HomeMy WebLinkAboutPermit Plumbing 1983-05-17APPL;CA!IOII/PERI4IT
225 ilonth 1th Street
Spi-ngfielC, 1z,egan 97477
EUL LGINA DLV^LALAN
nnn an.--/ aO-O / D.)
SPFiINGFIELD
Job !,oezticn:
07zL7 270aAesesaoz.: )!ao I !
Sub<i!.rJsicn:
j->let:
.\d&ess:
Describe ilork:
r-t S$lrsf
icce of Apg liea:icn
ACCaracn
RatroCeL
Date
tf a\l nD \.ArE;
Sanitatl seuet eapoed =t ptcperti Lire
Septic totk y.i::ted a,-d. f.JLLa<i trith gratei.
linal - i,,\ten abcue itens ate cctalexeiani xhen Tenclitioz: is eqttlele cr st-;:-tute naued ori tretiaes cibaned ut.
Ecnes
Blocking ad Set-tp
?Lanbir'q ccnnec icns -- saie? eL aalzt
Elecdccl Cotnection - Blockitt4, se;-u,
and. plwnbing coanections r;st be qp?cted.
bei'ore z,equesting eleetrteal insaeclio:z
Accesscti tsuiliing
Fttal - !,ftar icrekes, skirting, Cec);,
etc. @e ecnc|e:zd.
?zie 1 of 2
I-) ia '-he reexoncibili;y of the penrtJ itol-der to see that eL! insoectianst cre natie at lhe;-y.-tP stree.t' anc' thct the oenrit c;r'd, ie tccated at the fr<zi of tl,.e properfu. -
a1uiUiq v-ui:zon a:roxeci plLn si-Li renain on tii i|l;.ai"b--S:iic'at tLL ttnes.
Coastactic-n Letier
tra<ie '"he sane icy,
;CALL 726-3769 (recorCet) state yout' City d.esiq".ated job
':Jcu ce teeiy fcr ir"spaccion, Coniractcrs or A-zex,s r,.ane a,C pl"ane
ptope" tine, thet sg4l1 .1l,itsgs is p2a;a|^i2
'ntti;ber, jab aCiress, type of it.soec=icntunbcr. Pequests reeeixad befcre ?:C0 si
"equests ncte aft€? ?:00 c,t urLLL be nade the nest tnrkinq
yote Ctty'Desigra,ted Job ltunber !s:r ee-r ?!rq:a-7-!r.
ucA;icr1;aG ?o be tw.ie afier
prior to ae! uo of
lt:tD!?sL;z ?!:;:.3::tG, ZL?C:PIC,1L Ii€CiiiiiCAL: lo be nccie beiax'e cnyuork is cctsctei.
FC9lliC , ?CU:|DAT:C!I: ?o be ::eCe
-
cj:et alo-nci:es :.re escgscteci arui
fozns.
fcnns c.re ereclei, but
eanc"et€
irancnee.
TilSULA?IAN /VAPOP SA.RRI3R iIISPlCifiT| :
?o be naCe aftet aLL ins-ulcticn cti
required uqoz, barie?s @e in place
tat before atg lath, {!?sult bcari cr
unLL coueying is cpplied, crd. beiore
e.A .i,-sulc,tion is :oncealeC.
DRftlA.LL illSPlC!fi)t: Tc be naie
afaer aLL aryuall is ,Jn place,
bui prtor to atty tapin4.
IIASC!|R!: Steel
beans, groutina
a,ccor4oee ,,tith
2415.
'iOADS?1tn: After installation is
anoLeted.
Q!?L} g?RcA.Ct! A?9CN: Aftet fornadG;teciTffiVior to porrr"l."q
cotre"ete.
SIDtril.LK 4 DRI-;E\I'A?: Foz, all can-
crexe pauiry uixhtn stz,eet right-of-t"z!, tc be naCe ai'ter aL! ezcc-
uating cqroi.ete & forn ',;ork ,1 sub-
base nctertal in plaee.
Location, borui
oP te"ticcls in
U.ts.C. Seettcn
u!t99P|i.ic? ?Lit!.9ttG I !.!cl{.ylC;!:lc be nzie =ricr :c tnstcli.a=ion o:
J-l.oor :nsui.c:-'-an ct cecking.
-D09T AilD 3EA!l: To be r.cCe pr--ot, loinsxalk:;-cn of floor irsui,ztiaz or
Ceckrrq.
a^t'.! >,,^.orlt- -a-4o?^.:-iv-.:--6- 1 .-4.,1-A;l::;:: ,io ';cry. .Js =c ce co.-er2c
io:=il :hese '-nsoee=iats 'n;;se :eer
nace =rd. Tprc:ie!.
FIP!?I,ACZ: Nor ..o picc:.rq l;c-)ngncteria;s crd. befcre ;'tctixg lnspei-!iot-
F?.e-'!IliC: ]htst 'ce tec.tesceC cf2er
appro*;L ci ruugh 7iu-ainq, elec:r|-cal I necizntca|. AL! rcoijr4
bracirg 3 chi,rneys, ete. atsc beccilcleced. ,'lo ,ct k is to bo- con-
cecied untii this insoecicn 'ras
been nad.e cnC aporc"-eC.
l. st;,u pLU:lBr:;c
l- et:ur :lsi'tAtrcAL
,-] .=rraz ztzc:elr;i
!!tlC!: l{hen conolete -- ?rcuiie
gates o? novable ;ecxians through
DII?
.ALL I4Ai;IiCiiS AIID CLEANCIJTS IMST BE ,1CCES3I31.!, ,4DJI,,JS1:!]:;! lO 3i :iADE .r3 ilO ::S? TC CI:Y
ALL project ea.ditions, suci as th,e insxallaxicn cf slreet i?ees, :c-:!ecion ci ;iereqtired Lancscccirg, etc. ' :nlst be scxisiled befcre the SU|LD|:G Ff|lAL :cn be reqaescei.
?IllAL tsUfLDi:lc: Tne Ftncl. Eut-Ldirg lnscecticn:tst be requested, zi'-er the ?i"al ?tttr.bir.qllectrical, oc llecinnc-Jcci lnspecctcns 'i.avc been naCe a.C'ctaroued,.
.. RESIDENTIAL..
f1 ,,ou-tr, ,"^,
Jc
r
T
,--.9
JOB NO.
bt Sq. Ftg.
1 cf Lct Ccuetage
I of Stor|es
?otc! leiEht
Togogrqtry
Mechanicel Perni;
soLAR AiCCESS REQ.-
LC! :v?i
_ ir-teriot
_ Corr,.er
_ Panitanaile
Cal-de-sac
L-CO G+
aexraans:
Reeeiot #:
Sigred
Mecha:nicql Permit
).
aot ?eces -
-- Fzes --
I:Z:I :(Building Vcllue & Permit
This pentr-t is eranted on the eq?ess =oruiiticn tiut the said.conscrtc=ion
shall, in zil teseects, confctm tc ;he Srdirarce tdopteC, by the CitT cf
Sprt-rtg!")e!d., incl-ilt.g ;he loninc Criircr.ce, tegulatirtg the ecns;vtei:.cn
otti use of buildirqs, aod n:E be ;ustena.eC or re,tckec et ct'! t')ne ttcn',tic-
Latian cf zny pz,cuisrons of sa",C Criircnces.
^^a.f
,!1f .'c
(ncs.D.c. 1.5:
14 uwettJ
Stc.te
lolal Clanges
i:u. I : !3 L r-4i-',r:Plumbing Perrnit
Ilo ?erecn slall cor.si:t""tct, instal!" alter ot change any ?iea cr e:istittg
plwnbirq cn drainage systel in ahole on in pan.t, unless such person is t'|,.e
Legal possessor of e ualid plunber's License, e.ce?t that a pet'son nay do
plwbing aork to properb! uhich is ouzed, Leased or opetcted bg the appli-
@tt.
iis:ures
Residenti.a,L (1 bath)
Seue-
I
?Lwbl.ng Petrit
t
Electricq I Permi t
We?e Std.te La,t requiz'es thz.t the eleedeal uork be done by arz lleetrtcal
Conttycto", the eleetrical portion of this permit shall not be ocliC until
the Label iu.s been signed by the Electrical Contlccior.
11 a.t / Eet ed. Circui'- s
lq@crav Sertice
S;.cte
::i:,!
?tr"r.g.ee ZTUtS
*ltast llooC
Tent ?ct
llcoisroie
-- ::tc?cACi;.:::t: --
9eatr.)au Da.csit
Stora.oe
q-.'n+*..F--
Perni,
Curbcu,
SLCa)A L K
)i a 7-d. ,An
l,lobile ilcne
I HAW CARE?ULU i1SltfiltD the eormleteC capZicaxicn ior peznit, cryi dc
hetebg ceriify ,lct aLl it;rtcntation hetecn ls true cr-C ccrrecz, cz,7 i
farlher cettali :het ang crd all'-ark =er1'otned shall be dote in actcr-
danee tith th.e Ard.incnces of the Ci;y cf Springiield, ard, rhe Lans of ;he
Stute of 0regcn pettaininc to tke uo"k Cesc.*)beC heretz, cnC :it: :i0 0CC!.1-
PLXCI ,,rLLL be rd.de oI' cn! s:-,-"tc'cu1,e uitkout terztrlssiott of the Suildin_a 0i-
uision. f f,tz,ther :ertii, th-at o:tly ccnirdctors ai anplcgees aho ,zt= in
cct:pliance u:.th CRS 701-055 aiLL be used cn ihia prcject
,l/t
iCTA! A-\NUIT DUE:'
)
I
?ente
Elecetrcal Lciel
Job Number ,?i.2*/R
CITY OF SPRINGFIEI.D
BUILDING DIVISION , 346 MAIN STREET 726.3753
WE HAVE INSPECT'ED THE ELECTRICAL WIRING AND EQUIPMENT INSTALLED BY YOU AT THE PREMISES NAMED HEREIN AND SUBMIT
THIS REPORT FOR YOUR RECORDS.
D^rE //'J3 -P3
TO OVVI\ER OR
TENANT
LOCATION OF
JOB / t zP /\/, 5 t,4 sl,
E WTHNG A,PPROVED FOR CO\ER E A pERly{.T tS REQUTRED
E APPROVED FOX SERVTCE E HEAT CAB|-E APPROVED FOR COVER
E WTRTNG TNCOMptFiE tr UNDERGRO,ITND APPROVED FOR COVER
E WIRING COVERED WITHOUT INSPECTTON tr CofiDUlT SYSTE\^ APPROVED FOR CoVm
! DuE To THESE PREMISES BEING toCKED AN INSPECTION cOtlLD NOT BE,\ .ADE
E DUE TO NO ONE HOME AN INSPECION COULD NOT BE lvrAbE
n wtRrNG AppRovED FOR COVERTNG E(CEPT THf FO|IOWING
I
CITY OF SPRINGFIELD
WE HAVE INSPECI'ED THE ELECTruCAL WRING AND EQUIPMENT INSTALLED BY YOU AT THE PREMISES NAMED HEREIN AND SUBMIT
THIS REPORT FOR YOUR RECORDS.
TO cirwNen og
TENANT
I.OCATION OF
JOB
E WTRTNG APPROVED FOR COVER E A PERlvltT lS REQUIRED
E APPROVED FOR SERVTCE E HEAT CAinE APPROVED FOR COVER
E WIRING TNCOMPLETE E UNDERGROUND A.PPROVED FOR COVER
:D WITHOUT INSPECT1ON E CONDUIT SYSTE 4 APPROVED FOR COVERE WRING COVERED WITHOUT |NSPECfl,ON
., n Dt E TO THESE PREMISES BETNG TOCKED AN |NSPECTION COULD NOT BE M.ADE
E DUE TO NO ONE HOME A,N INSPECION COULD NOT BE A{ADE
I wrRrNG APPROVED FOR COVERTNG ErcEpT THE FOLLOWTNG
(
f?2
t
aia f-.'h i/ " n.ttt6ir ..". tL- , , ^'f..,r- ..)tit,/,n ..1v,<tc?rt,t^to :p;;);
Job Number INSPECTOR DATE