HomeMy WebLinkAboutPermit Mechanical 1994-7-7
COMMERCIAL/INDUSTRIAL ·
PERMIT APPLICATION
SPRINGFIELD . ( 1L10/Zl,':.l.)
~ JOB NUMBER I T U,-)
"k INSPECTION LINE: 726.3769
~" OFFICE: 726.3759
~ nn,Qer\ ) ~ AL in J A. Yf'U\1-
TAX LOT: 1\ (j\C{ txJ
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOS1l? WORK: ~ I
ASSESSORS MAP' \' I~ ~
OWNER:~~ D~ ("0,' ./
ADDRESS' \Y0 ) \ \ ~ \SF ~ .
CITY: ~\S ~ - - STATE: ,_l\f./
DESCRIPTION OF WOR~ I ~ \ q{'1\f'1 fHf'.n. 0 L ~
PHON'"
ZIP:
01411
NEW
REMODEL --'- ADDITION
DEMOLISH
OTHEIOl
VALUE:
NAME
ADDRESS
PHONE
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
CONST.
CO NT RACTO R N
EXPIRES
PHONE
GENERAl'
:~UC::~:AI' 0nTh+tN\~'~ rruJ
ELECTRICA' . \ \ \
~ >oJ
PLUMBING
MECHANICAL
I
r:I:lARGi
I
1
I
I
I
1
I
1
I
$10.00 I
I
NO,
FEE
CHARGE
Nn ~I:'i=
Sanitary Sewer
It.
It.
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
Stationary evap.
cooler
Vent fan/Single
duct
Vent System apart
Irom AC or htg.
Mechanical exhaust
hood and~uct
l ~~~':SU~~L\
Single Fixture
Relocated Bldg.
(new fix. addtll
Water Service
It.
Storm Sewer
Backtlow Device
TOTAL PERMIT
TOTAL PERMIT
QUAD AREA"
N OF BLDGS'
OCCY GROUP'
LANO USE:
- OFFICE USE.-
~
.......:..::;
HANDICAP ACCESS:
FLOOD PLAIN'
N OF UNIT""
N OF STORIE""
HEAT SOURC'"
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
CONSTR. TYPF'
SQ. FT.
$/SQ. FT.
VALUE
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
X
x
x
TOTAL VALUE OF PROJECT
PLAN CHECK FEF
RC PI'
DAT"
BY
I BUILDING PERMIT
15% State
SurcharQe
1 MECHANICAL
15% State
Surcharae
~
1"3
I PLUMBING
I DEMOLITION
\~.uv
.b
10,00
AS
5% State
Surcharge
FENCE
VALUE $
SIDEWALK
CURBCUT
FT.
FT.
SUBTOTAL
PE RM ITS
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
oJ//; .~)
l,
.
.
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 Imber, job address, type of Inspection requested and when you will be ready
for Inspection. Requests received before 7:00 m II 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"excavatlon, but
prior to setup of forms.
UNDERSlAB PLUMBING.
. ELECTRICAL &
MECHANICAL: To be made
befqre any work Is covered.
work Is to
PAVING: After gravel Is In
place but prior to 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.
FRAMING: To be made after
the rool, 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 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
STRUCTURAL CONCRETE: In
excess of 2500 P.S.I. (306 a.1)
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.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERFlOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are I n place but
before any lath or gypsum
board Interior wall covering Is
applied.
,..,~
'f'1~1: & SEPARATION WAll:
located and constructed
according to plans.
HIGH STRENGTH BOLTING:
During 'all bolt Installation and
tightening operations. (306
a.B)
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.
Standards 43.8.
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.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.
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.
ROOF SHEATHING AND
NAiliNG: Prior to Installing
any roof 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 lot striping, etc. must be completed before
requesting thIs Inspection.
FINAL ELECTRICAL
FINAL MECHANICAL
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 FIRE DEPARTMENT
ADD TIONAL COMMENTS:
PLANS REVIEWED BY
OAT"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information
herern 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 during con5tr.u~t1on. ___J/ J" .
Slg4/A~ ~~- .
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VA LIDA-r\OI"l: AMOUNT RECEIVED;:~, /) .!JJJ
RECEIPT N' V6~lqD
Date 4~ --7. 19"7-C4'
;' ~ E,.p,r
DATE PAID:, - l)' / l3-~
RECEIVED B~