HomeMy WebLinkAboutPermit Mechanical 2000-1-3
CO M M ERCIAL/I N DUSTRIAL
PERMIT APPLICATION
JOB NUMBER
;
,
OWNER: -..S~(J::;'/J gt!b/P PHONE: ;7~0f}1~...y
ADDRESS: ~1'os~/kff/~
CITY' ~}?///14A. W /, ., STATE: fJEzIP: P)7--/77
/// '
DESCRIP. TIO~ OF WORK: ~&4y/l/J c/acs ~/77"'f'.P//Z;/~./'~tA~Jl///O&t7//I?r>L
;.. {/ // ,#
NEW X REMODEL ADDITION DEMOLISH OTHER VALUE:~,()
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR #
EXPIRES
PHONE
GENERAL:
PLUMBING:
MECHANICAL'
ELECTRICAL:
HOf\r;yt I~'
ft.
MECHANICAL
FEE CHARGE NO I ,~~~ I r.1-I.6Rr.~
Furnace/burner & vent
< 100,000 BTUs
Furnace/ burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor I
mounted unit heater
I Appliance Vent I " I I
separate
I Stationaryevap, I I,
cooler
I Vent Fan/Single I I
duct
I Vent System apart I r I
from AC or htg,
I I Mechanical exhaust I I
hood and duct
I I~~ I PtM/. JS-~I
I Permit Issuance I $10.00 I
I TOTAL PERMIT I I
PLUMBING
NO. .
Si ngle Fixture
Relo,cated Bldg.
(new fix. addtll
Water Service
S~nitary Sewer
Storm Sewer
ft.
. ft.
Backflow Device
"
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA: '
LAND USF'
FLOOD PLAIN'
# OF BLDGS'
#OF UNITS:
CONSTR. TYP~'
OCCY GROUP:
# OF STORIES:
HEAT SOURC~'
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER:
SQ. FT.
$/SO. FT.
VALUE
SO. FTG MAIN
X
X
SQ. FTG ACCESS
SO, FTG OTHER
X
TOTAL VALUE OF ,.PROJECT
PLAN CHECK FE!:
RCPT#
DATF
BY
I BU1Lo.ING PERMIT'
I ,,% State
SurcharQe
MECHANICAL I ~. --
_ 11S~~G //9~ 0.0
7%State it' J_ Sb
Surcharoe I!' ~+ .ofCl)~ I.
I PAVING I
PLUMBING
DEMOLITION
/ %' State
::;urcharge
I FENCE
VALUE $
I SIDEWALK
I CURBCUT
FT. I
FT. I..
I
,I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
:I>
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fTl fTl Cl)
C"J u '**
. Q r-1'C-J ..
:I> u:DO
fD ,..,'l:z:........
::I: I
~i::f700
~ c...JO
,....,) 0
. .. :z: 0-. ,...,,) 0
f.-J f...I J a '--' r--
C) fTl en 0 .p..
L-l \'. U l-, u I
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-.;......
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
r ':", ,~"'. < .' ~::::. REQUIRED INSPECTIONS
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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.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 ROUGH PLUMBING,
made after excavation, but ELECTRICAL &
prior to setup of forms. MECHANICAL: No work Is to
be covered until these
Inspections have been made
and approved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
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 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 furnistled to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
pi ping, accessories and other
ancillary equipment items are
in place 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 P.S.1. '(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
ti ghteni ng operations, (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
"-lStandards 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.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.G.
STDS. 25-10,11).
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
ST~UCTURAL 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
construction work to ensure
compliance with the Building,
City or Development Code.
\
,>' .:......'F,lOOF. ~tj~A:rHING AND.'-'5' ~" "
.. NAILING: Prior to installing ....
any roof covering.
\~;1\.~.~ .
CURB AND APPROACH
APRONS: After forms are
erected but prior to placi ng
concrete.
-------------------------------------------------------
FINAL PLUMBING
FINAL ELECTRICAL
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 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
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
OAT 1=
.. ~ :..:' .'~:
VAll Dg@r\f:',
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thi"t 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 herein, and thatNO 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 compl.lance with ORS701.055 will be used JI this project. ,
I further agree to ensure that all required inSp.~tions:~'reqUested at the proper time, that project address Is readable from the
// ..... "/
street, that the permit card Is located he f~ 'o!}he Rroperty, and the approved set of plan~..;~ill..r~main on the site at all
times durln.~_constructlon:, -"'""'" , ~.,;~: ~ '~'" '~-:: '. . .:.., :.'-),
1...L ._-" - :-:.; ~ "7 ~ ,o-'''\\.") / L -:?-~2'-'~"":, ~~"'.- \
Slgna;~:"-~'''':~ ~-----, _ ~ ~ Z:;:7/C Y/Y4~~~ Dat~C~~$/
~L\.:.lr:'l ~ ~ / /' /
~ .>t:>
/ t.). ~
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AMOUNT RECEIVED:
// yo~ .
RECEIVED BY' . I ;p.,~
DATE PAID:
,.' ......~.~
~~ ~:'~' '
:.f,,;;,-:,L,~!, ... <'- RECEIPT #:
-~=- .- -: . :"';":).- '"'...~:~
~~;~ ~~~
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COMMERCIAL/INDUSTRIAL SPRINGFIELD JOB NUMBER ~~:::l~ ,
:,~ ~;~::t~:'~~:,~~~~~,~'e90n 97477 h.. Wit 't(", ." ~i:'~~~~~;;~: 726-3769
LOCATION OF PROPOSED WORK ZZ/:6I~ !! 6Y~y ,^~/dfr.kt'. ~.&$I" $'
ASSESSORS MAP: //'C;!r /f~ TAX LOT: ~tJ"J
OWNER: S~~8~/.p. PHONF' ~..~.
