLISH
NAME UOTIeE. ADDRESS
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PE~M~lS NOT
eBW~~CED OR IS ABANDON%~N~8~CTOR -
PHONE:
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CITY:
STATE:~~ .
ZIP' 97~
ARCHITECT'
CONTRACTOR'S NAME
GENERA' .
PLUMBING:
MECHANICAL: cY"-~~-
ELECTRICA' .
Imr IOU U/H t"t:t1IUU..
;g..:.J~~~
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OTHER
VALUE: ~~ ..,
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PHONE
EXPI RES
PHONE
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NO. .I
I Single Fixture
I Relocated Bldg.
(new Ilx. addtll
I Water ServIce
It.
I Sanitary Sewer
It.
I Storm Sewer
It.
I Backflow Device
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TOTAL PERMIT
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I ..n
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1/
1
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1 TOTAL PERMIT
PLUMBING
FEE
CHARGE
aUAD AREA:
- OF BLDGS:
DCCY GROUP'
- OFFICE USE -
LAND USE:
- OF UNITS'
- OF STORIEf"
CONSTR. TYPF.
HEAT SOURCF'
sa. FT.
s/sa. FT.
sa. FTG MAIN
sa. FTG ACCESS
sa. FTG OTH ER
X
x
X
PLAN CHECK FEF
RCPT-
DATF
BY,
I BUILDING PERMIT I
5% State
Surchan:J8
MEC~ICAL/??
_1~~
15% State r
Surcharoe
I PAVING, I
PLUMBING
5% State
Surcharge
,,-. -- FENCE
/.",.. -' I VAlliE ~
- . .. ~ ISID€WAL~ FT.
· I CURBCUT
FT.
MECHANICAL
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r~4R('H:
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or htg.
Mechanical exhaust
, hood and duct
Permit Issuance
S10.00
/:;:--
M//v.
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
VALUE
TOTAL VALUE OF ,PROJECT
I pEMOLlTlON
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I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
I
j
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I
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TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
;;;~ . =<~
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REQUIRED INSPECTIONS
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lt 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, 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 setup 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 these
Inspections have been. made
and, approv,~d.,
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
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SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspe.ctor shall be' employed
. by the Ownerl Contractor during
construction of the' following work. A
copy of the speclartestlng reports shall
be furnished' to the Building Division.
ATTIC DRAFT STOPS & .,
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
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 Ins Paction. :'.
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STRUCTURAL CONCRETE: In
excess of 2500 P.S.I. (306 a.1)
CONCRETE SLAB: To be
made after all Inslab bultdlng
service eQul pment, conduit, ~,
piping, accessories and other'" '..
ancillary equipment items are
I n place but before any
concrete Is placed.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are:ln'
place and all pipes, chimneys
" . anc;t vents are complet~ an.d'~,
the rough electrical, plumbing
':. i and, mechanical are approved.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
etactrlcal, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
'INSULATION &'VAPOR, :,:.:
BARRIER: To be made after all
Insulation and;requlred'vapor'
barriers are In place but
before 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)
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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)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
LATH ANDIOR 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 before
beams are placed. (2501 U.B.C.
STDS. 25.10,11).
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking 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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
Oln addition to the Inspec.
tlons specified, the Building
Official may make or require
, other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
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FINAL PLUMBING'
FINAL ELECTRICAL
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 MECHANICAL
FINAL BUI,LDING: Requested after the final plumbing, electrical,
mechanlcaJ and Fire Department Inspections are made and
approved. No occupancy of th'e premises can be made until a
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
OAT"
By signature, I state 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 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 agree 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 of plans will remain on the site at all
times during construction. . " .. . .~'
)) f/~rI'1 L -r!~, (1lon b~~P" I
Signaturp
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;0-2/-77
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AMOUNT RECEIVED:;Jl? tfU
RECEIPT .. O~-r7Kw
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DATE PAID' [0-;).1- '11
RECEIVED BY' (\. rYlC<-f..~rf..-<)
VALIDATION: