HomeMy WebLinkAboutPermit Plumbing 1989-7-13
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.. RESIDiNTlAl"
APPLICAT~N/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753 .
SPRINGFIELD
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Job Location:
\ 41\ 1\ ~ l ~ci U\ ~Q, .V\')(\0L
# "fj CJ ~:1 ';\ ~ ~ T~ Lot # ()n~ 0>
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AscesGorz Map
Subdivision:
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Nm,J
Addi ticn
Remodel.
.'.fobi le Homa
Date of Application
Contractors
, General
i P,lumbing l.:'-..k ~\ \\0 o...l
jHechanical
IEl,ectrical
ISupervi~ing Electrician
.,-..,
Describe II/ork:
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Sigr:ed:
Date:
Address
'"Lise. II
\ Bldrs Board Reg.
Pnnnp
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r /~f~~-Pi1
Expires
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It is thB respono;.biZity of the permit holder to 8BB that all. iMpections are made aft the proper time.. that each ~eBs is readabZe
from ths street, and that the permi t caN is located at the front of the property.
-Bui!.di~ Divi::io,-: approt.'ed plan shaU remain on th2. Building Site at aU times.
PROCEDURE FOR INSPECTION REpUEST:CALL 726-3769 (rccorder) state your City designated job nwnber~ job ad6>cS8~ type of in.::pecticn
requested a~~ when you will be ready for inspcction~ Contractors or Owners ncme and phone number. Requests received before 7:00 ~
r.."ill be rrtIde the same day, requests made afta' 7:00 am will b.2 rrtIde the next -...x>rking day.
.". . . .., "~:" l'~r 'City Desigr.ated Job Number Io: P51 0 v-; O/)
R~C'r'>".i'.A T...q?~~~":.r.l"'q
0: SITE INSPECTION: To be roode after
e:xaavation~ but pr>ior to set up of
. forma.
O : UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
. work is .:ovcred.
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FOOTING & FOUND.1 T ION: To be roode
after trenches are excavated and
forms are 6rected~ but prior to
. pouring concrete:.
UNDERGROUND PLUMBING. SEWER. W,1TE.~
DRAINAGE: To be rrade prior to fil-
.lir.g trenches.
D. UNDERFWOR PW/.$INr, & MFjCHANICAL:
. To be made prior to inGta Uation of
, floor insulation or decking.
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POST AND BEAM: To be made prior to.
installation of floor insu.lation or
dec . -
B&H.lGH ~['~BI!;;; ELE~RTCAL' & MECH-
~ICAL: No.-JXfrk is to be covered
.w:t1.' J;nCSG inspections have beer.
made and approued. .
FI.l:fEPLACE: Prior to placir.g facing
materials' and before framing inspec-
tior:.
O FRAMING: Must be requeoted after
approual of rough plwr.bing~ electri-
cal & mechanical. A7.Z roofing
bracing & ehirrmcys~ et<:. mu.st be
. completed. !lo work is to be con-
"..;. cealed until this inspection has
~ b6",:n made and approved.
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O INSULATION/VAPOR BARRIER INSPECTION:
To be m:I.de after all insulati:)rz tr'.d
. - required vapor barriers are in place
.. ..' but before any lath~ gypsum board or
. .1 LJal1. covering is appUed~ and before
. ~y insulation is concealed.
DRYWALL INSPECTION: To be made
after an drytJaU is in place,
but prior to any taping.
O. MASONRY: Steel location~ bond
beam::~ grouting or verticals in
accordance TJith U. B. C. Section
2415.
O WOODSTOVE: After installation is
ccmpleted.
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CURB & APPROACH APRON: Afte:- forms
are ere<:ted but prior to pouring
aoncrete.
SIDEWALK & DRIVEWAY: For all. con-
crete paving within street right-
pf-way~ to bc made after aU exca-
vating complete & form work & sub-
. base material in place.
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O PENCE: Wher: CO.'11pZ...te -- Provide.
gates or movable sections through
P.U.E. '
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'DEMOLITION OR ;'.:OVED BUILDINGS
=:J Sanitary Se".Jer eapped at p:.op~r~' lir:e
~ Septic tank p:c::pGd and fi'L'le~ with ~a~8Z
:J Pinal - (flten above items are ccmpleted
and when demolition is complete or struc-
ture moved and premises cleaned up.
Mobile Hernes
:::J Blocking and Set-up
:::J Plumbing con~ections -- ~,aJer and water
:::J Electrical Conn.ection - B7.0cking~ set-up
and plumbing connections nr~st be approved
. before requesting electrical ins?ection
:::J Accesso-r':j' Building
:J Pinal - Aftar p::Jrcr.es~ skirting~ decks~
etc. are camplet~d.
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All project can.ditionB~ such as the installation of street trees~ co~lation of the
required landscc.pir..g, etc. ~ must be satisfied before the BUILDING PINAL can be requestad.
[1}-tt11AL PLUttBlllG
o FIliAL MECHANICAL
o FINAL ELECTRIGAL
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FINAL BUILDING: The Pinal Building Inspection must be requ.eoted after the Pinal Plwnbing
Electrical~ and Mechar.ical Inspectionn have been made and approv'ed.
-ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIB['E~ ADJUST!!ENT TO BE U/J.DE AT NO COST TO CITY I PaFe of 2
NO. 2:)<1U )(Y)OLAR ACCESS
'OccuDancll Grot...
WT TYPE:
IJOB
Zone:
Lot Sq. Ft:;.
S of tot Cooerag.
!I of Stories
Totat Height
Topography
IITE:M
lM:Iin
I Gc:raae
I Car>ool't
I ACCeSBOl'U
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IS.D.C.
TOTA~ VAWE:
(vc/,UC)
1.5 :J:
Building Permit
State SUrcharge
Total Cha.~gea
IITE:M
I Fi:rturea
Reaidmtial (1 bath)
Sanitary SeLleI'
Water
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Plwnbing Permi t
State Surcr.apge
Total Charaes
IITE:M
Res. Sa. fto.
NQ.}/Extend Circuits
I Temporary Se~ice
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Electrical Permit
State Surcha:rqe
Total Charc:es
lITEM
I Furnace !!TU' S
I E:rha:us t Hood
I Vent Fan
I JloodstOTJB
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Pel"rrrit Issuance
Mechanical Permit
State Surcharae
. SQ.FTG
I NO.
I NO. ,
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I NO.
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Total Cha:r('U?S
i -- E:NCROACHMENT --
I Sec-.a'itu Deoosit
I Stcrage
I Maintenanae
I Permit
I Total Charoocs
I Curbcut
I Sidewalk
J Fen::e
I Electrica Z. Labe l
I Mobi le HomB
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I TOTA~ AMOUNT DUE:: ,
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: i~#a#-~
5~.\Q.I,/signad /' / '
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FE:E:
FE:E:
FEE
Interior
Comer
Panhandle
CUt-de-sac
Value
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CHARGE
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1~.~1
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15~. iCLI,
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CHARGE
CllARGE
t'age i::;
REQ.-
L-cod~
TYDe/Cor.st .'
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Bedrooms:
EneJ'GlJ So:.wce8
Heat
Water> Yeatp..,.
Range
Fi1'8Dlace
Wood:;tove
Tur;e
I Lot Faces -
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I P.~.
INorth
IE:eat
ISouth
IWeat
Setbacks
Hou8e I Caraqe
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Access.
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Fees
Building Vcilue & Permit
This permi t ia granted on the express condi tion that the sa'id construction
shall~ in all re8pect8~ conform to the Ordinance adopted by the City of
Springfield, inc!uding the Zoning C'r'dinance, regulating the construction
and use of buiLding8~ and m~y be ~uDpended or revoked at cr.y time.upon vio-
lation of any provisions of 8a~d Ordinances. .
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Iplan Check Fee:
Date Paid:
IRecdpt #:
I Signed:
Plumbing Permit
No person shalt construct, ins taU, aUel";or.change any new or e...-isting
plumbing or drainage system in ~hole or in part~ ur.le8s such person is the
legal possessor of a valid plumber 's license~ e:r:cept that a pe:oson may do
plwnbing work to property which is O1.Jned, leased or operated by the appli-
cant.
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Electrical Permit
Where State LaLJ requires tr.at the electrical work be done by an Electrical
Contractor, the electPical portion of this permit shatt roOt be valid until
the label has been signed by the Electrical Contractor.
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Mechanical Permit
P7.an Exannner
va"e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that aU info:omation hereon is true and correct, and I
f'oirther certify that any ar.d all work performed shatt bs done in accor-
dance with the Ordinances of the city of Springfield, and th;: Uz:.;s of the
State of Oregon pzrtaining to the work described herein~ and that NO OCCU-
PANCY!.Jilt be made of any structure tJithout permission of the Building Di-
vision. I further certify that ~ly contractors and employees who are in
canpliance with ORS 701.055 wilt be used on this project
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