HomeMy WebLinkAboutPermit Plumbing 1987-10-27
.. RESI~T1AL"
APPLICATION/PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location:
1307
/703
M~/Wlt::' ./
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;:)~'J- ~. Ta Lot #
/f)DO ()
Assessor::: HIp ,
Subdivision:
14iVLtL k)AJc....
J SO '7 fJ-f,_/",-" r.:J.~ )
. . (/ I .
O:Jnel':
Address:
City:
UNm.
n Additicn
n Remodel
n ,'-labile Hcr.:::.r
1cjh -1/37
Pr.one:
Zip:
Describe lIol"k:
SOl
~~
~~
Dat. of Appli=ticn
Contractors
. (D-OJ. 7-f I'J
Value
Address
lVJ
;(: IA f'~ A , , ?1..A1 ..J
General.
Plwnbing
Electrical
Mechanical.
Con.etruction LtmtlJrr
/)eO
L Je'.
. Rcce-:.pt ,iI
/ /) L./;;z r;,
)~ &-O;C
CJ~O\ fill
k,llll?~
Signed:
Date:
ee-
f 0 -27 -x '7
Lise. Ii
Expires
PhOrlQ
"IF 3378;9
It is ths respcnw:ibilit;y of tJrs penrrit holtJ.e:to to see that aU inopeations a2'e made at the proper tim~, that each :;ddres8 is rea.dab~e
from the .t....t. and that tJo", penoit <='Ii is located at the front of the prope!"ty.
ABui?ding I>i.vi:::ior. apyror:ed plan shen ret:al2U1 an tha &r:.Zding Sit;;:. at aU times.
PROCEDURE FOR ..I.li~rJ:."H"",I/ ~:CALL 726-3769 (rr:eurderJ state your City designated job nw;-:bel', job aCCrcssJ type of in3pecticn
requested a'!;d u*'..en you ~i.Z be ready for ir..3pCCt:"'~on., Contractors or Ol.me::'s ncme end phone numbC1". Request8 received before 7:00 c:1
:.."iZZ be made thE; s.a:r=J8 dc:y, requests c:ade after 7:00 an t:JiH ba ma.de the next :.JOrking day.
r?'!'7'J":~o-f TMV'~H.r"J!}~
D SITE INSPBC"l'IO,Y: 2'0 b. =de afte!"
excavation., but p7'iozo to set up of
forms.
D
UNDERSLAB PLL~!Brr.G. ELEC?RICAL &
MECHANICAL: ~o be rmde befCD"e any
work is __.._ '.....1.
D FOOTIIIG! FOUl11JJtlIC}/: 1'0 b. mzCe
after trenches are _.ed and
forms tD'G ~, but pM..cro :0
pouri"!1~. ~
~UNDERGROU!!D F...mcJInc; ~. v.~
DRAINAGE: To be =:to prior to fi l-
. .l ir.g trenches.
o
UIIDERFmOR PWXBIllG & MEX:!IAHICAL:
To /xl 0ird8 prier to i=to llatimr of
floor insuZctWn or deckUrg.
POST AUD BEAll: To be =de prior to
instaLlation of fl..oa1- ins~latior. OZ'
decki... .
ROUGR PLmfflIHG_ ETECTR!CAL & NECB-
ANICAL: No:.mok is to be covered
. wztiL these inspeetior.s have beer.
made and app1"01Je:!.
FIREPUCE: &icJo to pl=i"!1 facing
mat.ri<I/.e and before f.....urg inspee-
tier..
o
o
o
D
FRAHING: 1lust be requested af-
approvaL of rough plun:bing, alectri-
.cal & mechani..""rll. AI! roofing
bracing & cJrirrrJ.k.--ya, e~. rruat be
. camp l.etcd. no oo1"k is to be con-
... cealed until this inspection has
. be.n made and approved.
~FINA~I1IG
Your City Deaigr.ated Job NwnbiU' Ia:
O INS~~ATION/VItPOR BARRIER INSPECTION:
To be made after al.z. insulation ~A
_ required vapor barriers are in place
. but before any la th.. gypsum bolU'd or
LXIlZ. covering is applied.. and before
any insulation is concealed.
O DRYWALL IllSPECTION: To be made
after an drywaU is in place..
but prWr to any taping.
O ~sauR1: Steel location.. bona
beam:J~ gr"OUting 01' verticals in
accordance with U.B.C. Section
241~.
O TIOOosrGYE: After installation is
ccmpletsd.
O CURB &. APPROACl! APRON: After forms
tD"e ~ted uu:t prior to pouring
oxm....-rete.
O SIlJEJ/ALX &. DRIVEWAY: For all con-
cz-ete paving Lrithin street right-
of-iiXZY~ to be made after all exca-
vating C01!plete & fom work & sub-
base 111D:te:riaZ in pla~e.
