HomeMy WebLinkAboutPermit Plumbing 1981-12-29
.. RESi~NTlAL..
COMBINATION APPLICATION/PEPJ1IT
225 North 5th Street
SpringfieLd~ Oregon 9747?
BuiLding Division
726-3753
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.~ ob Location:
Asaesaors Nap #
SubdilJision:
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Address: JI"", Phone:
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Ci.ty: SpU. Zi?:
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Addi tien
Remodel
,',10bi.le .'Ioma
Date of Application
~'ont:ract:ors
Describe Work:
Value
&000
06
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Ceneral
PZumbing
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Electrical
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Lender
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Constl"~ction
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Date:
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Phone
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It is the responsibility of tr~ permit holder to see that all inspections are made at the proper time. trAt each ~ess is re-~n~!e
from the street, and thc.t the permit caI'd is z"cated at the front of the property.
AI' '1d' ",,'" . l.a hc." . ...L_ Su',.>' C''' t l't'
~u'/.~ '/.ng ~_lJ'/.='/.O~ apprQ~ea p n s ~~ rerna'!.n on vr~ ~~'I.ng ~'/.t:e a a ~ '/.mes.
PROCSDURS POR I.'ISPECTI'JN :'?EQUEST: CalL 726-3763 u-ccorderJ state your City designated job number. job add:rcss. type of in:;pecticn
request:ed al"..a when you '",'ill be ready for inspection. Con'tractors or Owners name c:nd phone number. Requests received before 7:00 =
....iZl be rr.a.de the same dcy. requests mGde aft;;r 7: 00 am wi II be made the n=t :.Jerking day.
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SI':~ I;~ISP~C':'IC,?: To ba made after
excavat:i..n, bue prier tc se: up of
forms.
U,V!)'SRSl.AB pl.UM3rNC. ~l.ECTRICAl. &
l-fECHA,'lICAL: To be made before any
work is cOlJcred.
FCOTnlG 1 POUNDATIC11: To be rode
after trenches are excalJated and
forms a:I'e erected. but prior to
pourir~ cencret~.
W:DE:RC.-qOU,~'D P[,UM~ING,
D.'?.4INACE:: To be ma:J.e
lir.g trenches.
SE:.rc.'?, W,1TER,
. ~ .......
pnor ..0 j:'~-
UfWE!?r!.COR T'Lm,~I.':G ~ ,\!gC.'{ANICAL:
To be made prior eo in~tall.ation of
J100r insu~tion or decking.
POST AND aEAt1: To be made prior to
install~ticn of J100r inskLatior. 01'
decking.
ROUCH PW'!BI1:C. :;-::'EC':'.'?!CA[' & MEC.'I-
ANICAG: Jo ~ork is :0 be co~ered
ur.t:il thcse inspections have beer.
made c:nd appl'OlJe'::.
FIREPLACE: Prior to placir.g facing
mcteriaZs and Del ore framing inspec-
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;;'RANDlC: Mu:;t; be reque:;ted after
approlJ~L of rough plurr~ing, electri-
cal & :r.echanical. All l'Oofir.g
bracing & chirrm.;;ys, et.:;. nr...:st be
corrroleted. 110 worK is to be con-
ceaied until this insoecticn has
been made and appl'01..'ed.
Your City Des1.grAted Job Number Is:
D INSULATION/VAPO!? SARRIER I:JS?E:C'J'ION:
To be made after all insul~tion ~..d
required lJapor barriers a:I'e in place
but cefcre any lath, gypsum board or
wl'L colJering is appLied. and before
a:nyin:;ul.atwnisconcool~.
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DRfro/ALL n:SPSCTION: Te be made
after al'L drywall is in place,
but prior to =y taping.
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DEMOi:.ITIO:l OR .'10\7:; 3UIL;:::I(;S
=:J Scm.itary seue!' cc:ppec. =t P:.OP~!'t;-i
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MASONRY: Steel 7.oaation, bor..d
beams, grou~ing or ver~icals in
accordance with U.B.C. Section
2415.
:=J Septi:: tank p-.;mped a:-.: fi.7. Zed :.lith ;rave Z
---, Pinal - ,h~er. ~Dcve it~~s are a~~leted
---l ar.d when demeZition ia cOm?lete or struc-
ture mOlJed ar.~ pr~~sas cLeane= up.
MobiZe Bemes
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WOODSTO'/C: After instalLation is
ccrr.plet;;d.
