HomeMy WebLinkAboutPermit Mechanical 1998-03-0604/75/96 14:30 SSor 726 3689 7Q6 3d8 7SPF'D DI'V. SDIT.lS ooz
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LOT BLOCK:
JOB NUMBER
TAX LOT:
suBotvrsroN
LOCATION OF PROPOSEO WOBK:
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 72A-9769
Offlce: 728-3759
.f35 S 3P S/fc0
225 Flfth Street
Sprlng llold, Oregon 97 4?7
t
7 yZ - d?/5-Ttrrcu{c*PHONE:
97* ozAreZIP:STATE:Eua
OWNER;
Dr4l8
CITY,
ADDRESS:tUber
(s<_
)<
6rtt4c€S /7taOESCFIBE WORKI
ADDITION OEMOLISH OTHERNEW- REMODEL
GENEBAL:
ELECTRICAL: . - ;
coNsT.
CONTRACTOR '
tV
ADDRESS
c
EXPIRES PHONE
r&
CONTRA TOB'S NAME
PLUMBING:
MECHAN
BANGE:
, OF BDRMS;
- oFFtcE usE -
ZONING CODE:
FLOOO PLAIN:
SECONDABY HEAT;
SQUARF. FOOTAGET
QUAD AREA:
r OF BLDGST
LANO USE:
OCCf GROUP:
r OF STORIES;
CONSTR. TYPE:
HEAT SOUFCEI
r OF UNITS:
To r€quest an lnspecllon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons roquested betors 7:00 a.m' wlll be
mad€ tho sante worklng day, lnspeetlons requested afler 7:00 a.m. wtll be made the followlng work day.
REQUTRED INSPECTIONS
fl romnorarY Electrlo Rough Mechanloal - Prlor to Flnal Plumblng - When all
plumblng worl( ls complete,
[-l Slte lnopectlon - To be madoI-J alter exoavatlon. but prlor lo
selllng forms.
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Undcrclab Plumblng, ilectrlcall
Mechanlcal - Prlor to cover.
Footlng - After trench€8 are
excavated.
Ma6onry - Stsel locatlon, bond
beams, 0routlng,
Foundallon - After lorms aro
erocted but prlor to concrete
placemant.
{nderground Plumblng - Prlor
to lllllng trench,
Underlloor Plumblng I Mechanlcal
- Pllor to lnsulatlon or clecklng.
Post and Beam - Prlor to lloor
lnsulatlon or deoklng.
Floor lngulallon - Prlor to
docklng,
Sanltary Sewer - Prlor to lllllng
lrench,
Slorm Sewer - Prlor to lllllng
trench.
Water Llne - Prlor to tllllng
lrench.
Fough Plumblno - Prlor lo
cover.
Elaclrlcal Servlce - Musl be
approvod lo obtaln permanenl
electrlcal power.
J-] Flreplace - Prlor to faclng|J materlals and tramlng lnsp.
l-l Framlng - Prlor to oover.
ll WalllCblllng lneulatlon - Prlor lo
-
GOVer.
fl DrVwall - Prlor to taplng,
Rough Prlor to
cover.
Wood Slovo - Aller lnstallallon.
lnrarl - Altor Ilreplace aPProvsl
and lnstallatlon ol unlt.
Curbcut & Alrproach - After
forms are ciected but Prlor to
placomonl of ooncrele.
Sldewalk & DrlvewaY - After
excavatlon l9 comPlote, {orms
and sub-base materlal ln Place.
Flnal Eleclrlcal - When all
electrlcal work ls complete,
Flnal Mechanlcal - When all
mechanlcal worlg,l's complele.ftwz-Flnal Bulldlng - Whdn all
requlred lnspectlons have been
approved and bulldlng ls
comploted,
Othor
-
MOBILE HOME INSPECTIONS
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[----1 Blocklno ancl Sel.Un - Wlren a!lu ulocxtnfr ls compleie.
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Plumblng ConnoctlonB - When
homa has b€€n connected to
waler and ggwer.
