HomeMy WebLinkAboutPermit Plumbing 1982-2-1
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-- RESIDENTiAL --
COl",BINATIONI APPLICATION PERMI'r
eI'::! :]: S?RL'/CFIELfJ
2~S :".':)!?TH 5TH $':.~E::r
SP.ql::GfIc~D, 0RcC{).V P7417
BuiZdi.,..g Diui8io~
726..3753
. RECEIPI' "I
..s:,CfU-'
- SPRINGFIELD
Job !.ocation:
'"97
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Subdi.v'f sian:
,4.BBSSSOrs Hap II
11-0'> -~tj.- IJ--
T= Lot #
77rJD
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-,~~~tf~'d1~1 e:--/j;;6W 6- __ __'__'
_~~a:"~6..'lZ....ff.4#2.i/,-- ., _ Ph"n" # Z~Z:Cl::/.f!L
"Ci~_"-~:!1~&~---'--~ ,__~L_:ll!!?-Z-
DIIScriCB Work
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t5(;/ar~1 dk-r/k!:;J
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Co"tma~rs NOll!E' Address
rG""emt-=71~l d1~~~/ ~l'ie.r
Plumbing ~A.k/c;k5 ;LJ/~b/~
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I~ is the responsibility of the p~rmit h~lder to se~ th~t all
readable frem the street. and <::ha,: th~ pe:'Tllit card is located
b All canholes and eleanouts are t~ be adjustad at no cost to
SITE rusprcrrCN: To ce made: after
excavation, but prior to set u~ of
f'on:s,
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(xr~__._
[~l._~dd~::'::l.__
Ll_:~~l~.._ .
!lectri ca t
MlIcitanicct.
Cons'tr".etion wnder
o
o
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U!fD~St.AB P!.UMBIUG. E'L!C'r:tIC"\L &
HEC}iANrCAL: '!'o be made before any
work is covered.
D
o
FOOTUIG (, rCtHlOAT!ON: To be made
after trenches a:oe e::cavated a:ld
rol"rllS ar: erect:,:d.. but prier to
pouring concret:e.
UNDERCROUND PLUMBWC. SEWER: WATER.
DRAWAGE: To ]:)e made ~rior to fi~-
ling ":renchf!:s.
o
o
o
L~DERFtOO~ p~m1BING ~ MECHANICAL:
To be made prior to ins~all~tion of
floor insul.1tion or decking.
o
To be ~de prior to
of fl~or insulation
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POST & BcAM:
ins~alla~ion
or <jec:king.
o
ROUGH PLUMB!NG. ELECTP.ICAL & MECP.-
ANCI~L: No ~ork is to be covered
un~il these ins~ec~ior.s have been
mac!e snd approvec!.
o
~'~L[)~ .____n, _.''-
,~h~tfed City AgC"t~ .;~
Erpires Phone Ii
~7~~_,_,~_.f/i~ =f!t5'i-cij-~
Lise';
REQUIRED INSPECTIONS
i:lSpections are made at the pt't'per
at the front of the property.
the City
time, that each address is
FIREPLACE: Prior to placing
materials and. before fra.'lI!ng
tion.
facing 0
ins pee-
WOODSTOVES: After installat!on
is comple'ted.
FR..IJ!ISG: Hus't be req,l.1es'ted after D
approval of rough plumbing, electri-
cal f,. mechanical. All roofing,
bracing & chimneys, etc. must be
completed. No work is to be con-
cealed until th.is inspec'tio:l has
beltn made and approved.
CURB & APPROACH
are erected but
concrete.
APRON: Aft:br forms
prior to pouring
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SIDEWALK & DRIVE''''AY: For all con-
crete paving within street righ~-
~f-way, to be cade a~er all exca-
vating complete & form wor!<: & sub-
base materb..l in place.