~ Blocking and Set-~p
~ Plumbing connections s~er and water
---, Elcctrical Ccnnection - Block~r~, set-up
.-J and plumbing i!onnecticns ",...:st ::13 a?pro'/.'ea ~
beforc requesting eleatrical ir.spection
~ Accessol",i Buii.d-inq
---, Fi=l - After, .?ora.r.es,
~ etc. are ccmp.etea.
sk-irt-inq, de::ks,
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CURB & APPPOACTl AP.'?ON: After forms
are erected but pl"'~or to pouring
.:;or...."'7'ete.
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AZl project conditions, ~~ch as the instalZation of street treea, a=~!~~i~n of ~nz
required landsccping, etc., must be satisfiad before the 3UILDI:::: FI:.'AL :an ::13 r:!(r~est3d.
0 Flf/AL PW,\1BltlG
D FINAL ME'::,'!A:IICAL
D fINAL ELSCTRIC:'L
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SIDEWALK ~ DRnT.-IAY: POl' all con-
crete paving within strect right-
of-way. to be made after all exca-
lJating complete & fo~ work & sub-
base material in place.
:!IN,4L 3UILDI!lC: Th.e Pinal 3uilding Inspection must ba requested af''.:er the F-i=l ?Zw.:binq
Electrical, and ,'!eci1ar.icaL Inspect:-iona halJa been made and approlJed.
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:?ENCE: ~~en complete -- Provide
gates or mOlJable sections through
P.U.E.
~ALL MANHOLES AND CLEAtlOUTS !lUST BE ACCESSIBLE, ADJUST!fE:NT TO 8E MADE.1T NO COS'; TO ':ITY I P~;;e 1 of ,2
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Job N:.mrber:
Zona:
Occu~anc~ Gr~
LOT TYPE
Lot Sq. Ftg.
~ ~f lot C~verag~
'!I of Stories
Total Height
,1'opography
Interior
Corner
Panhandle
Cul-de-sac
iITEU SQ.FTG X Value
:Main
,
.
i Ga:race
: Carport
I AccessorII
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I TOTAL VALUE
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t (vc~ue) I
IS.D.C. 1.5 x
1
i BuiZdir.g permit
State Surcharge
Total C1ta:'r:e3
iITEN NO. I FEE CHARGE
I
I Fixtures I 0,1>-0 S' {)-O
I 'd .
I Bes"/- ent"/-al (1 bath)
I Sanitary Sewer
I Water
Plumbing Perrr.i t
state Surcr.arge
Tota! C7u:.raes
j I'l'El.J
I iJO. I PEE
Res. Sa. fta.
Nez.'/Extend Circui ts
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!Temporary Service
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1
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1
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Ele::t1'ical Permi t
St::.te Sur::harqe
Total Charces
.
I I':EN
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Purn::ce ETU' S
E=haust Hood
I Vent Fan
Woodstove .,
-If L fL:'~~ssu=~
:JO. FEE
/ fo,tJ1)
Lf}f)
Me::'u:zr:ical Permit
State SU:1'chc.rae
Total Ch.araes
I -- ENCROACHMENT --
Ise~~rity Dzposit
I Storage
I Uaintenan::e
I Permit
I TetaZ Chc.racs
Curbcut
Sidewa.lk
11"en::e
I
! Electrical Label
I MobiZe H~me
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I TOTAL AMOUNT DUE: *
sv--o
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CHARGE
Cl!ARCE
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1/{,72
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Referer,ce N:.mrcers:
L-COC #:
[,ot Faces -
Type/Const: .
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Access. I
T.~r:>e
I P.L.
Worth
East
Sou th
IWest
Setbacks
House Carage
Bedrooms:
Enerml Sources
Heat
r';ater Heater
Range
FirepZace
Woodstove
Fees
Building Value & Permit
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This permr~t is granted on the express condition that the said construction'
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordir~ces.
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Plan Check Fee:'
Date Paid:
Receipt #:
Signed:
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Plumbing Permit
No person shall construct, instalZ, aZter or change any new or existing
plumbing or drainage system in'whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbi~g work to property which is owned, leased or operated by the appli-
'oont.
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Electrica I Perm it
Where State LaLJ requires tr.at the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall roOt be valid until
the Zabel has been signed by the Electrical Contractor.
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Mechanical Permit
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PZan Examiner
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I HAVE CAREFULLY EXAl>fINED the completed application for permit, and do
hereby certify that alZ ir.fo~tion hereon is true and correct, and I
fu.rther certify that any ar.d. an work perfor:ned shall be do~e in acc:or-
dance with the Ordinances of the City of Springficld, and th~ Laws of the
State of Oreg~n p8rt~ining to the work described herein, c.nd that NO OCCU-
PANCY wiZl be ro:de of any structure without permission of the Building Di-
vision. I further certify that only contractors and enployees who are in
compliance with ORS 701.055 wilZ be used on this project
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Date
Signad
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