HomeMy WebLinkAboutPermit Mechanical 1998-2-3
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COMM ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
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JOB NUMBER 9?...r::>?~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' ~ ~~ <'? .~~/...y--?'
ASSESSORS MAP' I ?~::2 - ":?/- ~~ ,
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TAX LOT' /"?/:;?~
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OWNER ~../~ ~/#/~? Mr..
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ADDRESS: ~'3'/!'? /~ ~~
CITY: 0,~~"?~ r:=:~v-~ STAT~' C7/:? # ZIP: ~?7"':2 V
DESCRIPTION OF WORK: / ~{Al.t'/- 6.AL<., ;(~~~-~~. ~ # _ A r..?"/c
NEW REMODEL ADDITION DEMOLISH OTHER VALUE: """
PHONf'
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NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
CON ST.
CONTRACTOR'
ADD RESS
EXPIRES
GENERA' .
PLUMBING: ~
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MECHANICAL'7.:>A..o---',>ov,.."C7~ h_Aloo: ~.~-
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ELECTRII" 1 .
PHONE
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PLUMBING
M~CHANICAL
NO,
F~~
Nn
CHARGE
Single Fixture
Relocated Bldg,
Inew fix, addlll
Water Service
/
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
Statlonaryevap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
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Permit Issuance
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Sanitary Sewer
It,
It,
Storm Sewer
Backflow Device
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TOTAL PERMIT
TOTAL PERMIT
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$10,00
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
OUAD AREA'
. OF BLOGS'
LAND U~~'
. OF UNITS'
ZONING' ,
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY G RO U P:
CONSTR. TYP~'
. OF STORIE~'
HEAT SOURCE:
sa. FT,
$/ sa, FT,
VALUE
sa, FTG MAl N
X
X
X
sa, FTG ACCESS
sa, FTG OTHER
TOTAL VALUE OF,PROJECT
PLAN CHECK FEF
RCPP
DATF
BY
I BUILDING PERMIT 1
15% State I
Surcharoe
I MECH~I
15% StAte ,,',..5-
Surcharoe ~-:;J
1 PAVING
PLUMBING
DEMOLITION
5% State
SurcharQe
~. ~ - FENCE
/.,.. -i!!> VALUE $
7 i/'~ SIDEWALK
CURBCUT
I
FT,
SUSTOTAb
PERMITS'
SYSTEMS
I DEVELOPMENT
FT. I
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
<6'~~
. REQUIRED INSPECTIONS .
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, 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,
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ROUGH PLUMBING.
ELECTRICAL &
......."(;I1ANI(;~ No work Is to
be covered until these
inspections have been made
a~:rProved. '~
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CURTAIN WALLS
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessorles and other
ancillary equipment items are
In place but before any
concrete is placed.
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.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division,
7
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to plaCing concrete.
STRUCTURAL CONCRETE: In
excess of 2500 P.S,!. (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 I)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
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,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U.B.c.
Standards 43.8,
UNOERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing,
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
BOARO: 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 10 the City'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
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 01
way, to be made after all
excavating complete and form
work and sub.base material in
place.
'In 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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placIng
concrete.
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FINAL PLUMBING
SITE PLAN REVIEW BOARO: 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 ELECTRICAL
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FINAL MECHA!:lICAL
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FINAL FIRE DEPARTMENT
FINAL BUILOING: Requested after 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.
ADDITIONAL COMMENTS'
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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, thatf/:;he rmlt card Is located at the front of the property, and the approved set of plans will rkln on the site at all
times durl structlon.
Signature tI~ Date ~ ~ h~
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PLANS REVIEWED BY
DATE ~...? -~.a.
VALIDATION:
AMOUNT RECEIVED: -1:1 .!.._- . -
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DATE PAID:
RECEIVED BY:
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RECEIPT .'