HomeMy WebLinkAboutPermit Plumbing 1987-02-19Receiot #
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SPHI]{GFIEL.D
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GenetaL
Date:
I ntnbe?, iob aCiz.ess, type
nunber. Requests receixed
of inspeelicn
befcte 7:00 an
It iE tha reepoaaibilitg of the penrtt holter to aee tltat aLL inspections ee nade at the propet tine, thdt each address is reaCahie
fln tlu street, atd tlnt the penrit eatl. ie Located at the ftont of tle property.*AuiUi.W Ntsiciot approv^ed plan slu.Ll remain on the Building Site at aLL- tines.
PPOCIDUPE FOR INSPECfi?N RE)LEST:CALL726-3769(recotdet,) state you? City desigtnted job
requested and uhen you uiLL be z,eady for inspection, Cont?actot,s o! Anne"s nane end. ptnne
t""il,L be nu.de the aane dcg, "equests ncde after ?:00 an vtLL be rnde the nect:,ntking day.
You? CitA Desigr,ated Job llunber fs 0
SI?E INSPECTION
e.ccauation, but
lo be made afterprtor tc set up of INSULA?TON/VAPOR BARRIER ilISPEC?ION :
To be made after aLL insulaticn ctd
required oapor bavie?s @e in place
but before ay la.th, Wpst/rn baatC or
tnLL coueri.ng is appLied, attd. before
or,y insulation is concealed.
DRYITALL TNSPECTTON: Tc be nade
@er-dt'&yad-te in place,
but prior to any taping.
I,IASONRI: Steel Location, bond
beons, grouti,ng or oerticaLs in
accoydotee tLth a,B,C. Section
2475.
ilooDsT01,/E:
cctftpT;T;A.
After ittstallation is
CURB & APPRCACH APPAN:After forrnsee et ecteC but prior to pourtng
cone?ete.
SIDEI,IALK & DRI',WAI: For aLL con-
atete pA@GTffi st?eet right-
of-tny, to be made after aLL erca-
oating camplete & forn Lnrk & sttb-
base matertal in place.
DE!.IOLTTTAT OR !,!OWD BUILDINCS
forne.
ANDERSLAB PLUMBING. ELqCTRICAL &
WCHLIIfCAL: To be nale befoz,e ang
ttotk is coueted.
F0)TING & F)UNDAIICN: Io be maCe
@erEen 6 a". etcatsated and.
forns ote erected, but prior to
pouritzg ccncreta.
ANDgRGROUIID PLUMEING. SE'/ER. WATER,
DRAIilAcE: ?o be made prLot, to fil-
@TJnchee.
ANDEPELOOR PLUI,DING & MECHANTCAL :
of
floor insula.tion or decking.
POS? AND BEAM: ?o be nade prior to
installation of floor insulation or
decki,ng.
ROUGH PLU.IBII]G. ELEC?RICAL & MECH-
ANICAL: No uotk is to be cooet,edwtil these inspeetions haue been
mad,e and approoeC.
FIPEPLACE: Py.Lor to plceirg facingmaterials ard befot,e fronLng inspec-
tion.
PRAI'IING: lhtst be tequested after
apptoual of rough plurnbing, electyi-cal & meclwnical. ALt roofing
braclttg & chbtmeys, ete. rmtst be
. eotnpleted. Ilo uork is to be eon-. cealed until this inspection lns'been mad.e anC approued.
When cotnplete -- ProtsiCe
oy mooable sections through
?ENCE:
gates
P.U.E.
PTilAL PLUMBING
PINAL MECHANICAL
FINAL ELECTRICAL
ALL project conditions, sueh as the i.nstallation of street trees, conpletion of the
requined Landseaping, etc., rmtst be satisfied before the BULLDfNC FINAL can be requested.
EINAL BUTLDING: The Fina
Electrical, and Meclunica
L Buildirq Inspection mrct be requested after the Pirnl Plunbing
L fnspeetlons lwte been nade and approteC.
/?? s ,4/5THJob Locaticn:
Tas Lat #Aeaeesors Map #
svbdioision:
T/cht"/ 7E&Asnet:
T//?-Phone:Addtess:
City:
Ltrt-l
ValueJ1q-K4lDate of
Additian
RenoCel '?L"h4'-
DeacqLbe l,lork:Ur,ful /
Plunbing 4A
Mechanieal
Sardta4 seoet eappted at properfu Line
Septic totk ynped and. fi.lled rrLth gra;sel
Final - Wen abcue itene ore ccmpleted
and uhen Cetnolition is cantplete o? sttue-
tuz'e nooed od. prenrLses cleaneC up.
