HomeMy WebLinkAboutPermit Mechanical 1999-1-8
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COM M ERCIALlI N DUST RIAL
PERMIT APPLICATION
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.
JOB NUMBER
Cj~ /? '15
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK' /4 S- 71 D!i\J EER IX. R (-< Lv A 'f.
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OWNER' 'f<ALP If SI1EE0
ADDR"'"'' /70 /,J, IlL" ST.
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ASSESSORS MAP' .
TAX LOT'
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CITY:
Sffl INtrFIE:3Lj)
STATE: -DR
,
ZIP:
97477
DESCRIPTION OF WORK'
NEW V REMODEL
INS, Au-
tt/l;S I JIV 1'/ ffEATEIZ...
ADDITION
DEMOLISH
OTHER
VALUE: 2..a:::(). co
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
ADORESS
CaNST.
CONTRACTOR'
EXPIRES
PHONE
GENERA' .
PLUMBING'
MECHANICAL:
'RDL F ~
tfEI\17,N(x CD.
ID'2.45.-CJ
.I0-f-d) 74/-CCO?-
ELECTRICAl'
PLUMBING
MECHANICAL
NO.
FEE
CHARGE
Nn
"""
J
"'U6EH~~ 1
I
I
ISc" I
I
J
I
I
I
'ff. 7)~ I
$10.00 j
?t. !l...() I
Sanitary Sewer
It.
{
Furnace/burner & vent
< 100.000 BTUs
I 'Furnace/burner & vent
> 100,000 BTUs
I
I
I
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
fram AC or hlg.
Mechanical exhaust
hood and duct
SIngle Fixture
Relacaled Bldg,
(new fix. addtl)
Water Service
It.
Storm Sewer
ft.
Back flow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER:
OUAD AREA'
. OF BlOGS'
LAND USE:
OCCY GROUP'
. OF STORIES:
. OF UNITS'
CONSTR. TYPF'
HEAT SOURCE:
sa FT.
$/SO. FT.
VALUE
SO. FTG MAIN
X
X
X
SO. FTG ACCES"
SO. FTG OTHER
TOTAL VALUE OF PROJECT
PLAN CH ECK Fo" RCPTM DAT"
I BUILDING PERMIT r I PLUMBING
15% State 5% State
Surcharge Surcharge
I MECHANICAL FENCE
VALUE $
15% State SIDEWALK
Surcharae FT,
I PAVING CURBCUT
FT,
BY
I DEMOLITION
SUBTOTAL
PERM ITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
2-'. u
.1
1\
. C/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 yau will be ready
for Inspection. Requests received before 7:00 a.m. will be made the same workIng day, requests made atter 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavatIon, but
prior to setu,~ of forms.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these 1
inspectIons have been made
and approved.
PAVING: After gravel is In
place but prior to placing
asphalt or concrete.
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.
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
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
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.
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
STRUCTURAL WELDS:
Performed an the job. (2722 f)
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
f10ar sheathing.
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.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
draInage lines, To be made
prior to coverIng or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.C.
Standard. 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to Installatlan 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 f1aar sheathing.
STRUCTURAL MASONRY: (306
a.7)
MASONRY: Steel lacatian,
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.
'ROOFSHEATHING AND
NAILING: Prior ta Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placIng
concrete.
Oln addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
. 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 ELECTRICAL
,~) MECHANICAL
( ~AL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and
approved. No OCCI.lp~ncy 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 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
wha 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 loca~d at the front of the property, and the approved set of plans will remain on the site at all
times during (Of\~trUCtlU'! ( / I (
Slgnat".o 'f....~ -, I q., Date""-..lI-v- ~ i 1
1\ V 'I
VALIDATION: lJ AMOUNT RECEIVEO: Z. '- ~ DATE PAID: 1/f'If] /J
RECEIPT" ~32...J a 7 RECEIVEO BY' ~ 00../