INSULATION/VAPOR BARRIeR INSPECTION:
To be made after all insulation and
required vapor barriers are in place
but before any lath, gypsum board or
wall.eovering is applied, and befOre~THER INSPECTIONS: may be requir~d
any lnsulation is concealed. in accordance with Building Code~
be indicat~ in r~~ or by 00-
ti~~:~~~nspector,
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DRYWALL INSPECTION: To 'be mde
4fter all drywall is in p~ce.
but prior to any taping. .
MASONRY: Steel loe.uion.. bond
be3mS, grouting cr verticals in
accordance with U.B.C. Section
2~lS.
All project conditions. 3uch as the ins~allation of street trees.. cornplc~ion of ~he
required lands~~ping. etc., must be sa'tisfied before the BUILDING FINAL can be requested.
~IN'" P"UMBING
o nUA!. .E:L~cr:lICAL
D
MNAL eUILDnIG: 'The Final Building Inspection must be requested a:!er the !'lnal Plum.!::ting
Elcc~ical, and Mechanical Inspections have ~een ma~e ~d approved.
No occupancy of the premises C3n be made until the final Building Inspection has been
made and approvl!d. anC: a CERTIFICATE: OF OCCUPANCY liAS BEE..kf ISSUED BY THE BUILDING DIVI-
SION ~~D POST~D OM THE PR~MISES.
o rINA!. MECMAI!ICf,"
PROCEDURE FOR INSPECTIOn REOUEST: Call 726-3769 (rec~rder)state your City designated job
number, job adcre~s. type or inspection requested and when you ~ill bo re3dy for inS?8C-
ti~n.. Contracto~s or Owners name and phone n~~ers. Req~ests receivea before 7:00 a.m.
will be made the saT.e day, requests made 3fter 7:00 ~. will be ma~~e next working
day. YOUR CITY DESIGNA~rD JOB NUM~ER IS: z5~~~
?o1.gl! 1 IJf 2
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I JOB ~u}!EER
I ZONE
. I tl.::ge 2 I .
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REF!'RENCE NI'MBERS
'OCCUPANCY <'ROUP TYPE!C01-lST~UCTION
L-CC1~ ,;
BEDRom's
Energy 5o:.:':;€3
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l.ot Square :tg.
:~ ~ f [,at Covered
#- o~..... S~OM.es
7.:ttaL Heiah-:
::Jpograp:':~
Lot
Type
Ir:terior [,o~ :a~es:
Corner P. r..
Pa:r.handla Nor~h
Oth~r eaS t
SO'.J.ch
I ~le8t
Setbacks
I House
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I '...al'=f7e: ACa~S;J I
I .t'
I h
I I.
, :!q'Tt
I f,~ter Hea.ter>
I .~ar.ge
I ?ool.
I
FEES
BUIr.DINf) VALUE/PER!fIT
li~: 1:""-,,,. -.'''11.n ,r
Ftg. C-azo~Je ::
Sq, Ftg. C(fr-;or~ ::
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:3.:...!,tq. A::cecso:'!' "
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Sa. F~a.
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Th'!'s permit i.s grant'Zti on tn.. e:rpre38 a.:~:d:i:";on the:
the SCl1'.d cons~mtion shall. in aZ: res:::ec;;~, canfor:-:
::0 ehs ~:di."U%r.~eB adapted by ths c..;~ o:~ Sp2":''fIIJfisZJ=
incl.:.uii:1.g t1:oEl 70ning oiodillmcB, l'ef'"~tat"";ng ;,;'.0 con.,
str'..tet'";on 'and li8S of "'",itdings, .zru: ."":ay :,S C".I.BF:lr'.ded
01" l'fr.)okgd a: 'an;' . time upon violati.;n '0:/ (;'1: prc".Ji-
Biens of said ardinan..-~e.8.
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Vabe
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pg~t C~es
co=~__-"'_....,_,
_Sl':tTtP. SI1:t"~;,I7'T"f7p.
