HomeMy WebLinkAboutPermit Mechanical 1996-10-22RESIDENTIAL
PERMIT APPLICATION
lnspeclions: 726.3760
Offlcc:726.3759
CONTNACTOR'S NAMf:
GENEBAL: _.
lipnrN F'EL(f
rog r'.rlrrjrBEn _H/.y-Z?___ _
22li Fitlh Strcot
S)pring lt cid, Orr.rgorr 9747 7
LocAroN oF pnoposED rroRK: *ZE5: 2 H-k^-_
AssESSoFrs u ae: --p:€ 3_ : _.7 €^_{Z_rAx L.or; ./?.Z.oo
LOT:i'iLocK SUBDtVtStOt'.1:
ADDRESS CONSI.
CONTBAC]OH ,IXPIFIES a PHONE
PLUM
ELCC?r -Al
STATE :.__. _-. - zlP:
OWIJEN
CITY: *--_.--,
ADOflESS:
D ESC R I B E wo r-rl( t/L?-ZrfiL-<
NEW _.-_,-_ _ REt,4(fDEL -.-._ADDITTON oEMOLISH oTt_tEB
OUAO AtiEA
, OF BLDGS: _- ____
OCCY GROUP:.-__--
r oF sroRtES _
WATI:R HEAI in
To roguost an ins.Docllon you must ,_. I
madg tho sirrtq worl(lr1q cily, lr)so{.!.t..):l
Tomrrorary Eloctrlc
Sllo lngpocllon - f,.r i)rl r,.aaltor oxcav.rl'on. L,ul i r i.setllnO rciltrs
rrlndatlon -- Af ter forrns Art]'d but prlor to corrcreto,.-rnOnt,
Un dorgrourrd Plumblng * l,r,er{llllng trench
erfloor Plumbl ng/ M och arrlcalP1161 1s )nsutatl
t and Boam * prior t tr floorSulatlon or decktnU
- OFFICE USE -
r" AN0 UsE:
" OF tJNtTS
CONSTR. rYPE
HEAT SOURCEi
flANO
:'l-)76C, Tl)ts ls a 24 hour rcccr(,1n0.
lqueslod af ter 7.00 a.rrr, will be m
REQUIRED INSPECTIONS
Wall/Colllng lnsulnllon _ prtor locover,
[f DrVwnil - prlor ro raplng
FLOOO PLAIN: -_.
ZONING CODE:
, OF BONMS
SECONDAflY HEAT: _
SOUARE FOOTACE
n ll lnspectiO.rs ro(lucsle(l lr<t(orc 7:(.r0 .r rn. wrlt l)cade thc (oltowlng worl( day.
ll flnat pturnbtng _ Whcn alt.-- ptunttting Worr( lS conrplOto.
i--'l Ftnot Etoetrtcnt _ Wtron atl' *- ctcctrical wortr lS complete
fJZJ norgt, Moctrontcal -- prtor ro*-
^.H)<rr 4,r -i I Rough Eloctrlcal _ prior to--' covor.
,
-f Eleclrlcal Sorvlco - Musr bc"-- approvocl to obtill,t {.rcr rn.tnenl0lectrlcal powor.
tn
lllgpl.o9" - prlor lo factngmelerlats ancl tramtng lns{
Frnmlng -, prlor to cover.
'ffi^
approvod anrJ buildlnq iscclmplotcd.
[J orhor *_
On Or dCC,(ln0 f-.l wood slovo .-. Alt.r tnsrartarron
MOBILE HOME INSPECTIONS
kt
lnsulal[on - prlor to
ntJ,
lns:lt - Allor lirept.rco approvata"rd lnstallatrOn ol Unlf .
Curbctrt & AlrFroach _ Alte/rorols a78 er(lctcd bul prior loPlacomottl ol concr,trr,
Sldewalk & Drivevrtry _ Alteroxc.aviltion ls comfllclc, fgiltrsano sub.baso materlal lr. plac(]
Fence - Whon cornploted.
PJ-o_".,,,,nn ond Set.Up _ Wtrcn a1btockln{J is cornptcie.
Plu_mblrrg Connectlons _ Whennomo ilas boen cor.lnccled towaler ar)d Sowcr.
Eleclrlcal Corrrrcclion _ Whenll]3lllg, ser.up, ano prumbtrierlrspocllons have bcon. approved
fl_ul!.,homo ls connected rorne servlce panel.
fl
Itary Sowor - pr,or to flltJng
r Sotr.ror - i)tlor to lrillng
rtor Llno - prlor to fliilngnch.
ugh Plunrblmg - prlor to'JO({ilroel Troos _ Whon all roqulrodtroes aro planted.
,1::l : Arrer ail roqutred
fni:r!;ilti*T{f,li,:#
__.22:4*/-e
. pr.r0r{E: _:"-f4€-Wg
q),'- >
[]
I - Ltrrrlorslalr plunrbingi El6r,., ,,,.',rochorrlcal -- Frr:Cr lo cL ,.