Mobile Hcmes
Blocking otd Set-up
Plunbing eonnections -- sa)e? otd. uatet
Electyical Connection - Blocki.ng, set-up
and plwnbing eonnections rn;st be apprcted
before requesting eleclyLcal inspeetion
Accessory BuilCittg
pcrches, ektrting, decla,
1 ^L^s
Final - After
etc, ate cotnp
Page 1 of 2
r
*ALL !,|ANHCLES AND CLEANOUTS MUS? BE ACCESSTBLE, ADJUST\IE\\T TO BE r44DE A? N0 COST ?0 Crty
.. RESID' .JTIAL..
T APPLICATION/PERIIIT
225 North Sth Street
SprLngfield, oregon 97477
Building Diuision
7 26-37 53
t
Conatructton_Leder_ __
trr
LLsc. #?ho',Uont?actors Address EapLPes
/7 ,4 I I
ELectricaL \,)
SOLAR AC^ESS REQ.-dJOB NO L-CO
Bedtooms
!!eat
AccessP. L.House
Lot Eaces -bt Sq. Ptg.
7 of Lot Cooetage
# of 9tortes
?otal Eetght
Iopogrqhg
fntericr
Corner
Panhand.Le
CuL-de-sac
LCT TWE
D-^^
Building Volue & Permit
This permLt is granted on the ex'pt,ess condition tlwt the said consttuction
slnLl', in all rbspects, conformio the tudinance adopted 6:y the City of
Springfield, including the Zoning CYdinanee, regulating the ccnstracticn
and. use of buiLdings, ozd may be suspend.ed or reuokeC at cr'y tine upon uic-
l-ation of dty prcoieions of said 2rdinances.
?OTAL VALUE
ITEM f 1u x Va
S.D.C. 1.5 s
Building Pet'mLt
Iotal Clarges
State Date PaLd
Signed
Recedpt #:
Plumbing Permit
No pereon stnll consttuct, instal'/., altet or clange anA neu cr eristing
plwnbitq or dtainage systen in ulale or i,n pott' unless sueh person is the
Legal possessor of a tsalid plunbet'ts License, eccept tlnt a Pe"son mag do
plwnbing uotk to p?opetty whieh is otrned, leased or operated by the 6pPLi-
cant.
NO CHARGE
y0
*
Fi,ctutes
Resid.zntial (1 bath)
Seuer
Pltnbing Perwtt
State {
Electricql Permit
Whez,e State La,t reqtires th,at the eleetrical uork be done by an Eleett'i.eal
Contractot,, the electrical portion of this perrnit slnll not be oalil until
the label has been signed by the Electrical Contractot'.
L
Nan/Evtend. Circuits
Setltice
State
Iotal
NC.FEE CILARCE Mechqnicol Permit
llcodstotte
Vent P@t
Eshanat HooC
,s
PermLt rssuntce
Mecltanical Pemrit
-- ENCROACHMENT -.
Sec"r'itg Deposit
Storage
Maintetlanlce
Permit
C:urbcu!
Sil,asalk
Yenee
Electz,ical Label
PLan Exaniner Date
I HAW CAREEULLY EXAI,IINED tle contpleted application for perrnit, qnd. do
lerebg certify that aLL infortnation hereon i.s tmte attd cotrect, artC I
further certify that any ard. aLL uork perforned slall be done in accor'
dance tLth the 2rdinances of the City of Spr"ingfield' and the La:ts of the* State of 1r'egon pertaining to the rprk Cescribed herein, cnd that N0 1ccu-
PANCY uLtL be naCe of atlA structure uithout permission of the Bui1.ding N-
uision. I fu.tther certify that otly eontractot's and enplcyees uho are in
eanplianee uith oRS 707.055 ai.LL be used on thte proiect
?otaL
2 -rc -r1
TOTAL AM1UNI DUE: *3l.zc Date
Total Charoes
State Surcha?qe
Mobile Honte
THE HoUSING AUTHORITY AND COMMUNITY SERVICES AGENCY OF LANE COUNTY, OREGON
PURCHASE ORDER
EI
E
I
NOT VALTD tN EXCESS OF $100.00
Unless Approved on Lines 1&2 Below
VENDOR:
Mail Invoice to:
HACSA of Lane County
Atcn: Larry Abel
177 Day Island Road
Eugene, OR 974Oto17
P0#Ne 10294
DATE d.- /?-92
'€
DAIE t-/7-
INVOICE
NUMBER
INVOICE /zShow PO# on Involce, ShiPment
or Correspondence
Check Appropriote Boxes, fl Material Picked Up ft Ship Prepaid to Agency EI NET g
-
Dlscount
UNT'
PTICE
Dtsc.
