HomeMy WebLinkAboutPermit Plumbing 1982-4-26
.. RESIDE"IAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location.:
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17 -f) 2,- :z,~ -/ J Taz Lot #
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ASG8SOOrS Map IJ
Subdivision:
Add:reS3:
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~-lA c:L'
V
h.-u-o...Jl rL. n. n\ ~(5+0J:..L-,
ClQ )[SOf\ La. no Phone:
01<2-
Ct.mel' :
City:
Q,VP1"
n Addition
n Remoda7.
n ,'!obi1.a !Iomo
Zi'g:
qf1Ljli
Describe rl'ork:
~~
</-c9(P -Jd
Date of Application
[..'ontl'actol'S
General
PLumbing
(YWY\...Q.....y
i electrica z.
I. Necltar.icaL
Constn.4ctian Lender
VaZue
Addres3
- .ce-::pt ,if.
.L)g'9, ~'Y
'PP
/5--: 66
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Sigr.ed:
Date:
L-nci<"p--,
q':.. 2/,,-,f.<.--
Liaa. #
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Ezr,irss
Phone
It is ths l'sspanaibitity al tJui pemt hol.t:Uuo to sse that aLL inapecti01t8 are r::ade at =he proptu" tir.u~~ that ecch -=dti:ess is rea.::ab~a
from tM Btreet~ and that the permit aard is Zacated at ths front of ths propert;y.
"Bui!di~.g LJi.vi:;io~ approved ptan shatz. remain on t~ Building Sit:; at all times. .
PROCEDURE FOR INSPECTION REQUEST:CALl 726-3769 (recorder) state your City designated jot ~ber, job cICQ"C'SS, type of ir.3pec~icn
l'aquestcd ar.d wl':en you /JiU be ready [or inspoct'.:on, Contractors 01' OIJ7'te:'s name auf phone number. Requests received befere 7:00 (;':1
:.JiLL be made the same day, requests made afta' 7:00 am wizz. ba nnde the n~t :.JOrking day.
~ir.pd T'11'2~'1t;.1~r:"l'l
O SITS INSPECTION: To be nr:uis after
excavation, but prier to set. up of
forms.
D . UNDERSLAB PLlJ,'.fBING. ELECTRICAL &
MECHANICAL: To be made befors any
work. is covered.
D
FOOTING !i FOUNDATION: To be lTrlde
after trenches are excavated and
forms are erected, but prior to
LipoUring cencret;.
I UNDSRGROa.fn PUJMEIN.~. SEWER. W.1TE.~
! DRAINAGE: ~ prior to [il-
1.ir.g trenches.
D. UNDbERFLOOR PL~/.aJnlG & MEa;~~IC:AL: "
To e made pM-or to insta"'l.U.twn 01
fZaor insu l..ation or decking.
O POST AND BEAM: To be r1Ialk prior to
. instaZz.ation of fl,oor ins~l.ation or
~Cki"li' '
RO{}CH0u.:~~ ELE;RICAL & MECFl-
ANICA . rk is to DC cot,'ered
untiL these inspec:ior.s have beer.
..naae and approved.
D FI.r?EPLACE: PM.or to pkcir.g fa.cing
.' materials and before framing inspec-
tior..
D FRANING: Must be requested after
. appl'oval of rough plwr.bing, electri-
caL & mechanical.. AU roOfing
bracing d chimneys, ate. must be
. completed. No wol'k is to be con-
-:. csaled until this inspection has
. bs.::n roods and approvBd.
~ FIliAL PWNBIIIG
D FINAL tfECP.ANICAL
D FINAL ELECTRICAL
,Ll
Jour City Deoigr.ated Job Number 18:
D INSULATIONIVAP08 BARRIER INSPECTION:
To bs made alter all insu k.ti..:m w.d
... required vapor car'1'>iers are in place
but csfol'e any l.ath, gypswn boa:rd 01'
lXlZL covering is appZied, and befol'e
any i7U1ular;ion is concealed.
O DRYWALL I!JSP~CT!ON: Tc be :nade
after all dl'ywall is in pl.ace,
but prior to any ta:pir.g.
O MASONRY: Stee l Z.oaati07l, oona
beams, ~ting or r;ertiaaLs in
accordance !.Jith a.B.C. Ssctwn
2415.
D WOODSTOVE: After instalZation is
. ac'"PlBt~d.
o
CURB & APPROACH APRON: Alte:o forms
are ers:Jted but prior to pouring
-'On...--ret8.
SIDEWALK & DRr-TWA!: For alL con-
crete paving within street right-
of-wc.y, to be made aftel' aU exca-
~ating compLete & fo~ work & ~ub-
bass mc.teriaL in p Uu!e.
?3' 2038v>
DENOLITION OR ;'.:OVE~ 3UILDIiiCS
=:J So:n.i:cry se..Jer ~apped ::t ~opc:rt":i Lir:e
~ Septic tank p~~ed and filled uith gra~2Z.
---, Final - r'hen ab.:ve ite:ns are cc....roLetc:d
~ ar.d when de~litior. is complete or st~~c.
ture moved and ?r~3eS :leaned up.
Mobile Hcmes
o
D !'ENCE: WhIm complote -- Provide
gates or movable secticn.s through
P,lj,E.
