HomeMy WebLinkAboutPermit Mechanical 1997-03-2104/ L5/96 14: 30 0Sor 726 3089
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JOB NUMBEB
925 Flttlt Street
Sprlrrgllold, Oregon 97 47 7
)
Sl'liD DIrV. Slilt
SPrl
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 72A.3769
Olflce: 728-3759 ?fr,
/D /Z NLOCATION OF PBOPOSEO WOBK:
TAX LOTrASSESSORS MAP:
LOT: BLOCK:SUBOIVISION
7/e - Y84uPHONE:%as-s
7**
?z vzlZIP:STATE:EA
-1 LDot,)
)D )2 i,/
Ft6.cdCITY:
ADDBESS:
OWNER:
OTHEN
OESCRIBE WOFIK:
ADOITION DEMOLISHNEW- REMODEL
ELECTRICALI - ;
ADORESS
I
coNsT.
CONTRACIOR 'CONTRA TOR'S NAME
MECHANICAL:
PLUMBING:
, OF BDRMS:
- OFFICE USE -
SQUANE FOOTAGE:
SECONOABY HEAT:
BANGE:
QUAD AREA:
r OF BLDGS:ZONING CODE:
FLOOO PLAIN:
WATER HEATEH:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
r OF UNITST
To request an lnspectlonr you must call 726-3769. Thls le a 24 hour recordlng. All lnspectlons reques
mad€ the 8artte worklng-day, lnspectlons Iequested alter 7:OO a'm' wlll be made the lollowlng work
REQUIRED INSPECTIONS
n nough Mechanloal - Ptlor to* covor.nx
E
TemporarY Elsclrlo
Slle lnspecllon - To be mado
atlor oxoavatlon, bul Prlor lo
solllng lorms.
Undorrlab Plumblng, Hectrlcal I
Mechanlcal - Prlor lo covet
l-l Footlng - Alter trenchse areu exoavated.
I-1 Maeonry - Steel locatlon, bondL-l beams, groutlng.
i
t-I Foundallon - Allsr lorms arsU
"re"tud but prlor lo concrele
PlacBmont.
E Fough Electrlcal - Prlor lo
tecl trelore 7:00 a.m. wlll be
<Iay.
Flnal Plurnblng - When all
plumL!lng worl{ ls colnPlete.
Flnal Eleclrlcnl - Whon all
electrlcal work ls comP,ote,
Flnal Mechanlcal - When all
mschanlcal wolk ls cotllplele'
a'
Flnal Bulldlng - When all
requlrod lnsPectlons lrave been
approvec! and bulldlng ls
cornplotod.
Othor
cov8r.
lnrerl - After llrePlace aPProvql
and lnslallatlon ol unlt.
Curbcut & Alrproach - Alter
lorms are eroctcd btll Prlol to
placomonl ol oonor€ts.
Eleclrlaal Sorvlco - Must be
approvod to obtaln Pormanenl
eleclrlcal power.
l-1 Flreplaco - Prtor to taclngU matirlat8 and (ramlng lnsp.
f] Framlne - Prlor to cover.
WalltCelllng lnaulatlon - Prlor to
cov6L
F
t] lffli,ifl;"li:1#:-orns - Prror fl Drvwatr - Prror to taprns'
MOBILE HOME INSPE TIONS
fl '
E
tl
E
x
E
tl
t]
D
tl
E
n
yg?Ixili il:fr:l'YJy'":3:['H: [-] wooa Srovo - Arter rnstarratron'
Posl and Beam - Prlor to tloor
lnsulatlon or docklng.
Floor lnsulallon - Prlor to
decklng.
SanltarY Sewer - Prlor to lllllng
trsnch'
Slorm Sewer - Prlor to lllllng
tr€nch,
Walor Llne - Prlor to lllllng
tronch.
Rough Plumblng - Prlor lo
covor.
Sldewalk & DrlvewaY - After
excavallon l9 comPlole, forms
and sub'base malerlal ln Place'
Fonce - When comploled'
[---l Dlocklng and Sel'Up - Wllert allt--J 51s"116g ls complele.
Plumblns Connocllon6 - When
homo has boen connected to
waler and sewer.