%NET AAOUXTQIY.ACCOUNT COOE CHARGED
D ivis ion/ob i ec t /Program
o,L"
*r,20-5/
-
DESCXIPIION
4o*l;, ftro,,h
# t?oas{
&lsrcT &srr<
lqqg /U, 5
S7*4, Ct?,
LL
Acr of 1970 29 U.S.C 651, PL gt-596) ond by Oregon Worka/r
docr nof conforn to thc OSHA ondlor OSEA rtondords ond/or t
o nd/or rcEulorioru Prornu lgottd
Sofc Employmcnl Aa ol 1913 (.:
re?urn lh. Ptoduct fror corrction or nploc;ncnl
NET IOTAT
by rhc U. S. Drportncrn of Lobor under ttra OePoriorcl Sofcty ood Heohh
SB ,I4.ORS 654.00I io 651.295 qnd 65,{.991). in thr evrot lhr product rold
per{ormed bY thcot lhe :rllr/r oprion ond at lclle/l lxpcar' Srnicc.r
lhr bvyir ol buyrr'r r:pen* io thr cwnl rcllcr foilr
"Seilcr worront: lhot the p roduc, rold or reryicc rendcrcd to the buycr rholl confom fo thc rtondords
Conpcnslion Boord rnder thc Oregon
r?gu lqtions, ihc buyer moy .o mokr rhc op-
tcllcr which do not conform ro thc OSH ,/OSEi\ :tondordr ond,/or regulotiont mult
propriotc corraction within o raqronoblc timc." "NOTE: This purchorc :ubiect to oll oppiioblc proviriom
The above items are requlred ln the operatlon of this Agency and
the expenditures they esent are an approved budget charge.
a-/7
APPROVED AY OATT
bc corrccted by thc :allrr ot thc rlle/: arPcnra or by
of ORS Chaptrr 279 on public codlro<ting-"
or
.,
APPIOVED CY c-L4-28 OATE
/?hovc bten rcctivrd or Porformcd ond hnvr bocn acrrPtad.
OAIE
a€ 9vz,b7 l'ltl '
-
!
Subdiuision:
Ot tner:
Address:
City:
Nea
l, ol
)4w
a(59
-c/c.
ht-tJrd
[-/(?-{
" RESlDf {TIAL "
APPLICATION/PERMIT
225 Nov,th Sth Street
Springfield, )r'egon 97477
Building Dtuision
7 26-37 53
"rob Loeaticn:tu gil sn
Aesessore I'lap fl l0
SPTINGFIELD
Tas lat #
zip:
Desez,ibe llot k:
Value .3
Iour City Desigr,ated Job Nunber Is:
INSULATION /VAPOR BARRTER il\SPECTION :
To be maCe after aLL insulaticn ald.
requiz,ed uapor batrie?a ore in p|.a.ce
but before ang Lath, g7psun bcarC or
tnLL coueting is cpplied, and beforeag insulatton is concealed.
"r/
rtit
*0 !
Additicn Dcy,c"r 1 p/cte.tl /d, /<parL ?d
lfi on^oou,@
Date of App Lication
Genenal
ELectrical
L
Constraetion Lender
Date:-8
I numbe?, iob aCiress, type
numbet. Requeste receixed
of inspecltcn
befcre ?:00 ct
It ia the reaponaibi-LilV of-tta petwtt ho_lder to sae that aLL inapectione a.ra nade at the p?oF)e? tine, that cach,zddreee ie reeC-hie
ty.-t!r.. atree-L,. and that the -pemrit .eat'd id Located at the fu,oni of the properfu
'Butlding Diuisiot appro"-ed plan shall remain on the Butlding siLc at aLL'tihes.-
P?)CSDUP\ FO4 I\SPEC?I1N,E!-Q_ yEST:CALL 726-3769(recotder) stdte Aou? City desigrnted jobr-e.luceteci ar.,7. .rshen you uiLL be ready fot, inepeetion, conttactors oIr anne"s ncne Lnd plone'ILLL be nade the sane dcy' "equests made aftet, 7:00 dn urtll be nade the neot :sotking'da.y.,fllbcK
SITE INSPECTI1N: ?o be nade after
escaoation, but pr-iar tc set up of
fomns.
I--1 UNDERSLAB PLUMBING. ELECTRICAL &
i I MECHT_ilICAL: To be nade befoz,e inu
uo?R Ls coue?ed.
i-l F\pTINL & FOUNVATTCN: ro be rmCe: I after trenches are ercauated and.
forms are ereeted, but ptior topourtng ccnetete.
