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Permit Mechanical 1993-08-20
:iI rnlN(it:lE1.t) RESIDENI'IAL I'Et]MIT Af'PLICATION Irrs pct:llrtttu: / :'0'37$0 Ollice: 7!6'3/59 a- LOCnIlO,.l ()t' l'lloP()SEl) WOlll(: :-r-J q3/z// JOO l'llJMtJt:n 22li l;llllr Slrcttt Sprlrtglleld, Orugort 9/477 RLOCK:SUBDIVISlONLOT: . ---... . 'lb rcrlurr;l arr rrrslrocll()]r, you llrsl <;ail 22G.3769. rlrls ls a 24 irorrt recordlt'tg. All lnspocllolls Ie(lue$te(l lrelore 7:(x) :l lll. will be lrratlc llro :;trrrrg workllU (lay, llrsJrr:r:llons rctltteslctl aller 7:OO a.lll' wlll bo tnado llle followlng work day OUAD AIIEA , OF BLDGS occY Gll()ul' ...--- . r OF SfORlEli: ,----- I WAfEB I lEAl l:R: [--l rot,,1,o, ;trY Eleclrlc Slle lnspecllott - To ba tnade allet exr;avallon, l>ul PIlor lo sclllng iulIIls. Undetslirb Plurrrblrrgl Elecltlcal I Mccltalrical - Ptlor lo cover. Undorground Plumblng - Prlor lo filllrrg llencll. Undcrlloor Plurrrbllrgl Mocltattlcal - l)rlr:r lo lnsulaliotl ol dockln0. fi Posl nttrl Booltt - Pllor lo lloor lnsulallott ol (lccklll0. Floor lnsulallorl - Prlor lo decklrtg. CONSIR. TYPE: -_.", }IEAT SOURCE EANGE:SOUABE FOoTAGE: -- - - oFFlcE usE - I-AND USE: r OF UNITS: Ilouglt Eleclrlcal - Pllor lo cover. FLOOD PLAIN: ZONING CODE: , oF BDRMSi-----,-.- SECONDARY HEAT ,{ Flrral Plunrllltrg'- Wlren all plulrtblng work ls colttPlelc. Flnal Electrlcal - Wltorr all eleclrlcal work ls cotnl)lole. Flnal Bulldlrtg - Wltett all rorlulred lnspectlorts ltave boctl aJrprovod and bullclltt0 ls cornplotett. Plunrblng Cotrttecllolts - Wltett Irotne has bcett conrlccl0d lo walor and sower, Eloclllcal Cottlrocllon - Wllon blor:klng, uol'tt;r, artrl ;rltrtltblltg Irrslr<rcllono ltavo boon apptovttd and llre lto,It(t ls cortnoclcd l(, lho selvlcc Stanel. NEOUIRED INSPECTIONS ffinotrotr Mcchanlcal - Prlor lo z'- covet. Eleclrlca! Servlce - Musl llo approved lo oblaln Perlnatrenl cleclrlcal powor. l-_l Flroplaco - Prlor to laclttglJ trtalerlals and lratltlrtg lrtsp. l_l Framlng - l'rlor lo oover. [--| watllcelllnu lnsulallon - Prlor lou cover. [-l OrVwall - Prlor lo laPlng. l_l Wood Slove - Aller lnslallallon. lnsorl - Allor llroplaco a;rptoval arrrl lnslallatlon ol unlt. t_l Curltcul & APProaclt - Aflcr loruts are crrtcled bul ;tllor lo lrlucemonl ol concrele' l--] Sklowalk & DrlvowaY - AllorlJ ttxt:avallolr ls cotltplolo, lorttls atttl sub'baso lttalorlal llt place. l----f nun., - Wltelr colnl)lole(l' Slroel Troos - Whon all requlred lre0s ale ;rlanled. Klt Flnal Meclranlcal - Wltcn all ,,,^-urccltanlcal wtllk ls colltplclu. fiorr*, E&:_Lr,oeLl) MOBILE HOilIE INSPECTPNS f--l Blocklng ond Sel'Up - Wlten alllJ blocklng ls colttplolo. ' n l:l LJ Sarrltnty Sewer - f)rlor lo lllllttg lrortr:lt. Slortrr Sower - Prlor to lllllttg Irenclr. Waler l-lrro - Prl<-rr to lllllrtg lronclr. flotrglt Plutnbllrg - Ptlot lo cover. Flrral - Alter all retlultctl Irrspaollons ttro aPPtovotl antl porchos, sklrtlng, decks, antl venllrrg ltave l;een lrtstallctl. TAX LOT: P}IONE: ZIP:STATE;n(taOWNERT ",rr,.-xXtEf ADDnESS: '-3-833- }{EW.._.