HomeMy WebLinkAboutPermit Plumbing 1987-10-27
.. RESI~T1Al"
APPLICATION/PERMIT
225 North 5th Street
SpringfieLd, Oregon 97477
BuiLding Division
726-3753
Job Location:
18/9 XJ~~/h~~
/ ry 03 ::J 53 -& f Tax Lot H
If) (nO
'T}1I~tVLJ Ru-c,Mnd
/ ~fq M~~ rJ Phone: '/'-/1-;:;~s/
Zip:
AscesGOJ"s Map I
Subdivision:
CUneI':
Address:
City:
QNptJ
n Addition
n RentOl!eZ
n ,'.!obi le Bcna
Date of AppZicati=
- !f)-;::)7-,f/}
C:ontractOI'8
General.
Plwnbing
Electrical
Nechar:.ic:J.l
ConstJ"'Ucti01l c.cnds:zo
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De.scribe WOl'k:
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Rcce:pt #
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Value
AiJ.dres3
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O1~D,111 \
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Siqr.ed:
Date:
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Lisc.fi
Exvil'CB
Phone
9F
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It is tho ttespD1Utibility of thB pcrcit holder to see that all inopectwna w-e made at the p2"oper tim~, that each .:zddrBSS is rea.dao~e
from the street, and that tJuI pel"'mit eaI"d is located at the froont of the property.
~Bu.iZdi~ Diui::im: appror:ed plan soctz. remain on tha Building sits at all, times.
PROCEDURE FOn IliSPEC'rION R~QlIE.~:CAlL 726-3769 (recorder) state your City dasigna.ted job nwnber" job adircss" type of in3pecticn
rfJqu.cstcd ar.d 'U..l:en y(JU lJiU be r-eady fol' inspection" Contr>actol's 01' Owners ncme and phone nwnbcr. Requ~8ts received befcl'e '1: 00 a-:1
lJ.~ll be made tJu; ~ dq~ requests made. after 7:00 am 1.1iU be made the next :JOrking day.
Rp.ml"l:"'S-1 T'1p,?m"'tfr.rnl
O SITE INSPECTION: To be =M after
e:rca:Jati~ but pri.cr to set: up of
forms.
O UNDERSLAB pU!lfBING. ELEC'l'RICAL &
MECHANICAL: To be rnde before any
. work is ao'Dued..
O FOOTING ~ roUlWATIC,7: To be nruie
after trencJuzs are e%ClZUQ:ted and
forms aN e:rected~ but prier to
pouring _.~ .... ).0
~ UNDSRGiXR/J.7fJ PLUNBING, SESI8R. fi.4TE.~
I DRAINAGE: To be =de prior to fil-
.Ur.g tJ."encJuu:.
O UNDERFLOOR pUlKBIliG & m:r:!JANICAL__
, To be made prior tD installation of
floor insulation OZ' decking.
O POST ANTJ BEAM: To be nruic prior to
instaZZaticn of fl.oo7' in:n.ilation or
Mckino.
ROUGH PLlJN.BIIIG~ El.ECTRICAL & NECH-
ANICAL: Ho:.101'k ia to be covered
,ur.tiZ tkeSfl inspect.ior..s have beer.
made and approvet!.
FIREPLACE: Prior to placir.g facing
material.8 and before framing in.spec-
tior..
O FRAHINC: JlwJt be reque.ated a/taP
approval. of roacgh pZur.-.bing~ alecm.-
caZ & mechanio:al. AI! roofing
bracing & chimneys" etc. must be
~. compZetcd. llo lJOl'k is to be C01l-
.",- cealed until this inspection has
~ b6~n made and approved.
o
o
,..-
~-
[d-"'FI~ pLIfMBI/IG
o FINAL MECHANICAL
o FINAL ELECTRICAL
o
Your City Deeigr.atad Job Numba' Ie:
O INSULATION/VAPOR BARRIER INSPSCTION:
To be made after all insulatum a!".d
.. required vapor barriers are in place
. . but before any lath" gypsum boa:rd or
waZZ eovering is app7.ied~ and before
any inauZation is concealed.
O DRYWALL INSPECTION: Tc be made
after all drywall is in place~
but prior to emy taping. .