-
UNDERGRIUIJD zLUMETNG. ;EWR. II.ATER.'. I DRIINACE: To be nade prion bo fil-Lira trenchee.- ?\-fu Etognrr,oqn prulnnrc a uraunrcnr,,- | To_ be mad.e prior to installation of
floor insulation ot decking.
I P.9Sr AND BEAM: To be nade prior toI installaticn of floot, insulation or
decking,
-]-1 ROUGH PLTXIFIIIG, ELECTRTCAL & MECH.'lulett'w
hese inspeetions haue been
made and. aporoueC.
I FIPEPLACE: Prior to plaeiruJ faeinoI materials and. before franing inspel-tion.
-1 FRA\I|WC: ttust be Tecuected aftan
J apryoual of rough phmnlng, i1".i"t-cal & meelanical. - ALL robfing
braeing E- chinmcys, ete. nrust- beeompLeted. llo work ie to be edn-
., cealed until this inspectton hae'bee.n nade anC apptotted.
DRYWALL INSPECTI)N: Tc be nadeafter aLL CryuaLL is in plaee,
but prior to cng tapin4.
llA9g!_!!: Steel location, bond
beans, grouting or tertieals in
accordozee Llith U.B.C. Section
24 15.
WO0DSTOVE: Aftet, inetalTa.tion ie
ampleted.
qaB- {A?PR1ACH APP,oN
a.e ir.eitea nntiFld to
conc?ete.
SIDEIIALK & DRfWWAI: Eor all eon-c"et;n6fr- ulTffi stteet right-of-txq, to be naCe after aLL eroa-
uating canplete & forn uoyk & sub-
base naterial in place.
After forrne
' pouring
gate6
When eonplete -- prouide
or notsable seetions through
P,U.E
l
ll
l
FINAL PLUMBIIIC
FINAL MECIIANICAL
FII'IAL ELECTRICAL
ALL proiect conditions, such as the installation of street tlees, con-oletion of therequired Landsccping, etc., mlat be sati,sfied before the BUILDIN| FINAL ean be teqaeeted.
FINAL BUTLDING: The Ei.nal- Building. Inspeetion mtst be requeoted aftet the Einal plunbingEleatrical, and Mechanical fnspeetlors 'hqtte be"n nain- ird'ipprooni.
DEI.|OLITrc!] OR !,:OWD BUILDI\ICS
Sanitaty saser cappted at propettg line
Septic totk p;,rrped ald filled trtth ga;tel
Final - hhen abctse itens dre eanpleted
ard uhen Cqtclition is conrplete o" struc-
ture moued and. pretrtses cleaneC up.
Mobi Hcmes
Bloeking otd Set-up
Pltnbing conneetione -- aeue? otd uatet
Electtieal Cannection - Blocking, eet-up
and plwnbing connecti.ons mtat be approoed
before requeeting eleclrtcal inspection
Aeeessory Buitding
Final - Aften pctches, ekitting, decka,etc. are conpleted.
Page 7 of 2
*Ar'r' I4ANI\CLES AND CLEANOUT:I llttsl BE ACCESSIBLE, ADJUSTltEttl TO BE ttADE /1.T tto COST fO Cny
Phone:
I
*
b soLAR lEss REQ.-
Zone:
?otal
L-CO d
BeCtooms:
Receipt #:
I HAW CAREFULLy EYAILINED th.e eornpleted appli.cation for pemit' and do
herebg eertify that aLL ilformation hereon ie tmte dnd corl'eet' dnd I
further cet,tify that any ar.d aLL L)ork perfornted dltall be done in aecor-
dance urith the Ordinances of the City of Spr"tngfield, and the LGaB of the
State of Oregcn pertaintng to the wot'k Cescribed herein, md tlat tlo OCCA-
PANCY uill be nnd.e of any strueture uithout Pemisaion of the Bui.lding N-
uision. f further certify that only eontlaetors and. enplcgeea Dho are in
co::rpliance uith ORS 701.055 uiLL be used on thie ptoject
PLan Etantner
Lot Faees -Energty Soureds Titoe
Setbaeks lleat
DT House Catage Access llatel lleatetNorth
East Fireplaee
South Waodstote
I of Stories
Total Height
Iopographg
LCT TYPE
_ Intenicr
_ Corner
_ Panhandle
Cul-de-sac
Iot Sq. Ftg.