~DDRESS: /' c.7~o-s~.-6C ~~
CITY: ;;~.47~ STATE:..eYe
DESCRIPTION ~ WORK: oc"'1.f_l"D.)/ ~S<;.el,-r1I'y ii{<;,.fa.LLr:e~(,Y~ k~
// /, ~.
NEW X. REMODEL ADDITION DEMOLISH. OTHER
:'1
ZIP: ~7-Jt},7
,
VA LU E: '!;;!/ t.ZlJ
J
ARCHITECT:
NAME
L il*7.rL11. M?st
ADDRESS
PHONE
~ }J1~C:S1/
CONST.
CONTRACTOR'S NAME " ADDRESS. ~ ~ CONTRACTOR # EXPIRES PHONE
GENERAL:5#;~(V'.~~~.~~,,? /.'7?~/&:?,,_~..2~~_ 7~~Y~
PLUMBING:
MECHANICAL:
ELECTRICAl.'
/
NO. '
FEE
":" I
CHARGE I I NO
',: "." I . I
~;or~;;:'r~'{,.<~ -< '.r
I I
I
MECHANICAL
PLUMBING
,1= 1= 1=
'r.HARnl= I
Single Fixture
Relocated Bldg.
(new fix. addtl)
Water Service
Furnace/burner & vent
< 100,000 BTUs
Furnace/ burner & vent
>100,000 BTUs
Sanitary Sewer
Storm Sewer
ft.
I
I
I
I
I
I
I
I
I
Floor furnace and vent
Suspended wall or floor
mounted unit 'heater
Appliance Vent
separate
Stationaryevap.
c,ooler
Vent Fan/Single
duct
Vent System apart I,
from AC or htg.
Mechanical exhaust :: 'I
hood and duct
I
I
I
I
I $10.00 I
I I
, ft.
ft.
Backflow Device
Permit Issuance
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS:
FLOOD PLAIN:
QUAD AREA:
LAND USE:
# OF BLDGS:
# OF UNITS:
ZONIWe:. :
OCCY GROUP'
,
# OF STORIES' ,
CONSTR. TYPE:
HEAT SOURCE:
LIGHTING POWER BUDGET:
WAT!=R HEATER:
''''.
SQ. FT.
.$/SQ. FT.
. .1
.~ .
VALUE
",
SQ. FTG MAIN' ,
SQ. FTG ACCESS
SQ. FTG OTHER
X,
;}.
" '
x
X
TOTAL VALUE OF ,PROJECT
I BUILDING PERMIT
I.' 7% State
~urcharge
MECHANICAL
1~6 ~D
/~: ~~,
I PLUMBING
I / %, State
~urcharge
I FENCE
VALUE $
,1 SIDEWALK
I CURBCUT
DATE 17"2/..~~ BY ~___~.'
, ,-;?z,. v
.... /
DEMOLITION
PLAN CHECK FE!: q~"2 ~ RCPT#' -;;;If/{' L,/~e./
, - ..., .. t
7%State
Surcharge
I PAVING
FT.
FT.
I SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
I
I
I
/,
I
"
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl I
/6/t/~
'.
,-
'REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see trrat 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.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 ROUGH P,LUMBING"
, made after excavation, but' ELECTRICAL '& ' , ',.
prior to setup of forms. ' MECHANICAL: No 'work is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel is in
place but prior to placing
asphalt or concrete,
UNDERSLAB PLUMBING,
ELECTRICA,L &
MECHANICAL: 'To be made
before any work is 'covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
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 t~sting reports shall
be furnish.ed toth~ Building 'Division.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete, .. "
. ~.:
'x.
FIREPLACE: Prior to placing
facing materials and before
,~raming !n~pection. .
'FRAMING: To b~'m~de'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 P.S,1. (306 a.1)
'.
.cONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
pi,ping, acces~ories and other
ancillary eq'uipment items are
in place but before any
concrete is placed.
STRUCTURAL WELDS:
Performed on the job, (2722 f)
UNDERGROUND: Piumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
. BARRIER: To'pe,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.B.C.
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.11 &
Chapter 29)
)(
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
fi nished.
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),
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to installation of
decking or floor sheathing.
SIDEWALK & DRIVEWAY:
Requi red 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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placi ng
concrete.
.In addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construd'tion 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
)( FINAL' BUILDING: Requested after the final plumbing, electrical,
FINAL MECHANICAL 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
FINAL FIRE DEPARTMENT and posted on the premises.
ADDITIONAL C~MENTS: ,{/ ~~ .~.// #~6 /1~~~~ 4~
~V r~~~~~~~ AZ1 ~C~~/~ ~~
j,j/~/~ ~.~ p~ 4'-~L~' '~cr-,/?9'~-5 ~~ - '
............, c:..--,-.,
PLANS REVIEWED BY ./ /. ATF /,. 3,4::::l
/' /17
By si~ihature, I state and agree, that I have carefully examined the completed application and do hereby certify th~t all information
herein is true and ~orrect, and I further certify that,any and all work performed shall be done in accordance with the Ordinances
of the Ci'ty 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 proje .
I further agree to ensure that all required inspections are r
street, that the permit card Is located at the fron pr
times during construction.
VALIDATION:
AMOUNT RECEIVED:
RECEIPT N'
ues a e proper time, tl')a,t pr'?j~pi address Is readable from,the
rty d the approved set. of pla'.t1s will remain on the site at all
~f&Mf~ate ~~$ .
16/.,/~
/'/~
/ "\ 3~C:>
RECEIVED BY' /' ~ ~
'//~
Signature \..
DATE PAID:
"'.J -.