HomeMy WebLinkAboutPermit Mechanical 1996-1-25
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COM M ERCIAL/INDUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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ASSESSORS MAP:
LOCATION OF PROPOSED WORK:
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JOB NUMBER 9h~/~
INSPECTION LINE: 726,3769
OFFICE: 726,3759
TAX LOT: O/~_____,.
OWNER: lnr:ll1~m.al_ ~ns-l?ll.a:hav.. 4-S~r4 '*--'N1usJrJ{;, p. HON, -'=l? J",-CfYZ-B."
ADDRESS: ~t:;"'lO J..{A.'V\, ~. L~kr K,,~~ . _.
CITY: '<:;9("[ ':9-8 e..l d... STATE: DiL ZIP: TI1-T]
DESCRIPTION OF WORK: --1n.s.+z:d,l fU Vt\ ;::tC{J - _______.
NEW
REMODEL
ARCHITECT:
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAL:~
ELECTRICAl'
ADDITION
DEMOLISH
NAME
ADDRESS
OTHER
.
.
VALUE: ___......
PHONE
.'
CONST.
CONTRACTOR' ;.1XPIRES
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ADDRESS
I FEE I CHARGE
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NO
. PLUMBING
Single Fixture
Relocated Bldg,
Inew fix, addtll
Waler ServIce
,
Sanitary Sewer
Storm Sewer
Backflow Device
TOTAL PERMIT
oUAD AREA:
. OF BLDGf"
OCCY GROUP'
. OF STORIES:
sa, FTG MAIN
sa. FTG ACCESS
sa. FTG OTHER
PLAN CHECK FFC
I BUILDING PERMIT
15% Slate
SurcharQe
I MECH~l/~ .
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15% St. e . ,\ %.
Surcharae .,~ I , .
I PAVING I
- ..
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MECHANICAL
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,--- ---.
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
sepCHClle
Stationaryevap,
cooler
Venl Fan/Single
dUCI
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
TOTAL PERMIT
Perrnit Issuance
PHONE
I
F.EE-rCHAB.i
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- OFFICE USE -
$10.00
m,r~ ./~rr:;,
LAND USE:
. OF UNIT~'
CONSTR. TYPE:
HEAT SOURCE:
sa. FT,
S/SO. FT,
X
X
X
RCPP
DATC
I DEMOLITION
~ -;:;...
: f.-:;-
I PLUMBING
I 5% State
Surcharge
I FENCE
VAlIJF: ~
I SIDEWALK
I CURB CUT
FT,
, FT.
..
HANDICAP ACCESS:
FLOOD PLAIN: __.._____._~_
ZONING:
LIGHTING POWER BUDGET: ____
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT
BY
, ,
I SUBTOTA~, )
. 'PERMITS
I SYSTEMS
. ..()EVELOPMENT
v
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... \, . ~.
TOTAL 'PERMIT FEES
EXCLUDING ELECTRICAL
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L
74. .<0'
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REQUIRED INSPECTION_
1
It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an Insp~ctlon, 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 afler excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
i..iECHA'NICAL: To be made
before any work Is covered:, .
--.k ROUGH PLUMBING, I' (
1='1'1=("TIUCAL &.
~CHANICA~O work Is to
be covered until these
insp~ctlons have been made
and approved,
I. t-'
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
CONCRETE SLAB: To be .
made after all Inslab buildln'g
service equipment, 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. '
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 Owner/,Contractor during
constru'ctlon of the following work, A
copy of ihe:sp~clal testing reports shall
be furnished to the. Building' Division.
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ATTIC 'DRAFT STOPS &
CU'RTAIN WALLS
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,I, (306 a.1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior 10 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,
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a,6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43,6.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation 01
floor insulatIon, deckIng or
floor sheathing,
FIRE & SEPARATION WALL:
Located and constructed
according to plans,
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
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.G.
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 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,
*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.
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FINAL ELECTRICAL
SITE PLAN REVIEW BOARD: Must be reques,ted 2 days In advance
of the date you wish Inspection, All project conditions such as
landscaping, parking lot stplplng, 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,
FINAL PLUMBING
V.. FINAL MECHANICAL
._ FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT'"
PLANS REVIEWED BY
DAT~
By signature, I st,te 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 cerli fy that any and all work performed shall be done In accordance with the Ordinances
of the City of Springfield, and the Laws of tile State of Oregon pertaIning to the work descrIbed herein, and that NO OCCUPANCY
wIll be rnade 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 turttH:H agree to ensure that all required inspections are requested at the proper time, that project address Is readable from the
street, that the permit ard Is located at the front of the property, and the approved set of plans will remaIn on the site at alt
times during constr on. ~"" .
, Slgnalure 'J~~- Date ~I~
e.
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RECEIVED BY: /'Z-~
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VALIDATION:
AMOUNT RECEIVED: --:;;>.6. ::2.. eo
-:Z~ 1r:=3
DATE PAID:
RECi:IPT N'
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