HomeMy WebLinkAboutPermit Mechanical 1995-03-20:i I 'll lN(;t:lELtl
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TAX LOT:
SUBDIVISION:
NESIDENI IAL
I'E IiMIT AI'PLICA'TION
Irrsput:llortu: /l'0'370$
Ollice: 72b-3/59
JOB NI,,MIJEN
221i l=llllr Sltcol
LOCAI lot.l ()r
ASSESSOIlS
LOT: . -.--...-. ..
zrp,---9-f-Y ff
PIIONE:OWNER: --.--.
CaS'[ATE
t
stI
_sr d,
L(Ll .
__hr;
CI'tY:
* rl&s gl
ilr
ADDFIESS:
T{EW.._.--,- NEMODEI. ADDITION DEMOLISI-I OTHER
ce
PI IONEN DDfiETiS
ee)
EXPIRES
I s
s
I
-l-r!S j 4
[tq.r" toa\\k B=*1
sr\o
Se-QJ-1 ?_Y
OESCRIBE WORl(:
cot.lrnAcIo,l's NAME
Et-ECl-RlC/tL: .---- --
CONST.
CONTRACTOR #
GENEflAL: -.
PLUMBING:-
MECI'ANICAI
_ '7 \7:
OUAD AIIEA
' OF BLDGS
occY Gll()ul' ...-.-..
ZONING CODE:
TIEAT SOURCE:
SOUARE FOOTAGE: -" -
- OFFICE USE -
r OF UNITS: -
, OF SfORIESi: ---_--.-
i
WAf ER I lEAl l:tl:RANGE:
---..
FLOOD PLAIN;
.| OF BDRMS] - , ..
SECONOARY HEAT
CONSIR, TYI)F-:
T.AND USE:
K
l.a(lo llro r;,rrr{r worklll0 (lay, lnspecllons rc<lueslerl af ler 7:oo a.lrl. wlll bo tnado llre followlnU work clay'
NEOUIRED INSPECTIONS
florrgh Mecltanlcal - Ptlor lo
cover.
Ilouglt Eleclrlcal - Ptlor lo
fFhral Plunrllln0'- Wlrerr all
plulrtblng work ls cotttPlelo.[--l ferntror;rry Elecltlc
Sllo lnspeclloll * To bo tnaete
aller exr:avallon, lrul Prlor lo
sr:lllrtg it.rtnts.
Undcrslirb PlurrrblrrgIEleclrlcalI
Mccltanical - Ptlor lo covcr.
Foollng - Allor lrenclles ale
cxcavalr.rtl.
Masonry - Sleel locallotr, bolrd
bearrrs, groutlng.
Foundirllon - Alter lorrlts are
erecled ltut Ptlor lo cotrclelo
placctrtcn l,
Untlorground Plumblrrg - Prlor
to lilllng lrenclt.
Untlcllloor Plulrrblrrgl Mochaltlcal
- l'rlor lo lnstrlallott or tlecklng'
Posl atrtl Boant - Prlor lo lloor
lnsulaliort or ttecklng.
Floor lnsutallorr - Prlor lo
decklttU,
Sarrllary Sewer ._ Prlor lo lllllttg
llr.ttr:lt.
Slonn Sower .- Ptlor lo llllltrg
tr enclr.
Electrlcal Servlce - Musl lle
approved lo oblaln Pertnatrenl
electrlcal powol.
l--l FlroPlace - Pllor to laclrtglJ rrralerlals and lratlrlttg ltlsp.
Framlng - l'rlor to cover,
WalllCelllnU lnsulallon - Prlor to
cover.
cov€r.
lnssll - Allor lltoplaco aJr;lroval
antl lnstallallon ol unlt.
Slteel Tress - Whon all requlred
lrecs ale ;llanted.
Flnal Electrlcal - When all
electrlcal wotlt ls cotttl:lole.
Flnal Mechatrlcal - Wltcn all
rnccltanlcal work ls cotltPlclc'
Olhor _---
Flnal Bullrtlrtg - Wlrort all
ro<lulred lns;rccllotrs ltavc bectr
approved and bulltllltg ls
conrplole<1.
t--l
n
l-l orvwall - Prlor to taolng.\
MOBTLE HOME INSPESTIONS
l_l Wootl Stovo - Altsr lnslallatlon'
Curbcul & APProaclr - Alter
lorttts are crrlclecl bul lrrlor lo
l)laceanonl of concrete.
Btocklrrg and Set'UP - When all
blocklng ls cotnPlolc. I ,,,
11,
Plunrblng Cottttecllotrs - Wltett
Irottte has bectr cotrtteclotl lo
walor and scwer,
I--l Sklswalk & DtlvowaY - AlltttI ! ,lr,.,avallort ls cotltplole, lortrts
arrtt sub-bass lltatorlal ln place'
t_l Eloclrlcal Cottttocllolt - Wltott
blor:klttg, sol'tr;t, arltl lrlrrtrtbllrg
Inslrocllonu ltavo lrccn alrprovtttl
arrcl llre ltolrto ls collnocled lo
llle servlcc l)arlel.
l----l Fence - Wltelr colrrl)lole(l'
Fhtal - Alter all requlrctl
Irrspsctlons tito aP;rtovod antl
Dolchos, skllllng, decks, antl
ventln0 ltavo been lrlstallcd.
