HomeMy WebLinkAboutPermit Mechanical 1994-5-16
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Sl'nlNGFIELU
n:ESI DEN T I A l ...-----.,.
PEf-lMIT APPLICATION
Jon NlJMfJEn h9Y~;::>2 c;3
:!2!i Flllh Slleol
Spllllylleld, O/l!!JOll 914n
InspocllOfw: f:'(j,37UU
Ollice: 7;'U-:ll~IU
_ TAX LOT:
SUBDIVISION:
~._ 13LOCI<:
--..--.-------....- J
,
toT: ," ____..
13J_.- ~,!.r _._..._
OWNER: __._11 ~/9 ~ ~"___Ca'^'-(t':t----.& J w ()- v'~___________
ADDRESS:'~ ..,__l..J )JJ?_..,~_,}?a.L~Q~- C J_~~,\s-::::_-_~~
CITV:..,__.-. "..2p-f~_----._.._-.'--..-..-_._--- STATE:~. cJ ~~
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I' Y'-S e ( )
PHONE: _
ZIP: __.:LJ..Y,~..,.......,
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k~..:t ~ (" _...tL-s:.~~..! .
4.r..6
DESCRIBE WORl<: .-:f..h-;1 (J.. \ ,__, ~ c..J_~r:: : 0.[ ~ f ~f~
OTHER'
__ ADDITION __.. DEMOLISH
NEW..____,.. nEMODEL
CONST.
CONTRACTOR N
PHONE
EXPIRES
A[)()nE~;S
cor-nHAG10ll'S NAME'
,
..- ,.-------.. ----_.
GENEFlAL: _' ' -.-..-....---..-.---..--'..- "".--------',..
PLUMBING: ...-..-'" ..--...-----...--,-.-..--..---..-
, c ( 1\
MECHANICAL: ~l.6.J-! ~, \\~?:, __h~=\~,~1.~~- ._':il~J..----,_f.:__.lli S'ps:.J. -- q 'r'rIB '
EI.ECTRlCAL: . _,____ .'. ..,_.____.:__._..._,_.._ 7 l 7 -1 Y l{ S-
.# -.-..----
,~~_ s _J.JQ_____~:::j~] I~"!f
',I - OFFICE USE -
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,_.._2.,..__--..
FLOOD PLAIN: . .._.,.,
ZONING CODE:
LAND USE: _,....._____..__....,_____
1/ OF UNITS: ,__'"
CONSIR. TYPE: _,__,...__
QUAD AilE A:
" OF SLOGS:
It OF BDRMS:
OCCy GIlOUI'
SECONDARY HEAl: --.--. -'--.--
SQUARE FOOTAGE: _. _', "-",--'-'---
HEAT SOURCE:
"OF STORlEf;: ...---
WATER IlEAlI:n: --~_.._,---,._--
RANGE: ____.,..____
j
'!i.)luqul!!JI aft-lnupecliun, YOll IIII,wl:t:aIl72G.~j769.'Thls Is a 24 hour rocordlng, All Inspocllons roqueslod halore 7:00 a.m. wllllJe )
11 Hili 0 IlIu ~;aIIIH WOIlllnu day, Im;pm:llons requesled aller 7:00 a,m. will bo made Iho followlnu worlt day,
IlEOUIIlEO INSPECTIONS
.of
D Final Plumbing'':'" Whon all
plumbing worlt Is com(>lolo.
[-I nOIlOh Mochanlcal - Prior 10
- cover.
o loml'OIary Eleclrlc
o Flnai Electrical - When all
eleclrlcal worlt Is complete.
l~ nOIlOh Electrical - Prior to
cover.
o SlIe Inspection - 10 bo made
after eXI:avatlon, hut prior 10
setting 'uHll!!. '
~ Flnnl Mechanical - Whon all
jilochanlcal work Is, cOlllplcto.'
o Electrical ServIce - Musl be
approved 10 oblaln permanenl
ellH:lrlcal powor,
o Undcrslab Plumblngl Elechlcall
Mcchanicnl - Prior 10 cover,
, .' ....,0 Final Bulldino.- When all
roqulred In9(>001l0ns havo boon
approved and building Is
compleled, '
o Fooling - Aller lrenches are
oxcavullJll. .
I~ FholJlace - Prior 10 facing
malerlals and hamlno Insp,
o Musomy - Sleol location, bond
beanls, groutlnu.
o Frurnlno - Prior 10 c.over. .
, 0 Olhor__
o Foundllllon - Aller lorms ore
erecle,d bul prIor 10 concrele
plncorTwnt.
o WalllCel,IInu II16ulatlon - Prior 10
cove~ "
or, ~'
o Undoruround Plumbing - Prior
to 1II11nu Irench.
D Drywall - Prior 10 taplno:...
,
\ '
MOBilE HOME INSPI;CTIONS
O Underlloor PlullIhlnulMocholllcal
_ I'rlor 10 InslIlallon or docklnu.
D Wood Stove - Aller Inslallallon,
"I. ~ t"i '
o Blocking and Sot,UI' -:- When all
blocl<lno Is cornplelo. ':
'."
'0.
1-] Posl and ()oam - Prior 10 floor
L Insulallon 01 duelling.
,,' '. .
I:=J Insa,l - Allor flreplaco approval,
, ' and Inslollollon 01 unll.
'l~ Plumbing Connecllons - Whon
homo has beon connocled 10
waler Bnd sowor.
[-I Floor Insulallon - Prior 10
- deelllng.