Eleclrlcal Connecllon - When
blocklng. sel-uP, and Pltrrnblng
lnspeclions havo been aPProved
antJ the ttorno ls connected lo
lhe Eervlce Panel.
Flnal - Alter all requlred
lnsoecllong are aPProved and
porcltes, sklrtlng, decl<s' antl
ventlng ltavo bcen lrlstalled.Strcet Tisec - When all roqulred
trees aro Planted.
$ao
a=,
HE
EXPII1ES .. PI-IONE
tl
04/16/95 14:30 850J 726 3089 SI'l,l) DliV. SIrlt ll1 nnn
i rs rge PRoPosEo woRK tN THE ...'I'IISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEF?
-
ll yes. thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordlnalor prlor to permlt lsguance,
APPROVEDT
BUILDING
AND BUIL
LUE, PLAN CHECK
G PERMITDIN
Thls permlt It granled on lho oxpress 6ondltlon lhat the sald
conslructlon shall, ln all lespocts, conform to the Ordlnance
adoptod by tho Clty ot Sprlnglleld, lncludlng llto
Dovolopment Code, regulatlng lhe construotlon and use ot
bulldlngs, and may be suspended or revoked at any llmB
upon vlolatlon ol any provlslons ol gald ordlnancee.
Plan Check Fee
Dale Pald:
Hecelpt Numb
Rocolved By:
Plane Flovlowed By Dato
Systems Devolopment Chargo ls duo on all undevelopcd
properlles wllhln tlro Clty llnrlts whlch are belng lmproved,
ADDITIONAL COMMENTS
By slgnature, I stato and agree, lhat I have carolully examlned
the compleled appllcallon and do hsreby oerU[y that all
lnformallon horeon ls lrue and correct,{nd I turthor cerilly
thal any and all work performed ehall be done ln accordance
wlth the Ordlnanccs of tho Clty of Sprlnglleld, and the Laws
of the Stato ol Oregon perlalnlng lo lho work descrlbed
heroln, and that NO OCCUPANCY wlll be made of any
structure wlthout permlsslon of lhe Bulldlng Salety Dlvlslon,
I furlhCr cerllry that only contraclors and employees who
aro ln compllanco wlth OHS 701.055 wlll be used on thls
prol€ct.
I further agroo lo onsuro lhal all requlred lnspectlons are
ioquosted at lh6 propor tlme, that each addross ls readable
from lho street, that the pormlt card ls locatod al lhe fronl
of lhe property, and the approved set ol plans wlll remaln
on the slte at d urlng constructlon.
Slgnature
Oate
VALIDATION:
RECEIPT,NUMBER 24r8A
OATE PAID
AMOUNT RECEIVEO
Lot lac€s
Lot sq. ltg.
Lot covorage
TopographY
Total helght
Lot Typo
-
lnterlor
-
Corner
-
Panhandlo
-
Gul.de.sac
P.L.HSE GAFt ACC
N
S
w
E
BUILDTNG PERMIT
iretd so. FT.
Maln
----:--Garago
Carpotl
(A)
X $/SO. FT, - VALUE
Tolal Valuo
Tolal Fco
Bulldlng Pormlt Foo
Slato Surchargc
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flxtureg
Flogldonllal Bath(s)
Sanltary gower
Wator
Slorm Sowor
Moblle Home
FEE
(c)
FT.
No
FI
FT.
PLUMBING PEBMIT
Plumblng Permlt
Slale Surcharge
Tolal Charge
MECHANICAL PERMIT
Furnaco - RAft.e* firt-srt$
Exhaust Hood
Wood Stovo/lnsorl/Flroplace Unll
Dryor Venl
/r,-o
?4-2e
e-a/7aa-
,rtG
(D)
NoVenl Fan
Mechanlcal Pormll
lssuanco
Stato Surcharge
Tolal Pcrmll
MISCELLANEOUS PERMITS
Moblle Homo
Stato lssuance
StatO Surchargo
Sldowalk
--
lt
Curbcul
--
,l
Oomollllon
Slalo Surchargo
Total Mlscellanoous Pennlls (E)
TOTAL AMOUNT DUE (oxcludlng cloclrlcal)
(A, B, C, Q and E Comblnod)BECEIVED BY
21-2a
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