HomeMy WebLinkAboutPermit Plumbing 1990-5-21
i
.. RESI~TIAL"
APf:'LIC~NiPERI1IT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753 .
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Job LoGation: ril 0 ~~':'\ h() m 0 ':dh 1'\
ABaeBaors Map # \ ( 1 (2-d. ~ 44-
1fY\' ~(\
T= Lot # CioS::f)n
~er: \~\ \ 1\ ~ 'lo ro 0 t Q. . '
AddreBS:/) (n3~ G0 m Q _ ~r.one: l1Jn~f)RrL~
City~J~".~ Zip: G14i1
L/ I U - J
nN<>>J
n Additicn
n Remodel.
n ,'.fobile 80ma
. (yf. ~ CSt' ~(O
Ufu '
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Subdivision:
Date of Application
Contra(',t-or~
General
i Plumbing \ 'H Q l'I\ 0 r -'
i Hechanicar-
I EJ,ee,tr:i.!;al
ISuoe~~i"-1g.Eleetrieian
Describe fl'ork:
Value
f\ Ill)
/-'/'1 YJ
Rcce-:.pt # I t?l-
"D6D
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,
Address
Lise. 1/'
Bldrs Board Rec.
'P'hnnp
Sigr.ed:
Date:
(Air/Lan
Exo:i:ces
It is the rsspontribility of ths permit holder to Bee that aZl. irwpections aPe made at ths proper tims~ that each wddres8 is psadahZe
from ths BtreBt, and that thB p""":t oard i. Locatsd at ths front of ths property.
ABuiUi!1{J [)I~1Ji::ior: apprcn.:ed plan shall remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City designated job 1tl.Unber~ job ~css~ type of in.3pectien
requested ar.d when you /Jill- be ready for inspection, Contractors 01' Ot.mel"'s ncme end ~hone number. Requests received befere '1: 00 C':'l
:""ill. ~6 rrrzde the Bame day, requests made a~ter 7:00 om L1iZZ be rrr:u1.e the nc:rt :.x;rking day. A A
, Your City DeBi(l".ated Job Number Io: q fjJ( ()~
Rp.mJ1:t'I'!,1 T'3:,p'Y'f!+:ir.71$'1
D. SITE INSPECTION: To be rrrlde after
excavation, but prior to Bet up of
forms.
O . DNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
- z.JOrk is covered.
O FOOTING & FOUND,1TION: To bB 1TrU:!s
after trenches are excavated and
forms are erected, but prior to
pouring ccncret,;.
r\'"VUND8RGROUND PLUMBING. SEWER.. W.1TEf?,
~. DRAINAGE: To be TTK1.de prior 0 fi"L
.lir.g trenches.
o
UNDERFWOR PLUMBING & UECHANICAL:
To be made prior to instal. Zation of
floor insuZation 01' decking.
POST AND BEAM: To be made prior to
insta"LZation of floor ins~lation or
. decki,,".
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No :.>ark is to be cOL'ered
,until. these inspections have beer.
made and approved. .
FI.~EPLACE: Prior to pZacir.g facing
materia"Ls and before framing inspec-
tion.
O FRAgINC~ Must be requeated after
approval of rough plwr.bing, electri-
cal & mechanical. All roOfing
bracing d chimneys, et.:. nrJ.st be
:' completed. No work is to be con-
... cealed until thiD inspection has
. b6~~ made and approT)ed.
o
D
o
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul::::tian. CC".d
- _ - required vapor bCII'I'iers are in place
,: -: but before any lath, gypswn board or
, wz;z. covering is appl.ied~ and before
. any insu7..ation is concealed.
O DRYWALL I!lSPf:CTIO~: To be made
after aU dPywalZ is in place,
but prior to any taping. .
O MASONRY: Steel location, bo1ui
beam:;, grou ting or T)ertica 1,s in
accordance with U.B.C. Section
2415.
D WOODSTOVE.: After installation is
ccrrrp"Let~d.
D
CURB & APPROACH APRON: After' forms
are ere:)ted but prior to pouring
aon.:zre te.
SIDFWALK & DRIT,,'EWAY: For all con-
crete paving within street right-
of-wc.y, to be made after all exca-
vating complete & fo~ work & ~ub-
base material in pZace.
. DE.'-!OLITIO!! OR ;~:OV:;D BUILDIt'U;S
~ SanitaPy S8"..1er :::apped at vr:.op;;r~' line
:=J Septic tank p:.;mped and fUZed lJith JraoeZ II
I Final - [{hen above itetlls are cempleted
--1 and when demolition is complete or stI'U~-
ture moved and premises cleaned up.
D
D
PENCE: Wher. complete -- Provide-
gates 01' mOT)able sections through
P,U.E.
Mobile Hemes
:::J Blocking and Set-up
:::J Plumbing connections s~er and wa~er
:::J Electrical Connection - Blocking~ set-up
and plwnbing conr.ections nr..:st be approved
before requesting e!ec~rical inspection
:::J AccesGol"~ Building
---, Final - After p:Jrcr..es, skirti.ng, decks,
~ etc. are cample:ed.
