HomeMy WebLinkAboutPermit Mechanical 1992-7-16
SPRINGFIELD .
~ JOB NUMBER
c.tli.. _ OINFSFPICECTE', 1702N6'3L715N9E: 726,3769
225 Fifth Street, Springfield, Oregon 97477 ~,
ASSESSORS MAP' I ~7'@1 ' ., TAX LOT rA f) 1'()
OWNER: 'f\O.J\.\ l~f', \)1', ~+ Qt(, L:t\l~ll~N_'
ADDRE~:;31.CY) . . (1.JJo _' Co J\To R..J Yfil.P-,
CITY: '-1) 1\ 10. ~ :t:1JjI1.-/ ST~TE: (!it
DESCRIPTION OF ~ORK: It..):) J1 [.J~ f.P.JJ/]P ~
NEW REMODEL ADDITIO~ 7 9EMOLlSQ OTHER
\
.
COM M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
ZIP:
NAME
,
~
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
CONST,
CONTRACTOR'
ADDRESS
GENERA' '
GfJ(l~!2 I
4~f)M
VALUE:
PHONE
EXPIRES
PHONE
:~CMH:~:AIr{((}(ho Qci \\m, _ \ ~1)~~ S\iY"K()Il 'ff> .J~~DJ'{~t\l1L PrV.
ELECTRICAL: (~ L>>tnlti[) fY1) ) lo.Qgn~#a, 1..0 ~lg~
PLUMBING
MECHANICAL
I
I
I
I
I
NO.
FEE
NO
CHARGE
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
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
Sanitary Sewer
ft.
It.
Storm Sewer
Backflow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
---
""ARGE-I
I
I
I
$10,00 I
~~_CV I
~UAD AREA-
FLOOD PLAIN'
HANDICAP ACCESS:
LAND US-'
. OF BLDGS'
. OF UNIT~'
ZONING'
LIGHTING POWER BUDGET:
OCCY GROUP:
CONSTR. TYP-'
. OF STORIE~'
HEAT SOURCE:
WATER HEATER'
SO. FT.
$/SO. FT.
VALUE
SO, FTG MAIN
SO, FTG ACCESf:
X
X
X
SO. FTG OTHER
TOTAL VALUE OF PROJECT
PLAN CHECK FEF
RCPT'
DAT-
BY
I BUILDING PERMIT I
15% State I
SurcharQe
I MECHANICAL I J~ ,c.:u
15% State I, 'l ?h
SurcharQe
I~NnJ1tQ~ (n,-
I PLUMBING
I DEMOLITION
5% State
SurcharQe
FENCE
VALUE $
SIDEWALK
I SUBTOTAL
PE RM ITS
I SYSTEMS
DEVELOPMENT
FT,
CURBCUT
FT
TOTAL PERMIT FEES I
EXCLUDING ELECTRIC~I
c{JQ. f)~
.
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 Inspection. Requests received before 7'00 a~IJl be made the same working day, requests made after 7:00 a m. will be made
the fOllowing work day,
SITE INSPECTION: To be ROUGH P NG, PAVING: After gravel is In
made after excavatIon, but & place but prior to placing
prior to setup of forms. MECHANICA' 0 work is to asphalt or concrete.
be until these
inspections have been made
and approved.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
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 Inspection.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Speciaity Code
a special inspector shall be employed
by the Owner! 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 equipment, conduit,
piping, accessories and other
ancillary equipment items are
In place but before any
concrete Is placed.
FRAMING: To be made afler
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.L (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.BC
Standards 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: 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)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
LATH AND/OR GYPSUM
BOARD: To be made afler all
lathing and gypsum board,
interior and exterior, Is in
place but before any
plastering 15 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.BC,
STDS. 25,10,11).
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415,
SIDEWALK & DRIVEWAY:
Aequired 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 Building,
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverl ng.
CURB AND APPROACH
APRONS: Afler 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 Inspectlon.
FINAL ELECTRICAL
L( FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
FINAL BUILDING: Requested afler 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 correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances
ot 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 OAS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper tlme, that project address Is readable from the
street, that the permit card IQd at the front of the property, and the approved set of plans will remain on the site at all
times during const~ \ ~ .
Slgnaturo ~~ ~_ Date ~\91..~ \~ 'T~
AMOUNT RECEIVED' cYO. r l_~
p->""Sr)( ) RECEIVED B ' (~ ./
"- - -
RECEI PT #: