HomeMy WebLinkAboutPermit Mechanical 1995-7-27
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COMM ERCIALlI N DUST RIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: (:<J./OL)
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OWNER JJflJjIJ('(j{f/ {\f}lJ)jff\ .
ADDREcC ,~()J./ Oil/mOil.
CITY [fJrl/l1/tlfJI.'
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ASSESSORS MAP:
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DESCRIP'~ON OF WORK'
NEW){ REMODEL
ADDITION
NAME
ARCH ITECT:
CONTRACTOR'S NAME
ADDRESS
GENERA' .
~
(J);/i/f)O!//
~
.
JOB NUMBER
9 572~n
INSPECTION LINE: 726.3769
OFFICE: 726.3759
TAX LOT'
~)/9z.. '7
PHONE:
7L//-/1/LJ.1 .'
STATE ()f-<
OJ/I- (!tJn1JiJ /)/If/(
ZIP: C; 7t/7 7
DEMOLISH
OTHER
VALUE:
ADDRESS
PHONE
CONST.
CONTRACTOR'
EXPIRES
PHONE
i
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ELECTRICAL_LtLl) o[j1...tLn(.~ (_ _ __
I PLUMBING I MECHANICAL I
I NO. FEE CHARGE I "EL _CI:lABG~
Single Fixture Furnace/ burner & vent.~ Iba-P
< 100.000 BTUs
I Relocated Bldg. I Furnace/burner & vent I I
(new lix. addll) > 100,000 BTUs
I Water Service Floor furnace and vent I
It.
1 Sanitary Sewer Suspended wall or floor 1
It. mounted unit healer
I Storm Sewer Appliance Vent I
It. separate
1 Stationaryevap. I
Back/low Device cooler
I Vent Fan/Single I
duct
I Vent System apart 1
from AC or htg.
I Mechanical exhaust I
hood and duct
1 I
1 Permit Issuance $10.00 I
1 TOTAL PERMIT TOTAL PERMIT ~#{/) 1
QUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
SQ. FT.
SQ. FTG MAIN
X
SQ. FTG ACCESS
SQ, FTG OTHER
X
X
PLAN CHECK FEE
RCPP
I BUILDING PERMIT
15% Slale
Surcharg_e
MECHANICAL'
IS., J#ht.Jed;
5% Stale r- _
SurcharQe .7J -1-.-1.
I PAVING
PLUMBING
1~<7'<"
/ n (}70
I, :1..1)
5% State
Surcharoe
1 FENCE
VALUE $
1 SIDEWALK
I CURBCUT
- OFFICE USE -
LAND USE:
HANDICAP ACCESS:
FLOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
. OF UNITc,
CONSTR. TYP"'
HEAT SOURC"'
WATER HEATER:
$/SQ, FT.
VALUE
TOTAL VALUE OF PROJECT
DATF
BY
DEMOLITION
FT.
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
~ ,2-,0
..
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 requesled 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 after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
).< R""G~MBING,
c-~I J:(,,~....,... _. &
~IVll:.t-'1"t):(NH.':AJ,..:....NO work is to
o~ euverea until these
Inspections have been made
and approved.
PAVING: Arter gravel is In
place but prior 10 placing
asphalt or concrete.
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 Ihe 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.
.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all Inslab building
&,ervlce equipment, conduit,
piping, accessories and other
ancillary equipment items are
In prace 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.1. (306 a.1)
STRUCTURAL WELDS:
Performed on th~ job. (2722 I)
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 boll installalion and
lightening operations, (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.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.l1 &
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
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.
-In addition to the Inspec.
tions specified, the Building
Official may make or require
other Inspections of any
con~tructlon work to ensure
compliance with the Building,
City or Development Code.
ROOF SHEATHING AND
NAILING: Prior to Instaillng
any root coverl ng.
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 101 striping, etc. must be completed before
requesting this Inspection.
~FINAL ELECTRICAL
r
'X
FINAL MECHANICAL
FINAL BUILDING: Requested alter the IInal 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 FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DAT~
By sIgnature, I state and agree, that I have carefUlly examined the completed application and do hereby certify thf3t afllnformatlon
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 agre'e 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 ront of the property, and the approved set of' plans will remain on the site at all
times during czstructl~n. J/ /~
Signature ~/IJ/:"!/h. Date ;Z 27-ff
VALIDATION:
AMOUNT RECEIVED:
RECEIPT ':
~o
20,
/9,~f:. .?
DATE PAID:
RECEIVED BY'
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