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HomeMy WebLinkAboutPermit Backflow Test 1988-6-6 ..-'..-."".......,,,......... _.I...h.....'... ..,.\ ......... _....._h.....~......, _ ..... ..._......-.......1.'~."......,....I.,....'~......... .. RESI~HIAL" APPLICAT10NjPERMIT 225 North 5th Street SpringfieZd, Oregon 97477 BuiZding Division 726-3753 Job Location: 38' d..1 rv\ ~ ASDSS.O"" Map # 17 C52- 3) 4-1 Subdivision: st. Ta:r Lot # O~ tDt5D i Rcce-:.pt fi II fA'=V vi c;O- nO ~ ()!:- . Q.mer: ~.. () ~~ 1. BJh.k. f VU-~ . ~, Address: ~B~I V)..l ~. , ~- PhJrie: I II, I City: ~P"';~ {:ze..Q.c.O Zip: q'7c.J.-77 n n n n 11m.! Describe r.'ork: Addition ~~~n0:~ RemodeZ !-lobile Roma Date of Application C;ontractors it:, - \0 General Ptumbing 'l2.; ok.-I- - Wa.... \S <.l ?L~ , !>.o, ~ 'fO::>~' ,,"\l~ -I t. "'17"01 Electrica1. Mechar.ic:z.1. COnstruCti07l Lender Value Address v" Sigr.ed: Date: ?4. ~~~ k.-(.,-~ Lisc.# Exoirocs Phone ~()-lqS-p.>. Il.~ ?J).. - CJ.oZ.O It is the rosponaibi1.ity of ths permit holder to S88 that all i7U1pections are made at t;h8 propsr tims, t1-.at each ~BS8 is readabZe froom tM streBt~ and that the permit caP<! is tocated at the frant of the property. ~Bui!din.g Divi=i.or.. appro'L'ed plan shatz remain on th2 Building sit:;: at all times. PROCEDURE FOR INSPECTION REQUEST:CALL 726-3769 {recorder} state your City designated job rnQ1';ber~ job addPcss, type of in3pec~icn requested ar.d when you IJiH be ready for inspaction3 Contractors or OI.m:ers name end Fhone number. Requssts receiv8d before '1:00 a::7 z.'"il.l. btl made the. same day, requests made after '1:00 am wiZ1. be made the next :xJrking day. R~mJi~~n T"~n~~tir.nR . . .. . o o SITE INSPECTION: To be made after excavation, but prior to set up of forms. UNDERS~AB PLUMBING. E~ECTRICAt & : MECHANICAL: To be made before any LJOrk is covered. o FOOTING & FOUNOA T ION: To b. mad. after trenches are excavated and forms are erected, bu t prior to pouring ccncret~. UNDERGF/OUND PLUMBING,. SEWER. WATER, DRAINAGE: To be made prior to fi"l- .1.ir.g trenches. o o UNDERFWOR PLUMBING & MECHANICA~: To be rna.diJ prior to insta"l lation of floor insulation or decking. POST AND BEAM: To be rr.adc prior to instaLlation of floor insulation or dscki"G . ROllGH P'lUUBIlJG. ET,ECTRTCA'l & MECH- ANICAL: No :JOrk is to be covered . w:ti Z. these inspections have beer. mads and approved. FIREPLACE: Prier to p7.acir.g facing matsM.als and before framing inspec- tion. D F~-!ING: MUst be requested after approvat of rough plwr.bing~ alectri- cal & mechanical. AlZ- roOfing bracing & chinmcys, etc. m-..lst be :"compZetcd. flo work is to be con- .~.coaL8d until this inspection has 'bs67I made and approved. o o o -- ~-- g F~~ PLUMBIIIG o FINA~ MECHANICA~ o FINA~ E~ECTRICA~ o Your City D8Sigr.atcd Job Nwnb~ Io: O INSULATION/VAPOR BARRIER INSPECTION: To be made after a7.Z insul~tian a:".d .. required vapor barriers are in place . . but before any lath~ gypswn board or LX2Z-Z- aoveroing is appZied~ and beforoe any inaulation is conceaZed. O DRYWALL INSPECTION: To be made after all d:rytJaU is in place, . but prior to any taping. . O MASONRY: Steel l.ocation~ bo1ui beamsJ grouting or verticals in accordance with U.B.C. Section 2415. O WOODSTOVE: After installation is xmp Zeted. O CURB & APPROACH APRON: After foPfTls are ereated but prior to pouring co1U!rete. o SIDEWALK & DRIVEWAY: For aU con- crete paving within street right- 9f-liX:.Y3 to be made after aU exca- vating currplete & form wrk & sub- . base nnteria1. in pla:Je. O PENCE: When compl;;te -- Provide. gates 01' movable sections through P.U.E. . o <?f<i( Dc./-g<!- . DEUOLITIO!! OR ;'.:OVED BUILDINGS ~ Sanitary se'Jer capped at p~op~r~' 1.ir:e ~ Septic tank pu.7ed and fiZZe~ with gra-:1.6l --, Final - r{hen above items are ccmpleted ~ and when demolition is complete or strua- ture moved and premises clBaned up. Nobile Bcmes :::J Blocking and Set-up :::J PZumbing connections s~er and water :::J Electrical Connection - Blocking, set-up. and plumbing connections m-..:st CB approved bsforc request~ng electrical inspection :::J Acaes$or~; Building --, Final - Aftar p:Jrcr.es, skirting~ decksJ ~ etc. are complet;ed. o All project conditions, such as the instaLlation of street trees, c~~letion of tne required landscc:pir.g, etc., must be satisfied before the BUILDING FINAL can be raquest;ad. o FINAL BUILDING: The Finat BuiU:1ing Inspection must be 1"oqueoted after tho Final Plwnbing Electrical~ and Mechar:ical InspectwrnJ have been made and approved. 'A~~ MANHO~ES AND CLEANOUTS MUST BE ACCESSIB~E, ADJUST!IENT TO BE IIADE AT NO COST TO CITY I Page 1 of 2 I I JOB NO. IZone: Lot Sq. Ft>;. S of lot Caverag& # of Stones TotaL Huight Topography ITEM I Main I Garace SQ.FTG Carool"t AaC8SS0r>U S.D.C. TOTAL VAWE (vaLue) 1.5 :r: BuiLding Permit State Sur'charge Tota l Cha.~ges lITEM I Fixtures I Residential 11 bath) I Sani. tary Sewer I Water I I I 1'Ba.c~ 1")._" U:l I PLumbing Perr.:i t State Surcr.al"ge Total f!ha"'ces lITEM J NO. I I Res. Sa. fta. I New/Ertend Circ:ui ts I Tempora:ry Service I Ele~trical Permit State Surcharae Total Cha.:Pc;es lITEM I Purnace HTU' S I Exhaust Hood Vent F(D1 Jloodstove Permit IS8uanc8 Mechanical Permit State Surcharae 'l'crtl"ll Char>tUUf -- ENCRDACH/.fENT -- I Sec-mtli Daoosit I Storage I Maintenance I Permit Total Char>Qcs Curbcu~ I Sidewalk IFe~n I Elec~l'ica l Labs l I MOM 'Le Home I I I TOTAL AMOUNT DUE:' SOLAR ACCESS Qccurxzncl{ C. LOT TYPE NO. I NO. I I I I , x FEE FEE FEE I , 1 I I IS.oe1 '-S- .'151 L5. '751. I , I , Interior Corner Panhandle Cut-de-sac Value I 1 I I I , I I I I I I 1 I I I CHARGE CHARGE CI/ARGE I I I I it /5 15 l'cge 4 REQ.- L-COG~ . Bedrooms: I Enerau Sources Heat Water YRatp-r> Range Fir6vlace Woods tave Tu'Oe Type/Cor.st: I Lot Faces - I Setbacks I P.L. House Caraqe Access. lNorth lEast ISouth IWest Fees Building Value & Permit This permit io granted on the express condition that the sa'id construction shall, in all respects, confo~ to the Ordinance adopted by the City of Springfield, incZuding the Zoning Ordinance, regulating the construction and use of bui~ing8, and may be sucpended or revoked at cny time upon vio- lation of any provisions of said Ordinances. I , . I I I I. Plan Check Fee: Date Paid: Rec~ipt II: I Signed: Plumbing Permit No person Dhall construct, install, alter or change any new or e=isting plumbing or drainage system in whole or in part, unless such person is the legal possessor of a valid plumber's license, except that a pe~son may do plumbing work to property which is owned.. leased or operated by the appli- cant. " Electrical Permit Where State LaLJ" requires tr.at the electrical work be done by an Electncal Contractor, the electrical portion of this pemit shall not be valid until the label has been signed by the Electrical. Contracto1". I , . I Mechanical Permit i I I I. I. I I I , I. PLan E:z:a;rm.ner va.e I HAVE CAREFULLY EXAMINED the completed application for permit, and do hereby certify that all information hereon is true and correct, and I further certify that any ar.d all work performed shall be done in accor- dance :ui.th the Ordinances of the City of Springfield, and tho: [4"':S of tho State of Oregon-, p~rtaining to the oork described herein.. and that NO OCCU- PANCY will be rrade of any structura without parnrission of the Building Di- vision. I further certify that only contracto1"S ar~ ~loyee8 who are in compliance with"ORS 701.055 will. be used on this project I I i~~ I . {fSd t:rfo -%6 Date