-- - NEMODEI. ADDITION DEMOLISH OTHER €\DESCRIBE WORI(: GENEfIAL: -- PLUMBING:- MECI IANICAI El-ECl'RlC/tL: EXPIRES PlloNEADOnEt;S \<r ?,3-1l9n COI.IINNC]OlI'S NAME CONST. CONTRACTOR ,r l--l AssEssorls t't^P: -- ./ 722 -- fl l:l l--l Footlng - Aller lrcncltcs areU oxcavolrttl. [--l Musonry - Sleel ltrcallotl, bottdlJ bealtts, groullng. I--l Foundrrllon - Afler lotttts areU erecletl llul Prlor lo concleto placclncnl. tl It, PL. -N s W E [-r.rl ltrccs Lol srg. llg. Lol covorago Topography Tolal helght Lrrl Typc ---- lrtlorlor _-_- Corlror - Panhandle -- Cul-do-sac lt-qE-ga!,!ACq ,s I ltE t,flopos[t) wonl( il..t I ltt: IilriloHlcAL I)t3ll'ilcr, on oIl 'l llE lllS toRICAL llEGlSIt:R? ll yos, llrls aplrllr:allolr mu$l l,(, slgncrl and approved lry llrc lllslorlcal Coordirralor pri()a lo penull lssuance. APPROVED; BUILDING VALUE, PLAN CHECI( AND BUILDING PERMIT I'hls permll ls granlecl on llrs express condlllott lltal llte said consllucllon sltall, ln all respecls, conlorln lo llte Ortlln:tnce adopled by lho Cily ol Sprlrtgllcld, lnr;ltttlitrg llte Dovelogrrnenl Corte, Iegulalin0 llre conslrucliorr antl uso ol bulldlngs, and nray bo suspended or tevol(e(l al arty llttte upon vlolallorr ol any provlsiotrs ol sald ortlittaltces. l)lan Chock Foe: --.--.----- Recelpl Nurnber:--. [)lans ficvlowt:rl 0y [);r lc Dale Pald: Flocelvert By: VALUE (A) x $/so. FT. Carporl Tolal Value Bulldlng Permlt Feo Slirlr: Stttcltittl;c lolal Feo BUILDING PERMIT II'EM SO. FT. Maln Garage Syslotlrs Dcvclo;lntcrtl Clutt g;c ls <lttc cln :tll utrrl<:vcl()l)c(l properlios wlllrlrr llte City lirrrils wlticlt ato [-:cirtg itltlltclvctl. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Flxlures Reslrlonllal Balh(s) Sanllary Sower Waler *i, Storm Sewer Moblle }loinr? FEE FT. FT. (c) Ne FT, PLUMBING PERMIT Plumblng Pormlt Slalo Surcllaroo Tolal Clrargo Wood Slovo/ lnsorl/Flreplacs Unll O+fu<) /D?O 25.2r(D) N0 ,75 Vcnl Fatr Drycr Vcnl ,%t<) 1{.aoMechanlcal Permll lssuance Slale Surcharge Total Permlt MECHANICAL PERMIT Furnaco Exltausl llood By slgnaltrro, I slale and agree, llral I ltavc careftrlly exalnlned lho conrplctctl a1>pllcatlon and tlo lrcreby ctrrllly lhal all lrrlornallon ltttreon ls lt'rrc and cortr.:cl, and I lrltlltr:r cerllly llral any and all work pr:rlortncd shall bc donr.l itr ar:t:ortlattco wltlr the Orcllrtances ol llre Cily ol Sprlnglleld, antl lltc [-aws ol llro Stale ol Otcgorl pellalnlng to lhe w<ltl< tlcsctibecl Irerelrr, atrcl lltat NO OCCUPANCY will be tlrarlo ol any struclute wlllrotrl pertlrissiotr of the Bulldlrlg Salety Divlslon' I lurtlter certlty tlrat only conlraclors and ellrpl<'ryecs wlto aro ln colnpllance wlllt ORS 701.055 wlll be trsetl on lltls prolecl. I lurther agree lo ens(rre tlrat all rcqulred lns;lecllons are roqueslecl al llle prol)er tlnle, thal each addtess ls readable lrom lhs slreel, lltal llte perlnll canJ ls localod al lhe ltonl ol lhe properly, antl lhe approved sel ol planrl wlll tctnaln Slgnaturo Dato on lho sllo al all lltlos(i\durlrrg cotrslrucllon MISCELLANEOUS PERMITS Mobllo Hottto Slals lssuance Slalo Surcharge Skjcwalk -- ll Curbcul *- ll Dotrtollllon Slalo Surcltatgo Total Mlscellaneous Permlts (E) VALlDAI'ION: FIECEIF'T NUMIlE'.I DATE PAID AMOUNT RECEIVEI) lo)otoz/ 2e/ TOTAL AMOUNT DUE (excludlng eleclrlcal) (A, B, C, D, anrl E Cotnblned) 2s.7r RECEIVED BY 3. I ?,- 7r: