HomeMy WebLinkAboutPermit Plumbing 1990-9-21
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APPLICATION/PERfIIT
225 North 5th Stl'eet
springfield, 02'egon 97477
Building Divicion
726-3753
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fob Location:
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Sttbdit'~Dion:
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Cl~ ty:
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Datc of Applicaticn
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Hccha 11 i..C.:1l
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Siqr:ed:
Date:
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INSULATION/VAPOR IMURIF:R INSPFXTION:
To be made after alL insulation a~~
required vapor bal~iers are in place
but before any lath, gypswn board or
LXlU covcring is applied~ cmd beforc
any inaulation ia concealed.
l':~~C t c i..!.::\ i
..:SIII)('r,"\I~~!~~r.1g IU.l~cl.:r,ic l;ln
It iD tha reaponnibiLity of tho permit holder to aoe tJlat al~ inDpections are made at the 'propel" time, that caeh .:;ddress is readab:e
: jrDm the atrect. a~1 that the permit card is lacated at the front of the property.
, 1!~llf.?,(U.":9 [r:'Ji::i.o~: ap-prol,:cd Flml nhc.ll }~emain on tlt.$ lhlildl~lIg :::it~ at all times.
, !'r.OCSDU."!, ."Or. [NSPECTral/ RSQUF.s?:;CALL 726-3769 ("ccorder) "tate yOl/" city designated job nw.;ber, job address, typs of in"p8c~ic"
l'CQW:St:,:1d a.-:tl whim !jOlt wal be l'cady for innpcction~ Contractors or Or.me:'s name and phone numbcr. Requests reccivod befora 7:00 a-:1
:.'i.H bc made t1u; I:nrna dcy, requcstn mcdc aftcr 7:00 am will b:; made the next :JOrki'l1.] ~Yn /) (^~ Il
Your City DeDigr.atcd Job Nlunbcr In: Li- () ( ) l rJ..-
_.l/.?(JfI:'.,.!"j TI"~r'''''I't~:.r)l'~
'-1 ~'I,?L: INSP!:.'f.."."!O!!: To be ~dc
l (.'x::av::t,i:m, !Jljt priol' t:;- SC:'
- fO"f'me~
11_1
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artc?'
lip of
U:lDER${.AB PLU:,fFjINC. ELECTR rGAL ,0;
",,'.~:(,'}/!!,'JICAf.: 'Po be made bej'ol'l3 any
IA'lJ'':': iD :Jovcl'cd.
rOO'rING ,~F'OUND,1TICfJ: To be /Tude
,1/t,,:1' t.l'OJllChe:J (H'e eJ..y.:mmti1d mId
for':,7:; ,-:.1'C crccted~ bllt prior to
{lLllll'ir;g cCllCl'et.;.
!--\ll:,'[);:fJc.r::OW,'D ,::~.r.').r;;~r-l,1TE"?)
t_ CP'I(t1ltl.iifE:.J '1'0 be ma.:1i.!~I' to Fil-
Ip:U f,I',-:1U:JW:;. ,
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11::I.l,I.:H,I.'J,O(lR !,[.[J,'.,',r"jJ,Vr; .'; :./EC!It1NJC,1!,:
~,-"f,.:;7rJ(ldOJ [wioJ' to l_ll:;t.nLLation of
flr'(I!' i.1t:;I/Z(:t,~01! 0:' decking.
!~~::'.'. ,own 11f.'/1,'.{: To be rr.adr. pr1~0l" to
i'),;:,I:ll,U,i.OIl of floor itJ:ldatiol1 01'
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.I.'(lIIl;;! !,{,u.'.'nr:JC_ Ef.F:C"l'R!CA!.. ,r, MECll-
~t'!!;~il.': .'lv :JO]'I: .ill too bc t:or..'P.l'crr
:/.;'-:'1 ;j:.~::.~ inspec:'Z~m;[: h.-we bem;
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r rf Ft.l-:'IEE: [11"1:(11" t.o rh:(dr.a fr.cina
")","":'1':.',;; {nul hcj'o!'o FI'WI/i-l1g bwf.'cc-
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!'j'JtJ!!!.i: NIl:;t; il,~ "!'t"!r;llcatcd aftcn'
'11'!'I,,'I'.:1 oj' l'OI<!J11 pLurr.bing. alcctroi-
".d .1/f;,.'I:Jt.1Ill...:a'l.. Al! l'Ooj'ing
!'I,..I,'ill:"J ,.; (~,Id/lm,-;y::. et.::. rrr:wt, be
""'II[,:,.'t,~,f. ,'10 t.'~ll'k '1:[: f:(' he con-
,.,!,:!..,,, 111I1,i.l. UI1:[; inspcction IUIG
/,,','1, ,,:/!!,.' (llll! (lflpror..'cd.
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ORYf-lALl, INSrEX~r!ON: Te be made
altel' aU dr.ytJflU io in place~
but prior to any taping.
MASONRY: Steel location, bond
bcam:;~ gl'Outina or verticcls in
accordance "nth U.B.C. Section
2415.
rJOOTJSTO'lf.': After itw~az.z.ation ia
(.'emplated.
1[jfi.iOLfTiOf..' OR ;~."0VEr; BUILDIiJGS
~ Sanitary 8C'.Je1" :!apped :It p~opcrt:/ lir:o
:J Septic tank p'.,I.><rped and fil101~ uith gra'Jol
] Final _ rl'hen abcve itc~s are ccmplatcd
ar.d when demolition is complete 01' at1'U~-
turo moved and prcmi30s :!leanod up.
Mobile Hemet:
:J Blocking and SDt-~p
:J Plumbing connections SClJor and water
--, Electrical connection - Blocking~ sa~-up
~ and plumbing connections nr~st to approv8d
before requesting oloc:.rical in8pactio~
:J Ac:!oscor!j Sui lding
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Fi~t _ After p,rches, skirting,
etc. are compl6t~d.
docks,
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CURB ,~ APPROACH AP.r~N... After' f01'l1ls
are .'?roctad but r,'ior to pouring
.:.>on::rcte.
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~ll ,,,'oject condi-dons~ mwh as tile 'Z'.nstaLZation of streot tl'ees~ cO,":'rplation of the
l'cquired landncapir.g, ct(~. ~ must be satisfied before tho BUILDINC FINAL can bo rsquoDt::d.
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SID.%'Af.K .~ DRn'F.fJI.Y' For all. con-
crete paving within' street right-
of-LX:Y~ to be '!lade aftor az.z. exca-
vating conpleto & fo~ work & cub-
baee material in pl.a::c.
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FINAL BUIT.DING: T}IO Final Building InDpection must be rcqueoted aftar tJte ,t'inal Plumbing
Electrical, and Mcc'mr:ical InDpectiono have been made and approv~d.
O !'ENCE: r.,rJICr. compl.;;;tc -- Provide
gatan or movable aectiona through
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I,ll.!, :./.l.'mcJ.,.....: IIND cU:I1,Vcu'r:: /ltI.~T ne I1ccp.:;t;rnu::. AD.rrJm','/,r;:UT TO tip. MADE AT 110 C~ST TO CT'!'Y
,I f'a(u? ! of :!
I JOB NO. C[)/07fJ,SOLAR .ESS
I Zona: Occu?anc~ G~~:
Lot Sq. Ft{;. WT TYPE
~ of tot CJI)srag;; Interior
,II of Stories Corner
Total Height PanhandZe
Topogrophy Cul-de-sac
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I TTF.N SQ.fTG X Value I
I Main I
I Cr..race I
1 Carport I
lIlCCCSSOl"lI I
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TOTAD VALUE I
Is.D.c. 1.5 :r: tvet.uc} ~.:
,
Building Permi t I
State SurchaJ"ge I
Total Cha.:oge3 I .
lITEM NO. FE'E CHARGE I
Fixt~es 1
I Residential (1 bath) 1
I Sanitary SeWer 1
Iw~.
Plwnbing Pel'1r.1. t
Stats Swocr.arge
Total Chal'l1(J8
I ITEM NO.
I Ra!l. So. fta.
