HomeMy WebLinkAboutPermit Mechanical 1994-03-01!i t,nlN(;t:lE Ltl
NESIDEN] IAL
PERMIT AI'PLICATION
Irrspur:llrlns: /l'0.37ti0
Ollice: l2b'3151)
U'J- SLOCAIlo,.l ()t; l,llo['Oef;I) WOIll(: ---- ,-i -.-. -.-.-,.--:-L-.-Zn)r
ASSESSOI]S NIAP:^2 2.^
LOT: .. -.---. .BLOGK:
Joo r.r,MrrEn /?AztG.
22li l:lltlr Sltcol
Sgrrirrglleld, Orellotr 9/ 477
rAx Lor t ? e>-.- 2_
SUBDIVISION:
Io rcrlucrit arr irr$[)ecllon, you lIl'l!il (:all 726'ai769. Tlrls ls a24 hottJ recorclirlg All ltlsJrocliolrs ]eques
Iaatlc llrc r;1rrrg worl<l1U (lay, lrrsper:llons rcrlueslctl aller 7:0o a.tlr. wlll bo lnatlo llto followlng worl<
NEOUIRED INSPECTIONS
[-l Rotrgh Mecltatrlcal - Ptlol lou cover.
te(l hcloie 7:(X) ir.lIl. will be
dtry.
,t
Fhrat Plunrlllttg'- Wlrelr all
plutrrblng work ls c<ltttltlele.[--l tcrnlrorlrY Eleclrlc
Undelslirb Plulrrblrrg/ Eleclrlcal I
Mcclrarrical - Ptlor lo cover.
Foollng - Aller lrencltes are
oxcavalrld.
Masonry - Sleol locallolr, bottd
beallts, groullng.
Foundlllon - Aflcr lornts are
erecled bul Prlor lo conclele
placctnont.
Unclorgrottnd Plrrmblng -- Prlor
lo lilllrrg llencll.
Posl arrrl Doont - Prlor lo lloor
lnsulall()lr or rlecklng.
Floor lrtsulallorr - Prlor lo
clecklttg.
Sanlloty Sewer - Prlor to llllltlg
lrl}tl.:ll.
Slortrr Sowor - Ptlor lo lllltttg
lronclt.
Walcr Llrlo - Prlor lo lllllng
lrl!ncll.
Rouglt l'lulnblrtg - Prlor lrr
cover.
Ilough Electrlcal - Prlor lo tlcover,
Flnal Electrlcol - Wlterr all
eleclrlcal work ls colnplele'
Eleclrlcal Servlce - Must be
approved lo obtaln pettltanetlt
ele<:lrlcal Powor.
l---l Flroulace - Pllor to laclttglJ rlraterlals anrl lrarrrltrg tttsp.
l-l framlng - l'rlor lo cover'
WalllCelltnO lnsulallon - Prlor to
coveL
Drywall - Prlor lo taPln0.
Wootl Slovo - Allol ltrslallallon'
lnserl - Allor llroPlaco aP;:roval
an<l lnslallatlon ol unll.
Curbcut & A;r;rroaclr - A(lor
lornts are erccled bul ;trlor lo
plucernonl ol concrele.
l--l Sklewatk & DllvowaY - AllorI I ut,rarallon ls colttplole, lottlts
arr<l sub'baso tltalollal llr lllaco'
l-'--l Fonce - Wltetr colnl)loled'
Slleel Trees - Wltsn all tequlred
lre0s aIe Planlcd.
Flnal Meclratrlcal - Wltcn all
rnccltanlcal wtltk ls ct-rtltplcle.w
E
tl
I-J
Flnal Bulldllrg - Whcrr all
rei<lulred lns;lcctlolrs ltavc boclr
approvod and bulltlltr{, ls
cotnploletl.
Olhsr ---
l----l Untlol ltoor Pluttrblrr g I M oclraltlc alI I - l'rlot lo lltstrlallon or docklng'
MOBILE HOIthT INSPECTIONS
Blocklng and Set'UP - Wltcn all
blocklng ls cornPlolo, ' ,,.
lt.
Plurrrblng Cotttlecllotts - Wltctr
Itotrto ltas beott cotrttccl0d lo
walor atrd sower.
l--l Eloclrlcal Cotrrlocllott - Wltott[-l 1r16.'11,tg, sol'tr3r, artrl ;rltrtrtDlrtg .
lrrslroctlons ltavo boon a;lJrlovrlrl
a,r.i llte ttolrto ls coluiccleLl lo
llto servlco ;lanel.
cr rY: . --- - - 5+-c i Y-fts-t4 srATE:
PI{ONE:
ADOIIESS: -C(
+--
ZIP:Q:v 73
sOWNER:S, 32Jvss
..\ <
NEMODEI- ADDITION DEMOLIS}I OTHER
t| *o'f\ooJzt
NEW .---- -
CONST.
CONTRACTOR 'PI IONEEXPIRES
[-<<
7
5 SE
PLUMBING:
MECIANTcA t, &qts hnl-\t -H
-r-Z'lrfa) ln l Yrt
il, t?t
GENE[IAL: -.
cot.trnAClOil's NAME n DonEtis
ql7 tEI-ECl'BlC/tL: . -.-- -*
TIEAT SOURCE:
, OF BDRMSI . , -..,..occY Gll()ul' ...--- .
