HomeMy WebLinkAboutPermit Mechanical 1993-9-22
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER t?~rJ S-&;."
INSPECTION LINE: 726-3769
OFFICE: 726-3759
ASSESSORS MAP:
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OWNER'. !J~/-!' .C:;:71/(Z ,
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LOCATION OF PROPOSED WORK'
CITY'
STAT'"
0-<
DESCRIPTION OF WORK'
"2. '-=?C~ S;r ~ Y.(l
NEW
REMODEL
ADDITION
NAME
ARCHITECT'
CONTRACTOR'S NAME
GENERAl'
PLUMBIN("
t') WA J&-'<..
MECHANICA' '
ELECTRICA' .
PLUMBING
NO.
Single Fixture
Relocated Bldg.
(new fix, addtl)
Water Service
It.
Sanitary Sewer
ft.
It.
Storm Sewer
Backflow Device
,
- -
TOTAL PERMIT
OUAD AREA'
. OF BLDG'"
OCCY GROUP'
. OF STORIES:
SO. FT.
SO. FTG MAIN
SO. FTG ACCESS
sa. FTG OTHER
PLAN CHECK FE.E
I BUILDING PERMIT
15% State
Surcharge
I MECHANICAL
/.c,<I/E
5% Slate
Surcharae
PAVING
/~~V
/n.OD
. 7s-
~
ADDRESS
FEE
LAND USE:
. OF UNIT~'
DEMOLISH
ADDRESS
CHARGE
TAX LOT'
PHONF.
9~2-7/4'5'
ZIP: 9'7?"C',
OTHER
VALUE:
PHONE
CONST.
CONTRACTOR'
EXPIRES
PHONE
~
>~
MECHANICAL
I
f'HARGi
I
I
Nn
FFF
Furnacel 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
from AC or hlg.
Mechanical exhaust
hood and duct
2.
6~)'lO
I
I
I
$10.00 I
15:"D I
Permit Issuance
TOTAL PERMIT
~ /..D
- OFFICE USE -
CONSTR. TYPF'
HEAT SOURCE:
X
X
X
RCPTN
I PLUMBING
5% State
SurcharQe
FENCE
VALUE .~
SIDEWALK
CURBCUT
$/SO. FT.
DATI'
FT.
FT.
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING:
. L1G HTlNG POWER BUDGET:
WATER HEATER:
VALUE
TOTAL VALUE OF PROJECT
BY
I DEMOLITION
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
. :2 '5", 7S'
.
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, job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:00 a.m. witl be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECrION: To be X ROUGH PLUMBING, PAVING: After gravel is in
made after excavatIon, but ... F.:}. i=l"'TRIt;AL& place but prior to placi n9
prior to setup of forms. C:;:FCHANICA~O work is to asphalt or concrete.
I -eo covered until these
UNDERSLA~ PLUMBING, inspections have been made
. ELECTRICAL & and approved.
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOUNDATIONS:
To be madeiafter trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
CONCRETElsLAB: To be
made after all inslab building
service equi"pment, conduit,
piping, accessories and other
ancillary equipment items are
In place but" before any
concrete is placed.
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 I Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulaiion, decking or
floor sheathing.
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 installatlon and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
d rai nage lines. To be made
prior to covering or filling
trenches. I
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. I
I
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or rloor 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 before
beams are placed. (2501 u'B.c.
STDS. 25-10,11).
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.
*In addition to the Inspec-
tions specified, the Building
Official may make or require
I CURB AND APPROACH other inspections of any
ROOF SHEATHING AND APRONS: After forms are construction work to ensure
NAILING: p'rior to Installing erected but prior to placing compliance with the Building,
any roof coyerlng. concrete. City or Development Code.
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FINAL PLUMBING SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
I 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
"/- ~ FINAL MECHANICAL
FINAL FIRE DEPARTMENT
I
ADDITIONAL COMMENTS:
I
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 until a
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
PLANS REVIEWED BY
DAT~
,
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 cor1rect, and I further certify that any and all work performed shall be done in accordance with the Ordinances
of the City of Springfi~ld, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be made of any st~ucture without permission of the Building Safety Division. I further certify that only contractors and employees
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who are in complian~e 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 c~ns~t1on.
Signaturp ~a-- / #tI!~ Date '1/~/<?'?
VALIDATION:
'-:>c-7S
AMOUNTRECBVE~ ~.J'
/Os~7
RECEIPT ':
DATE PAID:
RECEIVED BY'
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