!' ',1==:1 Cuibcul & Approach - Allor
forllls ore omclod bul prior 10
plucernonl of concrele,
[-I SanlllllY Sower - Prior 10 filling
-' IlOndl,
[--, Electrical Connocllon - Wholl
- bloGldn(J, lwl.ul', a III I "IulIlhln(J
InsJlecllon!! huvo boon UPI',ovlld
and Ihe h01ll1l Is connocled 10
Iho sorvlcll pan~1.
I.:=J Sidewalk & D,lveway - Allor
uxoavallon 19 complole, lorlll9
and sub.buse mulorlal In placo.
[~ Slorm Sowor - Pilar 10 II III no
lIeneh, . ,
o Fence - When (:oHlI"olecl.
o Watcr lIno - ""orlo fllllllO
Ironeh. '
o Final - Allor 011 reqlllro<l
Inspecllons lUe app,oved and
porch os. sl<lrllng, declt!!, anll
venting have been Inslalled.
D SHeel Trees - When all required
Irees are planled.
[~ nough I'IUlllbl~IU -:- Pllor 10
cover, ' . ~ '.',
Lot /aGes Lot Type
Lot sq. 'lIg, 111101'101'
Lot covorage Cornor
Topography panhandle
Tolal heigh I -'- Cut,do.sac
",
Solhacl\s
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..::.
S lIlL: I'HOPOSED WOFlI< lI'j TilE
"WiTOHICAL DISHIICT, Oil O~'
TIlE IllS IORICAL IlEGISffR? _.u..____
" yew, Ihls appllcallon must IllJ v1unll(/
and approved hy 1110 Hlslorlcal
Coordlnalor prior 10 penllll Issuance,
p.L. . .u~!l_ g!l!1ACQ
N
S
w
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BUILDING PERMIT
ITEM SQ, FT, X $/SQ. FT. = , VALUE
Main,
::;
Garage
Carport
Total Value
BuildIng permU Fee
Stalu Smchmno
Tolnl Feu
\
, \
,1 :,. ,
, 9'~ -,
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
(A)
PLUMBING PERMIT
ITEM
Fixtures
Residential Balh(s) W
Sanitary Sewer ' FT.
FT.
Waler
"
4-\\
Storm Sewer' ~;
Mobile I-Iomo
Plumbing fermlt '
Slalo Surchargo
Tolal Charge
FT.
, ,
",
(C)
, ,
MECHANICAL PERMIT
Furnace
Vent (" .... . NO
Wood SIovo/lnser6Place ~
Dryer Vonl
~~ ~;y~
Mechanical Permit /17//)".
;I-"3'~ , ~~
Exhausl Hood
Issuance
Slale Surcharge
Tolal Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Slalo Issuance
61alo Surcharge
Sidewalk
Curbcul
OOl1lollllon
Slalo Surchargo
II
II
'Tolal Mlscollaneous pennUs
(E)
TOTAL AMOUNT DUE (excludIng elec\rlcal)
(A, B, C, D. and E Combined)
FEE
I~-o
, ...
/P..~
.~
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APPROVED: ____
BUILDING VALUE, PLAN CHECI<
AND BUILDING PERMIT
This permit Is gran led on Iho express concJlllonlhallhe said
construcllon shall. In all respecls, conlorm 10 II III Ordinance
adopled by 1110 City 0/ Sprlnu/lold, Inl;luding the
Daveloplllenl Code, /O{Julaling Ihe conslrucllon and use 0/
buildings, and may be susponded or levol<ed at any lime
upon vlolallon 01 allY provlsiolls 0/ said ordinances.
Plan Check Foe: ____________u,
Dale Paid:
Racelpl Number:__,_..,__.__
Received By:
Plans f!llvlownc! ny
Dillo
SyslOllls Dovclo!lll1cnl C1Iilr!lC Is <lua on all IIlHlllvclopcd
'proporllos wlllllnlllo City IInllls wllkll iHU being illlplOvod,
ADDITIONAL COMMENTS
Va ( ~ C~_______Q_:f W__~Js:-
~ 2--S:J 3.00....___
\
Fly slgnalure, I slale and agree, Ihall have care/ully examined
Ihe comploled appllcallon and do hereby clllllly Ihal all
Inlannallon homon Is Iruo and correel, and 1I1I/1I1Clr cerll/y
Ihal any and all worle performed shall 1m dona In aCI:olllilllCO
with Ihe Ordinances ollhe Clly 0/ Sprlng/leld. illHllhe laws
0/ Ihe Slale 0/ Oranon perlalnlng 10 Ihe WOlle dosclihoc!
horeln, alld tl1al NO OCCUPANCY will be made 0/ any
slruclure wllhoul permission o/Iho Building Sa/ely Division,
I /urlher cerllly Ihal only conlraclors and ornplpyeos who
are In compliance wllh ORS 701.055 will be used on Ihls
project.
I /urlher agree 10 ensure Ihal all required Inspecllons are
roqueslod allho proper limo, Ihal each addHJss Is readable
Irorn tho slreel, Ihal Ihe permll card Is locatod allhe Ironl
01 Ihe properly, ilnd Iho approved sol 01 plan:; will romaln
on Iho silo al all limos durln[J conslruc~lo:?
Slgnaturo _ _. ~. -..-------
VALIDATION:
f1ECEIf'T NLJMIlEll " .1-::?;2;:?~
DATE PAID _____.,'__~Y6':':2c.;.H
AMOUNT RECEIVED .______",_ ~_"::;i??>___
nECEIVED BY _.___ .."
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