HomeMy WebLinkAboutPermit Mechanical 1998-11-3
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COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
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JOB NUMBER
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225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726-3769
OFFICE: 726,3759
LOCATION OF PROPOSED WORK' / (I.( 7
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OWNER' j'4M /'1ttd~P3~,{'pi4 Ilf-Jl-N
ADDRESS: //4:$ ,fJ7c:}//7 S?--:4 /?J
CITY: ~/e- -ff&#
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ASSESSORS MAP'
TAX LOT' () 73 00
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DESCRIPTION OF WORK:
NEW REMODEL ../ ADDITION
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STATE: _/.?~
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DEMOLISH
OTHER
ZIP: q7l2/ ';:J::;t
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VALUE:O~
PHON.,..,
NAME
ADDRESS
ARCHITECT:
CONTRACTOR'S NAME
ADORESS
CONST.
CONTRACTOR #
EXPIRES
PHONE
GENERA' .
PLUMBING'
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MECHANICAl'
ELECTRICAl'
PLUMBING
MECHANICAL
NO,
FEE
CHARGE
'-'n
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Single Fixture
Reloealed Bldg.
Inew Ilx, addtll
Water Service
I
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
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg,
Mechanical exhaust
hood and duct
b,W
It.
Sanitary se'1('fTENTIOtN:O egon la ,y re4Ul1"~ y" J. ~v
, .. ,_Tt._~_ ,'M"'" hc nrp90n Lllllty
Storm SewefJlIVYV . ............ .....:l._ ~ f h
Notificalion G:.enll ir. Thos l rules are SE 1 ort
i nAR952-001- 010tnr~ugnu"n,,~-OOl-
Baekflow ~~V1t:~., _ _, _ ' ~ ,;co of than.les by
vv~..............J.:;
callina Ihe ce er, (No e: the lele~h llle
number for the pregon utility l~ul1l1".1 u..
....---1--:. <t qg.n_~"1I)_?~L14\
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TOTAL PERMIT I
Permit Issuance
$10,00
-:;. t. z-<>
TOTAL PERMIT
- OFFICE USE -
HANOICAP ACCESS:
OUAD AREA:
LAND US"'
NOTICE:
THIS PERMIT SHALL EXRJFllNlf THF WOI3K
AUTHORIZED UNDER Tt\~-R'HIWpowrncaUDGET:
COMMENCED OR ISABMlOOt-IflAfBfl
dfl,lV 1QO r.fl v DCDlf"\n
FLOOD PLAIN:
# OF BLOGS'
# OF UNITo,
OCCY GROUP:
CONSTR. TYP"'
# OF STORIE~'
HEAT SOURCF'
SQ, FT.
$/SQ, FT.
VALUE
SQ, FTG MAIN
SO, FTG ACCESS
X
X
SQ, FTG OTHER
X
TOTAL VALUE OF ,PROJECT
PLAN CHECK FF"
RCPTN
DAT"
BY
I BUILDING PERMIT
5% State
Surcha~Qe
MECHANICAL
, PLUMBING
, DEMOliTION
15% State
Surcharae
I PAVI NG
5% State
Surcharge
FENCE
VALUE $
I SIOEWALK
I CURBCUT
FT,
FT,
SUBTOTAL
PERMITS
SYSTEMS
, OEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
,
. 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 In.poetlon, ReQualts received before 7:00 a,m. will be mad. the same working day, reQUeBte 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.
UNCERS~AB P~UMBING,
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.
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. ATTIC DRAFT STOPS &
CURTAIN WALLS
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
FOOTINQS a. FOUNDATIONS:
To be mede after trenches are
excavated and forms are
.reoted, all Iteel In place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
SPECIA~ 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.
CONCRETE SLAB: To be
made after all Inslab building
service eQul pment, conduit,
pipIng, accessories and other
ancillary equipment 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 PS,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 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)
SPRAYEO ON
FIREPROOFING: U,B,C,
Stand ard s 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.'1 &
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,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
vertlcals 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.
e In addition to the inspec-
tions specified, the Building
Official may make or require
other Inspectlons 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.
-------------------------------------------------------
~ArELECTRI
C!:- FINAL MECHANICAL
FINAL FIRE DEPARTMENT
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 PLUMBING
ADDITIONAL COMMENT'"
PLANS REVIEWED BY
OAT"
By signature, I state and agree, that I have carefully examined the completed applicatlon and do hereby certify that alllnformatlon
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 dur:g_constructl~n,
Signature::::'----- /' Dat~ //-;?- "2;Sr'
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VALIDATION:
AMOUNT RECEIVED:
03/,:;
RECEI PT N'
u..: 2--0
5'~
DATE PAID:
RECEIVED BY:
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