% cf Lct Cooerage
Ilest
D-^^
Building Vcrlue & Permit
This permLt ts granted on the etpress condition tlnt the sail. conattactionslnll, in all reepects, conform to the Ordinance edopted g;y the Ci.ty ofSpringfield, ineluding the Zoning Crdinance, regulating the ccnsttaiticn
and use of buildings, cnd mey be suspend.ed ot, reuokeC at cnA tine upon oic-
Lation of any prcoisions of said Ordinances.
SQ. FTG VaLue
TOTAL VALUE
Date Paid:
?otal Clnrges
ITETI x
Signed:
S.D.C. 7.5 r
aDuildinq Pennit
State Sutcharge f{,u
.?0
Plumbing Permit
No person shall constntet, instal'!., aLter or ehange anV ned cr eristing
plwnbing or drainage BAsta'n in uhole or in patt, unleas such pereon ie the
Legal possessor of a oalid plutnber's License, e$cept that a pe"aon nny do
plunbing uork to property uhich is onned, Leased or operated bg the appli-
eant.
FEE CHARCEITEM
Fi.stures
Residential (1 bath)
Sani Seuer
Plunbing Petnit
State
L
Electricol Permit
hthere State Lad "equites tlnt the electrieal uork be done bg an Electtieal
Contractor, the eleetrieal portion of this petmit ehall not be oaliC until
the Label lns been sigted by the Electrical Cont"actor.
L Permi.t
?otal
FET;
Neu,/Ertend Ci.rcuits
?anpor@y Seruice
ITXM
Eshdret HooC
CIIARCE Mechqnicol Permit
Yent Fot
llcodstote
Permtt rssucnee
Mechanictl Permtt
-- ENCROACHMEN? --
Secarity Deposit
Stotage
Maintettance
Permit
Cvtbcut
Sida,talk
Fenee
Electrical Label
Mobile llone
TOTAT, AI'TOUilT DUE:'/8 zc Si qn ed Date
/4:
JOB NO.
Fttnaae PTU'S
HOUSING AUTHORITY AND COMMUNITY SERVICES AGENCY OF LANE COUNTY, ORIGON
NOT VALID IN EXCESS OF $ZOO. OO
UnLess approved on fines 1&2 below
PURCHASE ORDER
Mail Invoice to:
HACSA of Lane County
Attn: Larry Abel
177 Day lsland Road
Eugene, 0R 974Ot
Show PO/l on Invoi-ce, Shipment or
Correspondence
tr ship Prepaid to Aqency[ NET tr
POII N 9 2858
DATE -tVENDOR:
CtrT o€,/d-INVOICE
NUMBER
INVO
DATE '"r - /c' tr)
Check Appropriote Boxes: E Material picked Up Discount
Barad/'. L o F-4-*4-4d
"Seller worronts thot the
DESCRIPTION
prod
I, PL
NET AA{OUNT
obove moleriols or seryicec
ond hove been occepted.
f"/r*t h-roa
t??g il, gbgF
+P4.q.,
/-/c .D
does nol conform lo the OSHA ond/or ond/or regulolions, lhe buyer moy relurn seller's option ond ot seller's exPense.Sewices performed by the
seller which do nol conform to the OSHA/OSEA stondords ond/or regulotions must be corrected by the seller ol the seller's expense or by the r ol buyer'r expense in lhe evenl seller foils lo moke the op-
NET TOTAL
uct sold or service rendered lo the buyer sholl conform lo lhe stondords ond/or regulotions promulgoted by the U. S. Deporiment of Lobor under lhe Occupoiionol Sofety ond Heolrh
ond by Oregon
OSEA slondqrds
Worker's Compensolion Boord under the O 654.001 to 651.295 ond 654.991). ln the event lhe product so,tdregon Sofe Employment Act of I973 (SB 4'{-ORS
the product for correclion or rePlqcement ol the
Acr of 1970 (29 U.S.C. 65 9r-596)
propriote correclion within o reosonoble time." "NOTE: This purchose subiect to oll opplicoble provisions of
The above items are required in the operation of this Agency
and the expenditures they represent are an approved budget
charge.
APPROVED BY DATE
ORS Chopter 279 on
- I cedify
PR,ICE
UNIT Dtsc.ACCOUNT CODE CHARGED
Di visi on/0b ject./Proqram
/t9e*
/ gto
2.
APPROVED BY
c-14_27
DATE
hove been received or performed
DATE
o/oQTY,
I
HOiJSiNG AUTHoRITY & URBAN RENEVAL
-{GENCY OF LANE COUNTY, OREGON
342'6081
HOUSTNG AUTHORIY MEMO 177 DAY ISI,AND ROAD
POST OFFTCE 80X 907
EUGENE, OREGON 9740I
/
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