Waler Llrte - Prlor lo llllln0
lrericlt.
Rottglt l'lutnbllrg - Ptlor lo
cover.
tl
tl
tl
E
fl
tl
rl
tj
t_l
t_l
l:l
fl
t:l
tl
t_l
tl
tl
VA-'7
\ r--7
tl
[.<.rl lirr:cs
Lot st1. llg,
Lol covcrage
Topograplty
Tolal hel0hl
t.ol Ty
-.--- lrilo-rlor
--.-- Corttor
-
Panhandle
_-- Cul-de"sac
L,
9e!
IISE
lS lllt: l'ltOPO[iLl) WOtll( lIl lllt:
Illr;roillcni- t)ttjllICl oil ol.
I I lE lllS IOBICAL llEGlS tt:R?
ll yos, lltls appllr:all<.ln mrrsl lrtt slgntltl
arrd agrptovetl by llrc l-llslorlcal
Coordinalor prl()f lo pernlll lssuance.
APPROVED:
N
9All
S
W
E
BUILDING VALUE, PLAN CHECI(
AND BUILDING PERMIT
l-lrls permlt ls gralrled on llte express con<.lltlort tltal lhe said
conslrucllon strall, ln all reslrecls, conlortn lcl tlru Ortlirlitnce
adopled by tho City ol Sprlrtgllcld, lrrt;ltrtlittg llte
Dovelogrtnenl Code, regulating lhe cotrslructiott arttl uso of
bulldln0s, and nlay l;e suspended or tevoketl al any lllne
upon vlolallon ol any provlsiotls ol sald ortJitrances.
Plan Cltock Foe: --.--.-.--
Bocelpl Nutnber:-_-
rjiirrl -iriivtcrir:rr rlv [)ir I c
Dale Pald
Flocelve<l By:
BUILDING PERMIT
II'EM SO. FT.
Malrr
ti
Garage
--
Carporl
VAI-UE
(A)
x $/s0. FT.
Tolal Value
tlulldlng Pernrll Foo
Sl ;rlr.l Stt rt: ltitr.t;c:
l<llal Fco
Syslellts Devcloltilrcttt Cltitt l;c ls tlttc on all ull(l(:vol()l)c(l
1:roperlios wlllrirr llto City lirrtils wlriclr arc bcirtg irrtptovctl.
SYSTEMS DEVELOPMENT CI{ARGE (SDC}
(B)
_f3
A D ONAL COMM NTSPLUMBING PEBMIT
FEE
tt
Nc
FT.
FT.
FT.
(c)
Plumblng Permll
Slale Surcltaroo
Tolal Clraroe
ITEM
Flxlures
Fesltlenllal Balh(s)
Sanllary Sewer
Waler +
Storm SeweF
ivlobiio llorne
Wood Slovo/ lnsert/Flroplace Unll
{D)%^n-
N0
Dryer Venl
Vcnl Fan
Meclranlcal Permll
lssuance
Slale Sttrcharge
Tolal Perrnlt
MECHANICAL PEBMIT
Furnace
Exhausl llood Ry sl0nalure, I slate atld aoree, that I ltave careltllly exatnlned
the conrplaled applicallon and do hcreby cotllly lltal all
Inlormallon ltcreon ls lt'utl and corrr.lcl, and I llltlllor cetlily
llral any and all work pcllorlncd slrall br: dono itt ar:t;ordattcc
wltlr llre OrcJlttances of lhe City ol Sprlnglield, antl lltc l-aws
ol the Stale ol Otegon perlalnlng lo lhe wotk dcsctil:cd
Irerelrr, arrd lltat NO OCCUPANCY will be ttrarle ol any
slructure wlllrout pertnissiotr of lhe Bulldlrrg Salely Dlvlslon'
I lurther certlfy llrat only conlraclors and entllloyecs wllo
are ln co,npllance willt ORS 701.055 wlll bo tlse(l on lhis
prolecl.
I lurther agree lo enstrre tlrat all requlred lnspeclions are
roquesle<l al the plol)er llnle, lhal eaclr address ls readable
lrom the slreel, tltal lhe permll card ls localctl at llte lronl
of llre ptoperly, an(l lho approved sel ol plan:; will retnaln
,larcl
'LLl rlon,
i
3-ZO<{Slgnaluro
Dato
on llro slte al all I durllrg cons
MISCELLANEOUS PERMITS
Mobllo Home
Slalo losuance
Slalo Burclrarge
Sldewalk
--
lt
Curbcul -.-.- lt
Dornollllott
Slalo Sutcltargo
Total Mlscellaneous Pormlls (E)
VALIDAI'ION:
TIECEIT'T NUMI]EII
DATE PN ID
1-'
AMOUNT RECEI
RECEIVED BY -.,
TOTAL AMOUNT DUE (oxcludlng electrlcal)
(A, B, C, D, an<l E Comblned)