HomeMy WebLinkAboutPermit Mechanical 1992-4-20
COMMERCIAL/INDUSTRIAL' SPR'NGF'ELD 6JOB NUMBER C('h}(JOn(,r
PERMIT APPLICATION ~ . - --..:../
INS PECTIO N LI N E: 726-3769
225 Fifth Street, Springfield, Oregon 97477 . ~ OFFICE: 726.3759
LOCATION OF PROPOSED WORV \{) \t) \'\\(\ ~ ~ S~OO t
ASSESSORS MAP: \ IO~ \ - .
OWNER: ~~ \. ~fl (\) () NIt, _ \ q~
ADDRES"'.' \~)\\), \\\tllf\ ~\Oot \\~;_\
CITY: ~~ 0 ~ ; _ STA~ I':+'LJ
DESCRIPTlONOFWORL~r ('Q, C\"\.lQ(lj- -pLLrYln~
NEW REMODEL ADDITION DEMOLISH O1~ER
TAX LOT ~Q.rx. ')
PHONE: L\; 'is 4- ,~/l~ I
ZIP:~
VALUE:
~
NAME
AOORESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADD RESS
CO'NST.
CO NT RACTO R .
EXPI RES
PHONE
GENERAl'
:~U~:::A'l- ~ ffio ,D~A(~ >
ELECTRICA' . \j
VI )b\t~~,_ 4fJ3Ylo ?}'D8~ 4\olr~IOI
~~~
NO.
FEE
CHARGE
I MECHANICAL I
I Nn - I
000 f"'U^Dr.!t:
I Furnace/burner & vent I
< 100,000 BTUs
1 Furnace/burner & vent I
> 100.000 BTUs
I Floor furnace and vent I
I Suspended wall or floor 1
mounted unit heater
I Appliance Vent I
separate
1 Stationaryevap. J
cooler
I Vent Fan/Single I
duct
1 Vent System apart I
from AC or htg.
I Mechanical exhaust - I
MdO~ \;t~();
I, ~ in,CO I
1 Permit Issuance \ $10.00 I
1 TOTAL PERMIT I
PLUMBING
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft.
Storm Sewer
ft.
Backflow Device
TOTAL PERMIT
. OF BLDG"'.
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYpo.
HEAT SOURC~'
HANDICAP ACCESS.
FLOOO PLAIN:
ZONING.
LIGHTING POWER BUDGET:
WATER HEATER'
QUAD AREA-
OCCY GROUp.
. OF STORIES:
SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAIN
x
SQ. FTG ACCESS
x
SO. FTG OTHER
x
TOTAL VALUE OF PROJECT
PLAN CHECK FEr
RCPP
DATF
BY
1 BUILDING PERMIT
[5% State
SurcharQe
1 MECHANICAL In ~
15% State - a ( )
Surcharoe . - \ l
l~~n(\('o rn.co
PLUMBING
DEMOLITION
I
I
1
I
1
5% State
Surcharoe
I FENCE
VALUE $
1 SIDEWALK
I CURB CUT
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT.
:
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
c9A-CfO
.
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 deSignat~jO number, job address, type of Inspection requested and when you will be ready
for Inspection. Requests received before 7:0 . ill be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be B9vun rL.U lNG, PAVING: After gravel is in
made after excavation, but /C ":;'L.CI",.. nl\..o & place but prior to placing
prior to setup of forms. MECHANICA ", No Qrk is to asphalt or concrete.
Qvere ase
inspections have been made
and approved.
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 Inspection.
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.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equi pment items are
In place but before any
concrete Is placed.
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.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (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 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. .
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.S.G.
Standards 43-8.
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.
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.S.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
USC 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
other inspections of any
construction work to ensure
compliance with the Suilding,
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.
FINAL PLUMBING
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.
FINAL ELECTRICAL
.~ FINAL MECHANICAL
(
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED SY
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 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 durln~SnCtlon. ...-n ~ _
Signatu~( 1/ LZ. ~
VALlDATI/~ AMOUNT RECEIVED: rY'6'~-)
RECEIPT #: 4,.:sCJ~
,-----:>
Date :;/;J. Cl ['7:.
DATE PAlo~Lfll)YL-/
RECEIVED rf:i;JJ( (fA _)