HomeMy WebLinkAboutPermit Mechanical 1992-3-9
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
6
JOB NUMBER
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LOCATION OF PROPOS1R, WORK" \,4 I \ fi\() l(\
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ADDRESS' \\~I-'f{\[\J.'.f\ 6t-, - It'.
CITY- ,-1Jf' U n STATE:---1.Yb ZIP: Cf7LLW
DESCRIPTIO~ OF URKW Q 1 1) C \ 0 [)J ~ 1.n n ~/{)t l Xl ux m 'i1 ~,Ulq~J~
NEW REMODEL ADDITION DEMOLISH OTHER VALUE: n
INSPECTION LINE: 726-3769
OFFICE: 726,3759
225 Fifth Street, Springfieid, Oregon 97477
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PHONE:~-~
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
CONST,
CONTRACTOR #
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PHONE
GENERA' '
PLUMBIN("
MECHANICAL: 1\), q ")f\ 0 p~ )
ELECTRICA' '
NO,
FEE
CHARGE
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MECHANICAL
PLUMBING
Single Fixture
Relocated Bldg,
(new fix, addtll
Water Service
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
It.
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duel
Vent System apart
Irom AC or htg,
Mechanical exhaust
hood and duct
Sanitary Sewer
It.
It.
Storm Sewer
Backflow Device
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA:
LAND USE:
FLOOD PLAIN'
# OF BLDGc,
# OF UNIT~'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUP'
CONSTR. TYPF'
# OF STORIE~'
HEAT SOURCE:
SQ, FT,
$/SQ, FT,
VALUE
SQ, FTG MAIN
X
SQ, FTG ACCESS
X
SQ, FTG OTHER
X
TDTAL VALUE DF PRDJECT
PLAN CHECK FEi'
RC PT#
DAT~
BY
I BUILDING PERMIT
5% State
Surcha~Qe
MECHANICAL
PLUMBING
DEMOLITION
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15% State
Surcharae
10Xn. YH\('o
I~.CC)
. iC::S
\()Cd
5% State
Surcharge
FENCE
VALUE $
I SIDEWALK
I CU RBCUT
FT,
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT,
, I
TOTAL PERMIT FEES
EXCLUDING ELECTRICA'
(h. f'] ~
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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 8.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.
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 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.
.
REQUIRED INSPECTIONS
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 approved.
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 Inspectlon.
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 insrab building
service equipment, conduit,
piping, accessories and other
ancillary equipment items 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
insulatlon, 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 within street right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
MASONRY: Steel location,
bond beams grouting or
verticals 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 placing'
concrete.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
.
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 Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 P,S,I. (306 a,1)
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,
Standards 43,S,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
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
14ID Ili1P,
*In addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
DATI'
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 fu~ther 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 drzrl 1 construction.
Signat fZ:r.L*cL (, 1/v-1. Date J - '1 - 9 ~
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VALIDATION: AMOUNT RECEIVED: r:Q ~= fl5
RECEIPT #: ,3 q ~~
DATE PAID . l\~ ,LJ.c;'J/
RECEIVED BY: 0J li)() )