D
:J Blocking and Set-up
:J Plumbing connections SaJ9r ar.d watel'
:J Electrical CCrI7:ection - Blocking, set-u.p
and plumbing aonr.eations nr~8t ce a.ppl'~ved
before requesting eZec:ri:al inspec:ion
.=J Accesso1"'.:i BuilCing
] FinaL . Aft~r p~rcr.es, sk~rt~ng, decks,
eta. are ccmple=~d.
D
ALL project conditions, such as the instaLlation of street trees, ~o~tativn of the
required 'La11.dscapir..g, etc., must be satisfied before tr~ BUILDING FINAL can be rtZquestad.
o
PINAL BUILDING: Ths Final BuiLding Inspection must os r-equeoted c.fter the Final ?~wnbi7"";
Electroical, and Mechar.ical Inspecti.ono have been made and approved.
-+ALL MANHOCES AND CLEANOUTS HUST BE ACCESSIELE, ADJUST:!ENT TO BE t.!.1DE ,IT NO C;:;ST TO CITY I Page 1 of 2
I JOB
I Zone:
NO.
g2032?c'o SOLA.CCESS
OaculXlnC!l Czrouo:
Lat Sq. Pt(;.
S of l.?t COllerag'
,i/ of Stories
Total Height
Topography
WT TYPE
Inteno:,
Corner
Panhandle
Cut-de-sac
I
lITEM I SQ, FTG X Value I
I ,'tzin I
I Ga-aae I I
Carxl't I I
Acaessoru I I
I I
TOTAL VALUE I
I S,D,C. 1, S '" (VaLUe) , '
BuUding Permit
State SUI'charge
Total ~e.
lITEM
I Fi--tures
'Re.idential (1 bath)
I Sanitarli SelJel'
I Water
I'j'j
I I
I I
I
I)f)d . S"oJJ>P{ _'
Plumbing Permi t
Stats Surar.arge
Total Chazoaes
lITEM
I Res. Sa. fta.
I NSl.IIEztend Ciraui t.
!Temporary Service
I
I NO, I
I I
I I
I I
EZe::rtl"'icat Permit
State Surcharae
Total C'rro:rc:es
1 ITEM
I FUrnace ETU'S
I F..:hau.st Hood
I Vent Pan
I WOodStO"J6
I
I NO, I
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Psrmit Issuance
Meahanica.l. Fermi t:
State Surcharae
TCJtal Charf'1I1S
-- ENCROACHI.!E:,rr --
I Sec-.a""';tt; Der:osit
I Storage
I Mainteru:rn.cs
Permi t
Total. Chal'aes
I Curbcu!;
SideLJalk
Fe~e
I EZectrica Z. Labs 1.
I Mobi Ze Home
I
I
I TOTAL ANOUNT DUE: ~
PIT
CHARGE I
o"':J-:COI
I
I
I /0.00
I / 5.0() I
I .1//0 I
I /5-. 0/J1,
FEE
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I
CHARGE
FEE
CrlAReE
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<.$ J'J. (PO I.
Page 2
REQ.-
L-COG"l.'
T"oelcor.st:.
Bedrooms:
I Lot Faces ~
I
I P,&.
INorth
lEast
ISouth
IWest
I Enll1'ou Sources
I Heat
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I
I
II
II
Tupe
Setbacks
I House : Caraqe
: I
I I
I Acoess.
I
I
Watel' Hp.atpr"
Ranqe
Fil'eplace
Woodstove
FOlee
Building Value & Permit
This permit t3 granted on the express condition that the sdid. construction
8hall~ in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding :he 20ning C'rdinan.ce. regul.c.tir:g the ccnstl"'.4cticn
and use of buiLdings, and may be suspended 01' l'Bvokec at cr.y time upon vic-
Zatiar!. of any pl'.?visior,s of said Ordir.ances.
I.
/Plan Check Fee:
Date Paid:
I Recdpt #,
I Sigr.ed:
Plumbing Permit
No person shall construct. instaZZ. alter or change c.ny r.ew or e--isting
plumbing 01' dPainage SY8t~ in ~hole 01' in part. unless such person is tr~
legal possessor of a vaZid plumber's license. except that a person may do
ptwnbing lJOl'k to propsl'ty which is 0lJnSd, leased Ol' operated by the appli-
"""t.
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Electrical Permit
Where State LazJ l'equires tr.at the electrical. work be done by an Slec:tl'ical
Contractor, the electrical pOl'tion of this permit shaz.t not be valuZ"until.
the Label has been Signed by the Electrical :ontractol". --
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Mechanical Permit
PUZri Ezc:;m..ner
l)a~e
I HAVE" CAREFULLY ::XA.J.fItlED t,w compl.eted appl.ication for permit, c:nd do
hereby certify that azz. ir:fo:rmation hereon is true and. correct, c:nd I
f'..lI'ther certify that any ar.d cl.l work perfom/ed shal.l be done in acc:or-
dance :.n.th the Ordinances of the City of Springficl.d, and th,z La:.;s of tho
.. State of Oreg:Jn perta.ining to the work d.escribed here~n, end that NO OCCU-
PANCY :.l'ill be lTClde of any structura without parmissio'!'l of the 3ui'Lding Di-
vision. I further certif:,j that cr.:ly cont1'actors ar.d e::rpl.:;yees who are in
c~liance with ORS 701.0SE will be used on this project
~Jd (J,}//A/J(abJ
Sign:ad
i)~~