IS~J9tem Dflv"Zorme'tt Cha:!':1e
11.5::7aZ,e
- I'
'-
p~ Cheak. :'IIfII
!Ia~e Paid
Rccsipt #
TOTAL CH..4.RCES
PLlll{IJING PE:RHIT
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No, psrson" shatZ aonstruct, ~n8tdZ,Z, aZ,!;Qr Ci,> a.Jumgs
any r.mJ or e=:.sti.n.g pLumbing or dr:-:.n.age li1/s-:em in
LJhoZs or in p(n~~ l!1llssB such pe2'scr: 'is -:he :II:]::Z,
poSS9SSC2J of '% valid pZ:m:ber'a Zi~8r.sB, 9:.ce::t: thtri;
a person. may d.p plumbing !..lO!'k to prc';f1r~ w?:~h is
or.Jn(Jd, leassd O~ operatetZ. by i:he ap;..Z-::~.:;;ttto f
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L iI~ter Ssrvtc4
I~ 's~~i~ SINer
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SUBTOT.4L If-
Stat. SW"c~e I
TOTAL CIlARGES I
I ELECTRICAL l'EP.MIT
IHO. I FEE , C/iARGt: I
I Sa, Footaae I
I !few 01"" E:.-:ten.sionICi.l"':'.li: I
I Te..._... _~' C(r.':s't:-.lc:ion I
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SWTOTAr.
StlItl' Surcharf'1e
TOTAL CHARr.ES
/..10. MEt;lfA.UC.4L PE:ilMIT
,"IT CH.4l/G<: ,
I ::'?.ll'"1'In~p. .- 9TU'S
I E:rhaust Hood I
I I v...t Fan I I
I I "ood Seo../Heater I I
i I I I
I I I I
SUBTOTAL , I I
State Swocha:MC I
TO'!'Al. CHM?GES I ,
Whsrs Stats LaA' requires that ths eZaot::oiCt:iZ work. b6
dong by an EtectricaT. C~ntractor... tha. .Zect=o":CaZ por-
tion of this ptll"mit eMU not bs vaLid :(nt~Z the Za-
boZ, has been aignfld by ths ElBctric:;Z Cant!-,.,;:-:or.
Th& e7.ectrical Saf.ty t.aL1 does not rsqu~r. c: ?'!"son
to obtain a 1.iesnsB as an '3 LectriC"'a ar.:i./ or eLec-
trica! CO"ltractor to make an s14ctro-:.caL -::ns-:.:lt:tion
on Pro?erty which is !J1J1'ttJd by hiuufll!l or a ,~~.be:o of
his imrtedic.-:s family which is not -::r:=~ad :~;r sate...
teasB or zognt.
I E:VCROACHNENT
ISeour;ty Deposit
IStarage
I Mai'tcna!1Ce
IPerm:t
I TOT.1L A~QU!lT OUe
I
I PLan E:e:cum:,,'oler Dats
I I HAVE" C.4REFULLY EXAMINED the oomp18ted application fo~ pumit, and da
I .. hereby certif)J that all informaticn hereon is trus and correct: and I
i fta'the~ aert1.fy that any and aLL "",~k porformed shaLL be daM in acoor-
I . dance IJtih the Ordi""""es of the City of Spri~fi.1.d. and the /Als of the
" .;; State of fhocgcn per-taining to th9 work doscribed hsrfJ'in, and that .~o oc-
~ C!JPANcr L1i.1.l be nGtU of any stro.lcturEl' r.ri.thout perrrri.ssian of tJuz BuiZdi,7'liJ
I ~.Di!)'i.8icn. I f'.Azother tJertifiJ that onLy tJontractors aru:i mr.pl.oyses who are
~ in corrrpZiance fJit:h ORS 701.05!; r.ri.lZ bB used 071 -:his project.
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'i'arAL ANOU?rr OUE
1~~ . n* r'llxUG I J\~ln (' j( ~ ~C--1
c::::::: j)LJ I : 3u;a'JiJ:;; aiviaion appl'O"Jed pl<r1 shaLL ~emain on tr.. Buadi,Jj.it~-~t aLL
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