Eleclrlcal Connecllon - When
blocklns. sel-up, and pltrmblng
lnspecllons have been approved
and the homo ls connected lo
lhe servlce Panel.
n Fonce - When completed'
E Slreet Treec - When all roqulred
trees are planted.
Flnal - After all requlred
lnspecllong are approved and
porches, sklrllng, decks, and
venllng hava been lnstalled.
aDl)io *:
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Lol faces
Lot sq. ftg,
Lot ooverage
TopographY
Total helght
Lot Type
-
lnlerlor
-
Corner
-
Panhandle
-
Cul.de-sac
GAR ACCP,L.HSE
N
S
W
E
BUILDING PEBMITirerrr so. FT; x
Maln
$/so. FL VALUE
(A)
Total Value
Total Feo
Garago
Carporl
Bull<IlnO Pormlt Foo
Slalo Surcharge
SYSTEMS DEVELOPMENT CHARGE (SDC)
(8)
ITEM
Flxtu16s
FlesldenUal Bsth(s)
Sanllary Sowor
Water
$lorm Sower
Moblle Home
FEE
(c)
Na
FT.
PLUMBING PERMIT
Plumblng Permlt
stale surchar0e
Total Charge
., FI,
I WooO Stovo/tnsert/Flroptace UnI
I
Dryer Vent
(D)
No
ta-
Vsnl Fan
Mechanlcal Pormll
lgguanco
Slals Surcharge
Tolal Permll
MECHANICAL PERMIT
Furnaco
Exhausl Hood
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
Slat6 Surchargo
Sldewalk
-
lt
Curbcul --- ,t
Oomollllon
Slale Surcharge
Total Mlscellanoous Perntts (E)
TOTAL AMOUNT DUE (oxctudlng cleclrlcat)
(A, B, C, Q and E Comblnsd)
o4/L5/96 14:30 6i503 726 3689 SPI'D DEV. SER.tA oo3
i ls rxe PRoPosEo woFtK fN THE"HtsToRrcAL DlSTFllCT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, lhls appllcallon musl be slgned
and approved by the Hlstorlcal
Coordlnator prlor to permlt lssuance.
APPROVED,
BUILDING
AND BUIL
E, PLAN CHECK
PERMITDING
Thls permll lo granled on lh6 oxpreso condltlon thal the sald
conslructlon shall, ln all respocts, con(orm to the Ordlnance
adoptcd by the Clty ol Sprlnglleld, lncludlng lhe
Development Code, regulatlng the conslruotlon and us€ o[
bulldlngs, and may be ouspended or revoked al any tlme
upon vlolatlon ol any provlslono ol sald ordlnanc€s,
Plan Check Fee:
Dale Pald:
Becolpt Num
Racelved Byl
Plans Flovlowod By Dato
Syslems Developmcnt Chargo ls duo on all undeveloped
propotllos wlthln tho Clty llnrlts whtoh are betng lmproved.
ADDITIONAL COMMENTS
By slgnaturq I slato and agree, lhat I havs carolully examlned
the compl€ted app,tcatlon and do hereby cetilly that all
lnlormallon hereon ls true and correct,rlnd I lurther cerilly
thal any and all work performed ehall be done ln accordance
wlth the Ordlnanccs of the Clty of Sprlngfleld, and rhe Lawsof lhe Stale of Oregon perlalnlng lo the work descrlbed
heroln, and thal NO OCCUPANCy wlll ba made of any
structure wlthout permlsslon of the Bulldlng Salety Dlvlslon,
I furthdr certlry that only contractoro and employees whoaro ln compllance wlth ORS 701.O55 wlll be used on thlsprol€ct.
I lurther agree to onsuro thal all requlred lnspeoilons ar6
roquest€d at lhe proper Ume, lhat each address ls roadable
from tho street, that the pormlt card ls locatod al the fronlof the propert% and the approved s€t oa plans wlll remalnon the slte at all durlng ctlon,
Slgnature
Date ?
VALIDATION:
RECEIPT,N
OATE PAIO
AMOUNT RECETVE
)qo>3
BECEIVED BY
2
CL O
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