SECONDARY HEAT
r OF UNITS:ZONING CODE:
- OFFICE USE _
LAND USE:
SANGE:
, OF RLDGS: -__.
, OF STOnlEli: ------
'i
WATER llEAl l:R:SOUARE FOOTAGE: -" -
CoNSlR. TYI'E: --.-.
FLOOD PLAII'I:
l:l
Flrral - Aller sll retlulrotl
Irrsnocllorts uro apptovod antl
tlotcltos, sklltlng, tlecks, antl
ventlng llave been llrslallctl.
DESCRIBE WORl(:
OUAD AIIEA: - -.-- . -
l--l slto lnsuecllotr ; lo bg rnlde l-]U aller exr;avallon, llul Prl.r lo L
sclllrlg ilJt]llS.
l-ol lirccs
Lol s11. llg.
Lot covora0o
Topography
Tolal helght
Lol
---- lrrlorlor
---- Cornor
-
Panhandle
-- Cul-do-sao
$olbac ls lllt:- l,iloPosEL) woFll( lN lllt:
il11;rolilcAl- t)tsTlilol on ot,
I I lE I llS IORICAL llEGlS tt:R?
ll ycs, lltls a1>pllt:allon mu:il lr(, 6lUno(t
antl alrlrroverl Jty llrc lllslorlcal
Coordlrralor prlor lo perrrrll lssuance.
APPROVED:
9AIl ACC
.N
S
W
E
VALUE
(A)
x $/s0. FT.
Tolal Value
Bulldlng Porrnll Foo
Sl;tltl Surclr;tr11c
Total Foo
BUILDING PERMIT
I] EM SO. FT.
Maln
'r I
Garage
Carporl
BUILDING VALUE, PLAN CHECI(
AND BUILDING PERMIT
l'lrls permll ls granlerl on llro cxpress condillor) lhal lhe said
conslrucllon strall, ln all respecls, conlorrn lo tlrc Orrlinance
adopled by lho City ol Sprlngllolcl, lnr;lutling llle
Dovelojrtnent Code, tcgrrlaling llre conslrucliorr irnrl uso ol
bulldlngs, and nlay l>e suspended or rcvokerl al any llrne
upon vlolallon ol any Jrrovlsions of sald orrlinances.
Recelpt Nulnbor:--
tjiairs -friivicwcrt ny [);r lc
Dale Palcl:
Flocelverl By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Syslerts Dcvclo;rtncrtl Clr:u.r1c ls <lrre on all rrrrrlr:volopctl
propellles wlllrirr llro City lirrrils wlriclr arc bcirrg irrrprovetl.
ADDITIONAL COMMENTS
FEE
+i1 FT.
FT.
(c)
FT,
Nc
PLUMBING PERMIT
Plumblng Permll
Slalo Surclraroo
Tolal Charoe
Waler
Storm Sewer
Moblle tlome
ITEM
Flxturos
Fesldonllal Balh(s)
Sanllary Sewer
MECHANTCAL PqRyq _ aaFurnace V6?7. -
Exhausl llood
Wood Slovo/ lnsett/Flreplaco Unll
Dryer Vcnl
^/r*"/2t4'
(D)
N0
./e-e
Venl Fan
Meclranlcal Permll
lssuance
Slale Surcharge
Tolal Perrnlt
Ry slgnaltrro, I stale arrd a(free, llrat I ltavc carelttlly exarnlnetl
lhe conrplotcrl appllcatlon and do hereby cr:tllly lltat all
llrlormallon lrolcolr ls ltuo and corrccl, a,rd I lurllror ce rlily
llral any and all work pcrlortncd shall bc dono lrt ar:t:orrlattcc
wllh lhe Ordlnances of tlre Cily ol Sprlnglleld, ernrl lhe Laws
ol the Stale o[ Orcglon pertalnlng to lhe worl< dcsctil:ocl
Irereln, and tlrat NO OCCUPANCY will bc ttra<.lo ol any
slructure wlllroul perttrission of lhe Bulldlng Salely Divlslon.
I lurtlrer cerllly llral only conllaclors and ernllloyecs wlro
are ln cornpllance wlllr ORS 701.055 wlll be usecl on lltls
prolecl.
I lurther agree lo ensrrre thal all required lnspecllons are
roqueslc(l al lhc prol)er lltne, lhal each address ls readable
lrom tho slreel, tltal lhe pennlt card ls localcd al llte ltont
of llre properly, a,rd lho aJrproved sel ol planli wlll retnaln
1.y _
Slgnaluro
Dalo
on lho slle at all os durlng conslrucllon
MISCELLANEOUS PERMITS
Moblls Hotne
Slalo lssuance
Slalo Eurclrarge
Sldcwalk
-
ll
Cutbcul _- lt
Dotnollllon
Slolo Surcharoo
Tolal Mlscollansous Pertnlts (E)
TOTAL AMOUNT DUE (oxcludlng electrlcal)
(A. B, C, Q and E Comblned)
VALIDAI'ION:
nEcErF,r NUMnE,l //€O-=-- -
DArE PAID 7 /"--?,2 -AMOUNT RECEIVEI) - ZA 2T
RECEIVED BY _.. - .
IISE