D
All project conditions~ 3uch as the instaLlation of street trees~ co~Zati~n of the
required landscapir.g, etc., must be satisfied before the BUILDING FINAL can be requested.
o FIliAL PLUMBIIIG
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
o
FINAL BUILDING: The Final Building Inspection must be l'equeoted after the Final Plwnbing
Electrical, and Mechar.ical InspectiontJ have been made and appl'oT)2d.
D
ItAr;L MANHOLES AND CLEANOUTS /lUST BE ACCESSIBLE, ADJUSTHElIT TO BE n~DE AT NO COST TO CITY I Page 1 of 2
I JOB NO,
Zone:
SOLAR ACCESS
Qacuvanc" G~
WT TYPE
Lot Sq. Ft;;.
i :;f lot Co:n;e't'ag;;
!I of Stories
Total Height
Topogroehy
lITEM
I Main
I SQ.FTG
I
I
I
I
I
Carace
Cal"'DOf't
I Aaaessol'u
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i
TOTA& VAWE
IS,D.C.
(vat.uc)
1.5 :r:
Building Permit
State SurchaI'ge
Total. Cha..-ges
ITEM
Fi::t:tures
IND.
Residentia~ () bath)
Sani tar-y Sewer'
Water
II I
I I
Pl:.onbing perr;:i t
State Surcr.arge
Total Charaes
ITEM
f Res. Sa. fta.
I New/Extend Circui ts
I TempOl'a::ry Serovice
I
/10.
Eleatncal Permit
State Suraharqe
Total Charces
lITEM
/lC.
Fz.lnzace !!TV'S
Exhau8 t Hood
Vent Fan
I WOodSt07J6
Permit Issuance
Mechanical. Permi t
State Surchcrae
Tn1;n.1 r.harofTP.S
I -- ENCROACHMENT --
Ise~~t~ Deoo3it
I Storaqe
I MainteruInC!6
Permit
Total Charoaes
I Curbcut
I Si.del,)alk
I Fen.::e
j Electrical Label
I Mobi le Home
I TOTAL AMOUNT DUE: 4
In.tel'iol'
Cornel"
Panhandle
Cut-de-sac
x
Value
FIT
CHARGE I
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I I
l~( )UU
I \.'50
r~ ,rol*
FEE
CHARGE
FEE
CHARGE
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31,c::JJ
t'agc ;::
---I
REQ.-
L-cod~
,
.~
TypeICor.st, _
I
I Access. I
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.....
Be:iroor.:s:
En2rou Souree8
Heat
I Lot Faces -
I Setbacks
I P,L. IHouse Caraae
INorth
lEast
ISouth
IWest
TU::;8
Wate't' Hpntl'r
Range
Fireplace
Wood::; tOL'e
-- Fees
Building Value & Permit
This permit ia granted on the express condition that the said construction
shall~ in aZl respects~ confo't'm to the O't'dinar.ce adopted by the City of
Springfield~ incZuding the Zoning CTdinance~ regulating the construction
and use of buildings~ and m:zy be suspended or revoked at any time upon vic-
lation of any provisions of said Ordinances.
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I Plan Check Fee:
Date Paid:
Recdpt #:
Sig>:ed,
Plumbing Permit
No person ehall construct~ install~ atter or change any ne~ or e:isting
plumbing or drainage system in whole or in part~ unless such person is the
legal possessor of a valid plwnber'a license~ e:rcept that a pe:"son may do
pllm'.bing work to property which is ownedJ leased Or operated by the appli-
"""t.
Electrical Permit
Where State La1.J requires tr.at the elecmcaZ 1J01'k be done by an Electrical
Contractor~ the eZectrical portion of this permit ahall roOt be valid until
the label has been signed by the Elecrncal ~ont't'actor.
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Mechanical Permit
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PLan E:rc;rmner
uate
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I HAVE CAREFULLY E:XA!.fINED the compZeted application for permit~ and do
hereby certify that all. i:-:foromation hereon is t-rue and corrcct, and I
foirther .certify that any ar-a all work perfoP.7led shall be do:16 in accor-
dance lJ/..th the Ordinances of the City of springficld~ and th~ La-...;s of tha
State of Oreg.:m pertaining to the work described herein, and that NO OCCU-
pl-lIey will be rmde of any structure without parmi83io~ of the Building Di-
vision. I furthe't' ~e't'tifY that o~ly contl'a~tor8 ar~ ~l~yee8 ~r.o are in
c~pliance with ORS 701.055 will be used on this project
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Date
.4.....'.'-_
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Permit No: . q('f)e04-4 cO,."
Address:~~33 6(\ Mo ,'4:H0\
Issued by' ,(ill J Date: Q/dJjq{)
STATEMENT:
INFORMATION NOTICE.TO PROPERTY'OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued, Licensed Architect
and Engineer applicants, exempt from registration under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either box 2A or 2B:
1.':i. I own, reside in, or will reside in the completed structure.
rL-J My general contractor is
. ~
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
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OR
-;~
I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and ao hire a Qeneral
contractor, I will contract with a contractor who is registered with the
Construction Contractors Board and I will immediately notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above information is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
'- In[?,. - '-;} I ~
"tnarure of P"ermit .t<pplicarit .
CONSTRUCTION CONTRACTORS BOARD
0244.1 10/24189'
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Date
~I(\() COPY TO ISSUING AGENCY PERMIT FILE
"\ ~ COPY TO APPLICANT .
~ QO.: