HomeMy WebLinkAboutPermit Plumbing 1987-10-19
.. RESIIM.JTlAL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location:
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ASGBaOOrS Map /I
Subdivi8ion:
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Ta:z: Lot #
Q.mer:( FC/L b#4,D~EY
Address: /:38'7 %EaOb~ Phone:
City: ,\?/d Zip:
[llNm"
n Addition
n Remodel
n
.e /? c..<<'
,'.lobi la HtrJt1
Date of APPlic:Iticol/O:
Describe fl'ork:
,,=~OW
t//1.?Vr.
.~/?~g? .
Va lUB
Address
Contractors
Gener>al
Plumbing
Electrical
Mochar.ical
COP'UltruCti071 Lender
It Uf. the 1'esp071l1ibility of ths permit holder to Bee that all. iPUJpections are made at ths" proper timG# t}-.at QC.ch ~6BB is readab:.e
fl"atl ths street. and that the permit card is located at the frent of the prcpe.rty.
-4Bui'!.dirrg [}o;vic{.or: app:roved plan BhclZ remain on th2 Building Sits at all times.
PROCEDURE FOR INSPECTION RE:QUES~:CALL 726-3769 (recorder) state your City designated job number. job adiPC88, type of in:Jpec~icn
requested ar~ when you will be ready for inspection, Contractors or OWners name and phone number. Reque8t8 received balers 7:00 ~
!.."in be made the same day, requests made after 7:00 am wizz. ba nwie the nat :lJOr>king day.
~~i~~~ T~~~~tin"R
0" SITE INSPECTION: To be Tftlde after>
exc:avation~ but prior to set up of
. forms.
0, llNDER.c;r.AR PU'MBING, P-LECTRICAL &
, MEr.HANICAL: To be made before any
. wor>k is .::ovcred.
o
FOOTING & FOUNDATION: To be muis
after trenches are excavated and
forms are erected~ but prior to
. pouPing concret~.
o
UNDSRGROUND PLUMBING. SEWER, W.1TER,
DRAINAGE: To be made prior to fH-
. Ur.g trenches.
D.' UNDERFLOOR PW~!BING & MECHANICAL:
I To be made prier to inotallation of
floor> insulation or decking.
o
POST AND BEAM: To be made pr-ior to
instal.lation of [Zoor in8ulation. or
decking.
O ROUGH PLUMBING. ELECTR!CAL & MECH-
ANICAL: No LJOrk is to be cot:ered
:ur.til. those inspections have beer.
made and approved.
O FIREPLACE: Prior to pl.acir.g facing
materials and before framing inspec-
tion.
O FRANING: Must be reque3ted after
approval. of r>ough plUJibing, electri-
cal & mechanical. All roofing
bMcing & chimneys, et.::. nT'..lst be
;' completed. No work is to be COrl-
"....cealed until thio inspection has
~be~ made and approved.
-- 'J&I-: -
G FINAL PWMBIIIG
o FINAL MECHANICAL
D FINAL ELECTRICAL
D
YOU1" City Desigr.a.ted Job Nwnber Io:
O INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insula.tion ar.d
. -" required vapor barriers are in place
. . but before any lath, gypsum botn>d 07"
uzl.Z. covering is applied, and before
"any inaulation is concealed.
DRYWALL INSPECTION: Tc be made
after aZZ drytJall is in place,
but prior to any taping.
O MASONRY: Steel location, bo1ui
beam3, grouting or verticals in
accordance with U. B. C. Section
2415.
O WOODSTOVE: After installation is
ccmpletect.
o
D
CURB & APPROACH APRON: After forms
are erected but prior to pouring
C01U!rete.
.', !'cce-:.pt !!
If) :"$70
. O' SIDEWALK & DRIVl!WAY: For all con-
crete paving within street right-
.of-way, to be made after all exca-
vating complete & form work & sub-
, base TTrlterial in place.
D PENCE: When compliZte -- Provide.
gates or movable sections through
P.U.E. .
D
CBOJ,
\ \ \I
~ IJI '10
Signed:
Date:
Cl,1C
/()-t9
0-/
I
Lisc.#
EX'Dir>es
Phone
'27 () 7 'fS'Ct
I DEUOLITION OR ;~:OVED BUILDINGS
~ Sanitary Se"")eI' capped at ~opcr~' l.ir:e
==:J Septi, tank p~<d and filZed ~th graoel
:J Pinal. - II'hen above ite:1Is are cc:ttpleted
and when demolition is complete or struc-
tU1"e moved and premises cleansd up.
. Nobile Hcmes
=:J Blocking and Sst-up ,
=:J Plumbing connections sewer and wa:er
~ Electrical. Connection - Blocking, set-up
---J and pZumbing connections nr~st ce approved
. before r>equesting el.ectrical. in8pection
~ ACOeS30l"d Building
:J Final - After p:Jr>ches, skirti.ng, decks,
etc. are compZeted.
D
All project conditions, 3uch as the instaLlation of street trees, c~~lation of the
required landscc.pir.g, etc., must he satisfied before the BUILDINC FINAL can be r>squeot3d.
o
PINAL BUILDING: The Final Building Inspection must be l'(J(jUeDted alter the Final Plwnbing
Electrical, and Mechar.ical Inspectwnn have been made and approved.
'ALL MANHOLES AND CLEANOUTS ~IUST BE ACCESSIBLE, ADJUST/lENT TO BE MAOE AT /10 COST TO CITY Page! of 2
I,
I JOB NO.
I Zone:
Lot Sq. Ftg.
S of lot CJlJepaga
# of Stories
Tota~ Height
TopogMphy
I
lITEM
I Main
I Ga:toaae
I Caroor>t
SQ. FTG
Acoessoru
TOTAL VALUE
Is.D.c.
cva"ue)
1.5 x
Buil.ding Permit
State Swocharge
Tota~ r:ha..~ges
I ITEM I NO.
FixtW'es
I Re.identia~ (1 bath) I
I Sanitary" Sewer I
I~t~ I
'RA<'.I.c.;::" ou.) ~ J
P~WTIbing Permi t
State Su1'cr.arge
Total Charaes
ITEM
Res. Sa. fto.
New/Extend Cip""it.
I Temporary Service
I
EZe~tr>icaZ Permit
State Surcharqe
Total Char(;88
IITSM
Furnace ETU' S
I Exhaus t Hood
I Vent Fan
I WOodsto;;e
I
Perrrrit Issuance
Mechanica 1. Pem t
State SW"c'hazoae
Tot:t?l Charmm
-- ENCROACH!/ENT --
SeC".trit1l Deoo3it
I Storage
I Mainte~s
I Pal'mi t
I Total Chal't1cS .
I I Curbcu.:
I Sid8WO.~k
l.r;oen:JB
J Electrica 1. Labe 1-
1 Mobile Home
I TOTAL AMOUNT DUE:'
SOLAR r.ESS
OccuvarICt/ Croup:
WT TYPE
x
FEE
I NO. I
FEE
NC. FEE
I
I
I
I
4i 15 75
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, l=---c:=)~1"~T /0-/f-g7
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Inter-ior
Cornel'
Panhand~e
Cut-de-sac
Value
CHARGE
1?oD
IS.00
.'7~
15. '15
CHARGE
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GIIARGE
t'.::1ge G
REQ.-
L-COG~
Type/Cor.st: .
I
AcceSS. I
I
II
II
II
Setbacks
I Hou.se Caraoe
i
i
I
I
Bedrooms:
Enel'CT,U Sources
Heat
Water .t/1?t1ttu'
Range
Fir>Bvlace
Wood~tove
I Lot Faee. -
I
I P.L.
INorth
lEast
ISou th
IWest
T.roe
Fees
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Building Value & Permit
This permit is granted on the expr>BsB condition that the sa'id construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, inc!uding the Zoning crdinance, r>egulating the construction
and use of bui~ings, and may be suspended or> r>evoked at cr.y time upon vio-
lation of any pr>ovisions of said Ordinances.
I Pion Cheek Fee:
I Vate Paid:
IReceipt H:
I Signed:
Plumbing Permit
No person fJhall construct, instal!, alter or change any neu or e=isting
plumbing or drainage system in whole or> in part, unless sueh person is the
legal possessor of a valid plumber's license, except that a person may do
plwnbing work to property which is otJned, leased or> operoted by the appli-
cant.
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1-<5'
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Electrical
Permit
Where State LaJg requires tr.at the electrical lJOrk be done by an Electrical
Contractor, the electrical por>tion of this permit shall r.at be valid until
the label has been signed by the Electrical Controctor.
Mechanical Permit
Pt..an /:,'xamtner
ua.e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that. all irofo:omation her>eon is true and corr>ect, and I
fdr>ther certify that any ar.d all work perfor:ned shall be don.e in accor-
dance with the lJrodinance. of the City of Sp1'ingfiel.d, and tho I.a:.;s of tho
~ State of Oregon psrtaining to the wor>k described her>ein, and that NO OCCU-
PANCY UJill be 1Tt1de of any structure UJithout par>mission of the Building Di-
vision. I further certify that only contractor>s ar~ e~loyees who are in
compliance with ORS 701.05E will be used on this project
Sign8d
Date