, I-oot,,,il _- Altor trenches;rro
.) lod
' .: .-f - Stoel locailon, bonrj.,i is, 0roultng.
ir.
IS THE PROPOSEO WQRK IN THE .
IiISTORICAL OISTRICT, OR ON
TIlE HISTOHICAL REGISTER? .-.-_*
ll yes, thls appllcatlon must bo slgnod
artc! approved by the Hlstorlcal
Coordinalor p.io/ to pormlt lssuanco.
APP|IOVEDT
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
ThlS pcgrnrl is graiit{t(.j a'i the cxilross condlliOn ihat lhC sald
cOnStr0Cliorl Sllaii, ln all re$[)CGtS, COnlOrnr lO the erdlnanCeadopted hy thrr {-:,ty dt Sprlngf lef d, }nctu<Jlng the
Oovclopmr-'nl {lod(1, ra0,.}lalrng lho con3lyuctlon and irse olbull{i6gs, ancJ n"ay tje $Uspendcd or revokod al any tlrne
UpOn vlrllrliOn Of Alty prllvlsiOnS ol galCl ordtn;14"n",
PLUMBING PERMIT
I TENl
Flx lures
FEE
Plan Chock Foo
Datq trarrl
Recoipt Nurntic,r'
[1er:4iv16 11y
pi11:g llOr i qwcrl UrV Oate
SySlrlilts t)gVr-.!ofrrtiIr:t (:)ltarlo ,", rJ,re crn all UnrlevOlopod
prQpcrties wltllln t;tC City !lr|ttS vrtrlch are tlcl,i! llnproved.
ADDITIONAI. COMMENTS
I Jur'lher agreo lo ensurc thal all requlred lns pecilons arer0quasleC at tho propor tirno, lhat Oach s ddress ls roadable(rorn tho streot, tnat tho pcrr.rlt card is locatod at the {ronlol llro proper!y, arrd ti.!e approy€d Set ol plans wlll remalnon the slle al all tirn s dr.r 9c on.
Sl0natur0._
Date
VALIOATION
RECEIPT NU[,1BEFI
DAIE PAID __K..R
AMOUI,IT qECElVt:rl -?2
By slgnalure, I staltj irrrJ ar.li.ee, firat I have carofully examln€dlllo completecl aprlrl;r_.ation and do horetly carllry lhat slllnlorL,latlon ltereor.l l:; lruo ancl corrgcl, and Lurlher cerlfythat any and all wcrrk ncrforrrrod shall bo dono in accorrJancowlth tho Ordjnanccri of tho Clty ol Springlield, and lho Lawsof lho Stata ef Orcqon pertetnlr,g to lhe work descrlbedheroln. antj ttrat NCr OCCUPANCy wtll be ma<Io ol onystrucrure without lrrrrnlsslon o, rhe Bullcrirrg Safety Oivislon.I lurthor oer!lly il)at onr"/ contractors and 6mployees whoaIo ln cr)rrrpllcnr:r] v;rih OFI$ 701,OSS wlll he usgc, On lhltlproloct.
Acsldr:rr I lat !-l;r t h(sl
Sanltary Sewt-'r
l^dator
Storrn Sowor
Mobllo jJome
P;urnbirtg Pcrrnlt
stato sur(itrar0e
Total Char0o
l:T
Pi
L 1.
(c)
luiJlng clcctrir:al)
d)
+.-%_
-..-
Lol lacos
Lot sq. ,10.
Lol covcrago
Topography
Total heighI
l-ot Typo
,--_ lnterlor
-*- Corner
.-* Panhancllc
-*
Cul-de.sac
GAR ACCH
t:_-_L. _
EPL.
N
Setbackg
BUILDING PERMIT
VA Lt-ltr
(A)
so Fr x $lso FrITEM
illaln
G aragc
Carport
Tr:t.rl Valuo
RuilclJng Porrnil Foo
Stdto Surch..]rac
Trrlal f:ce
SYSTEMS DEVELOPMENT CHARGE (SDC)
( ti)
MECHANICAL PERMITFtrrnrr-o yit*;
[r har]st Hnorl
Vcnt Fan hlo
Wood Slovet tnscrl/ F lrcn!acc u'rrrt
Dryor Vent
MISCELLANEOUS PERMITS
/5:et.-#.,- -.
u:36
46,??
(E)
(D)
/5:e
Tol,rl MJscoilaneous porlni ls
Meoltar'lcal Pr:rnrli
lssuance
slate surctrarfrs
Total Permlr
Moblle Horno
Stale lssuancc
Slato Surchargo
Sldowalk .-*-_ ft
Curl:cul _----_-* il
Dernolition
slato surchar0e
TOTAL AMOUNI OUE (exci
{4, ti. C. r) dr,rl E. Cornblrrr-,
,..IECE'VED BY
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