HomeMy WebLinkAboutPermit Mechanical 1997-5-19
COMMERCIAL/IN DUSTRIAL.
PERMIT APPLICATION
225 Fifth Street, Springfield. Oregon 9.1477
SPRINGFIELD
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JOBNUMBER~~~~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
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LOCATION OF PROPOSED WORK:
ASSESSORS MAP' /7~ .77'- y-3
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ADDRESS: ,A!::' y~ ,~~ _~ .
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DESCRIPTION OF WORK: f/.t:fttc ~/;-/-'.~11 .E ~ ~
OWNER'
CITY:
NEW
REMODEL
ADDITION
NAME
ARCHITECT'
CONTRACTOR'S NAME
ADDRESS
GENERA' .
PLUMBING'
MECHANICAl ~/.?;~
ELECTRICAl'
PLUMBING
NO.
FEE
CHARGE'
Single Fixture
Relocated Bldg.
Inew fix. addtll
Water Service
ft.
Sanitary Sewer
ft.
It.
Storm Sewer
Backflow Device
TOTAL PERMIT
QUAD AREA'
, OF BLDGS:
. OCCY GROUP'
, OF STORIES'
LAND U~o.
, OF UNIT~'
CONSTR. TYpo.
HEAT SOURCE:
Sa. FT.
SQ. FTG MAIN
SQ. FTG ACCES'::
SQ. FTG OTH ER
x
x
x
PLAN CHECK F~
RCPT'
I BUILDING PERMIT
15% State
Surcharp.e
I MEC~~
15% State .,-...'!2
Surcharae ~
I PAVING
PLUMBING
/~ -c.-
/~.-
'.~
5% State
Surcharoe
FENCE
VALUE ~
SIDEWALK
CURBCUT
TAX LOT' ....:::> ~~::s
PHONE:
r'~S--e?~~::JL
STATE:
~~,
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q/~~
ZIP:
DEMOLISH
5;,......~;:# /' f_;. :s.
, . .7 ~,S'
VALUE: ~_o
, -
OTHER
ADDRESS
PHONE
CONST.
CONTRACTOR'
EXPIRES
PHONE
I MECHANICAL I
.~ 000 "'HAR~
Furnace/burner & vent t:::;.-
< 100.000 BTUs /I!J'...
I Furnace/burner & vent
> 100.000 BTUs
I Floor furnace and vent J
I Suspended wall or floor I
mounted unit heater
I Appliance Vent I
separate .
I Stationary evap. I
cooler
I Vent Fan/Single I
duct
I Vent System apart I
from AC or htg.
I Mechanical eXhaust I
hood and duct
I I
I Permit Issuance S10.00 I
I TOTAL PERMIT 1$-1
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER'
S/SQ. FT.
VALUE
.
TOTAL VALUE OF .PROJECT
DATO
BY
DEMOLITION
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELOPMENT
FT.
TOTAL PERMIT FEES I
EXCLUDINGELECTRICA'
"2.~. yy
. 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,lob address, type of Inspecllon requested 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.
Y ROUGH PLUMBING,
WCTRIQ~
<'1lltECHANICAI,j)No work Is to
be covered until these
Inspections have been made
~pp':.9~~: '
.'...."" /" / .-J
'A IC D~FT PS 8<
CURTAIN WALLS
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
CONCRETE SLAB: To be
made after all Inslab building
servlce.equlpment, conduit,
pI pi ng, accessories and other
ancillary equipment Items are
I n 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 Inepector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shell
be furnished to the Building Division.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and fo'rms are
erected, all steel',ln place, but
prior to placing concrete.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.!. (306 a.l)
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 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)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
UNDERGROUND: Plumbing,
electrical, gas, s'anltary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
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 INSIJLATION &
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.
ROOF SHEATHING AND
NAILING: Prlo'r to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'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.
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 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 ELECTRICAL
)"
FltlAL MECH~L ~ "
ri~. '5 1 r'"7l>?'ce-
FINAL FIRE \lEPARTMENT
ADDITIONAL COMMENTS'
PLANS REVIEWED BY
OAT"
By signature, I slate 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
of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described he(eln, 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 constru~~ .
Signature ~~ DalP ~/f?"7
r
VALIDATION:
AMOUNT RECEIVED: ~ ~
"2 -5' :;;? ? ?
~ ---- -.....
RECEIPT N:
DATE PAID'
RECEIVED BY:
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