O :'EHCE: fIher: complate -- Provide
gate8 tH' movable sections through
P.U.E.
o
~70 l\~ I
I DEl.H)LITIOH OR ;~:OVED BUILDIilGS
=:J Sani tCU'y Be'..)er ~apped at p~op~rt':i lir:e
.=:J Septi:: tank p:.i."qJo;d and fiUe~ lJith :1ra~ez.
I Pinal - 1\11en above ite.-ns CU'e ccmplatcd
---1 ar~ when d~Zitior. is complete or stru~-
ture moved and premises aleaned up.
I Nobi le Hcmes
::J Blocking and Sat-up
::J Plumbing connections s~er and water
::J Electrical Connection - BlOCking, sat-up
and plumbing conr.ections nr..J.st be approved
before requesting electrical inspectio~
::J Acaesso1";:j Bui tding
, I
:J Pinal - Aft~r porches.. skirting~ decks,
etc. are complet(;d.
D
All project conditions.. such a8 the installation of st1'eet trees~ cO:':Tplotion of the
required Za.ndscapir.g, etc... must be satisfied before the BUILDING FINAL can be request3d.
o FINAL MECHAIIICAL
o FIliAL ELECTRICAL
o
o
FINAL BUILDING: The Pinal Building In8pection TiTUst bo l'equested alter the Final Plumbing
Electrical, and Mechar.ical Inspectiono havo been made and approved.
AALL MANHOLES AND CLEANOUTS HUST BE ACCESSIBLE, ADJUST!fEllT TO BE M..1.DE AT NO COST TO CITY I Page 1 of 2
I JOB No,fS/O~<J.l
I Zone:
Lot Sq. Ft{;.
s ~f Lot C""erag<
fI of Sto'ries
TotaL Height
Topography
I
lITEM
SQ. FTC
Main
Gerace
Cal"DOl"t
AcaeBBoru
I
Is.D.c.
TOTAL VALUE
(vat.uCJ
1.5 x
Building Permit
State SUI'charge
TotaL Cha.~ges
I ITEM NO,
I Fixtures
I ResidentiaL (1 bath)
I Sani ta:ry Sewer
Water
~ ~L~Pemit
State Surcr.arge
Total Charaes
lITEM
Res. Sa. fta.
I NeuJ/Ertend Circui ts
I Temporary Service
I NO. I
Eleatrica! Permit
State Surcharqe
Total Charc;es
lITEM
I Furnace ETU' S
I Exhaus t Hood
I Vent Fan
I Woodstove
Permit Issuance
Mechanical Perrnri t
State Surchmoae
Tota l Chal"(UUJ
-- EIICROACHMENT --
I SSC".4ritll Deoosit
I Storage
I MaintenantJ8
I Pcnnit
, Total Chal'ClC8
I Curbcut
I SidewaLk
I FentJ8
lE!ect~a! Label.
I Mobile Home
I TOTAL ANOU/IT DUE:'
I
I
I No person shall construct, instaU, alter 01' change any run.> 01' e:Lsting
, plumbing or drainage system in whole or in part, unless such person is the
~O 01() I legal possessor of a vaZid plumber's license, except that a pe:"Bon may do
- 'Plumbing work to property which is owned, leased or operated by the appli-
(~ ;-::t~~
-, :35;_ 00 1 )Oidf'JI~7
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j =?0', 7~'
I
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. SOLAR A_55
Occ:urxznc1.l GrouP
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
x I Value
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I I
I , .
,
I
I
I *
FEE
CHARGE
;;(0'
FEE
CHARGE
NO.
FEE
CHARGE
I
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I
I
I
l *
I
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I
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I
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1
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'3 (., .75'1.
.-....y;: ;;;.
REQ,-
L-COG~
.
T'ifve/Cor.st:
Bedroor.:s:
I Enarau Sources
I Iieat
I Water R~atp.r
i Range
I Firep lace
Wood3tot:e
I
Tut'e
I Lot Faces -
Setbacks
I P. L. House Carage
IlIorth
lEast
ISouth
IWest
I
Access. I
-- Fees
Building Value & Permit
This permit is granted on the express condition that the said construction
shatt, in all respects, conform to the Ordinance adopted by the City of
Springfield, incZuding the Zoning ordinance, regulating the construction
and use of buildings, and may be sU8pended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
Iplan Check Fee:
Date Paid:
I Recdpt #:
I Signed:
Plumbing
Permit
Electrical
Permit
Where State La;u) requires tr.at the electrical work be done by an Ele~trical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
.
Mechanical Permit
PUm Exanrt.ner UQI;e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that aU i~fo:omation hereon is true and correct, and I
further certify that any ar.d all work perfornled shall be do':18 in ac~or-
dance :vith the Ordinances of the City of Springfield, and th:: La::Js of thG
State of Oregon p~rtaining to the work described hersin, and that NO OCCU-
PANCY wilt be rrrlde of any structure without permission of the Building Di-
vision. I further certify that only contractors ar~ ~tayees who are in
compliance with ORS 701.055 will be used on this project
,'.--'1-=-_.c" 0 I I 0
St.gna
J 0-;)7-8'7
Date
) A )000 I
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