I NQI.J/Extend Circui ts
I Temporary Ser>vice ' l
I I
fE'E
CHARct:
Eleatrical Permit~
State SurdU:1..1'Qe
Total ClIO:('g08
IITSM I NO. FSr:
Furnace ETU'S I
Exhaust Hood 1
I Vent Fan I
I Woodstove I
ClIARGE
PeM t IS8uanca
Mechanical Permit
State Surchal'(1G
Total Charaes
-- ENCROACHMENT --
lse~~ritu Devo3it
Storage
Maintenance
Permit
Total Char"f70B
Cu:rbcu:
I Sidewalk
I Fcmce
I Electrical Label
I Mobile Home
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I TOTAL AMOUNT DUE:'
REQ.-
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THlJe/Cor..'J t:
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Access. 1
II
If-
L - CO l;"
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R,~dJ'oomn :
E;narq/l So:a'~a3
!leat
.,,,""
I Dot Faces -
I
I P.&.
INol'th
lEast
ISou th
~r;ant
Setbacks
Ilousn enrage"
Watm' .'I,m trr
Range
Fircvlrw(J
Ivood:.;tol,;e
F'-U3S
Building Value & Permit
This permit i:; granted on the crprer.:J conditioll /.hat Ow :;,zi,l.,.",P/.::"" 'I :"',
n}u{U" in all rer.pcat:;, conf.ol'tTl to the ol'diw.J);(:a :ldopt.::d liy /.il': ,.......:i ,(
Spl'inafield, including the. Zoning Cl.dinGI1CC, l'(:glllctiIlU tJ:..: <.:,;/1..:: :,;;.t" 'I
and use of hu-ildings, Wid i,by be Gu.oprmded or rOlJokcr.!. at r.1:!J C~III" Iii" I ,I"
lation of IIIly proviviona of aaid Ordi1:mlcca.
I Plt/II Check Fr...::
I Dn.tr. Paid:
IUacdpt H:
I SitJ~U1d.'
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Plumbing Permit
No pcr:;ol1 :lhaLL con:Jt)'lwt, inataLZ., atter OJ' clumUr. t;/ly I:CiJ C1' .::::~:;~I:Il:,'
plwnhinJ 01' drainage OYl1tC,'lI in ;.}llole OJ' irt 'paJ'L, w:lc:;:; :1lich pGl':;OIl i:; 1.1;,'
legal pOSGe3S0r of a valid plwnber'8 licet/sa, except that a p'~:':;Oll may d.:.'
plwnbing lJork to property which is owned, Zea:Jcd or opeJ'atad by tl:,; Gl'pl.i.-
cant,
.
Electrical
Perm it
Where State ww requires tl:at tho electrical wol'k be dmlG by arl t:lcdl'ic,ll
Contractor, the electrical portion of thi3 permit s/mll t:ot be vaLiJ ImLif.
the label has been nigned by the Elaetl'ical ~olltractoI'.
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Mechanical Permit
Pl-a11 Examuter
uat;c
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I lJ.1VE CAREFULLY EXAMINED the completed application [or permit, C1W de
hereby certify that all ir;fo::mation hereon. in true and correct, and I
further certify that any ar.d cill work perfOlmed a1JaU be d0:18 in ac::ol'-
dance :.nth the ordinanceG of tho city of Springfield, and t}l::: w;,;s of tho
State of Oregon pertaining to tho work described herein, end t}~t NO OCCU-
PANCY will be rmde of any structW'.2 withO:4t parmi:Jaion of the !JLdldi'l!l Di-
vision. I further certifiJ' that o~ly contractors (l};d e:llpl,:}!Jccs w1:o a.1'e it:
complianco with ORS 701,055 wiU be used on this pJ'oj~ct
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Permit No: Cfn 101 {) .
Address: I~~ & \fu.~
Issued by: H l/)CLJ ~ate: 9/fliIq()
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. ~wn, reside in, or will reside in the comp'ieted structure.
2. A. L-.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.
OR
B. ~i11 be niy own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the
Construction Contractors Board. If I change my mind and 00 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. .
17r.1 ~~
Si~ure of Permit" Applicant
v
Date
CONSTRUCTIONCONTRACrORSBoARD
0244J 10/24/89
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COPY. TO ISSUING AGENCY PERMIT FILE
COPY TO APPLICANT
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