O MASONRY: Steel loeation~ boWl
beam3~ grouting or verticals in
accordance with U. B. C. Section
2415.
D JlOODSTOVE: After instaZlation is
rxmpleted.
D CURB & APPROACH APRON: After forms
are erected but prior to pouring
cc:nu:rete.
o
SIDEr{ALK & DRIYEWAY: For all con-
crete paving within str>ect Pight-
of-wcy" to be made after a'Ll exca-
vating c011plete & fOr::! wrk & eub-
base ~terial in pla::1e.
~7()~:)D
DEMOLITION OR ~~:OVED BUILDliJGS
~ Sanitary Sf!'..Jer :Japped 2t p::.opcrty lir:o
:J Septi:: tank p-.A.",?cd and fille~ 1.1ith iira~el
--, Pinal - mten above ite.'7IS are cc.'11pZeted
~ and when demolition is complete or 8tru~-
ture moved and pr;:misos cZoaned up.
Mobile Bemes
::J B~ocking and S.t-"P
::J Plumbing connections .- sewer and watQ~
::J Elcctl'ical Connection - BZocking~ set-up
and plumbing connections nr~st ~B approved
before requesting electrical inspection
::J AcO'esGol":i Building
--, Final - Aft"r porcr.es~ sbrting, decks~
~ etc. are completed.
o
All project conditions~ such as the {.nstalZation of street tr6es" co.--::pZotion of tho
required landscc:pir.g~ ctc.~ must be satisfied before tho BUILDING FINAL can bo requested.
o
FINAL BUILDING: The Final Building Inspection must be l'equeated after the Final Plumbing
Electrical" and Mechar:ical Inspectiona have been made and approvad.
O PENCE: When complete -- Provide.
gates or movable sections through
p.U.E.
o
*ALL MANHOLES AND CLEANOUTS HUST ~E ACCESSIBLE~ ADJUST/fENT TO BE M.tlDE AT NO COST TO CITY P2ge 1 of 2
IZ~::B No.'NfD r;-2~c::~"RG:'SS
rot Sq. Ft{;.
S of ~t Cove"ag.
fi. of SteM-BS
Total Height
Topogr-aphy
I
lITEM
I~in
lCa:t>ace
I Caroorot
IACCBS80ru
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I
Is.D.c.
SQ.FTG
TOTAL VALUE
(value)
1.5 :r:
Building Permit
StatB SUI'charge
Total Cha."ges
ITEM
Fixtures
Residential (1 bath)
I Sanitary Sewer
Water
I CL.tP
Plumbing perri t
State Surcr.arge
Total Charaes
ITEM
I Res. So. fta.
I NtiLJ/E:r:tend Cirocuits
I Tempora:ry Service
Eleatrical Pe~t
State Surcha.l"ae
Total Charc:es
lITEM
I Furnace ETU' S
I Exhaust Hood
I Vent Fan
I WOodstoV8
Permit IssuancE!!
Mechaniaa l pezonri t
State Surcharae
'l'(J1;nl CharaR8
I NO. I FIT
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I I
I I~o'
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I NO. t
NO'1
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-- ENCROACHMENT --
Secr..tnt2J Deoosit
Storage
MaintenatU!8
Permit
Total Cha1'QC8
Cra'bcut
SideLJalk
Fen::e
Electrical Label
/rIobi Ie Home
I TOTAL AMOUNT DUE:"
Em TYPE
Interior
Coroner
Panhandle
Cut-de-sac
x
Value
CHARGE
."':!:jl.: ..
REQ.-
L-COG~
.
Bedrooms:
I Eneral./ SO:a'ces
i iieat
I Water Rp.otp.1'
Range
Fireplace
Wood:; tove
T.toe
Type/Cor:st:
I rot Faces -
I
I p.L.
North
Setbacks
House Caraqe
Access.
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I
II
East
S""th
West
-- Fees
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Building Value &
Permit
This permit is groanted on the express condition. that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, inc!uding the Zoning ordinance, regutating the construction
and use of buiLdings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
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Plan Check 1;'']1}.'
Date Paid:
!Recdpt #:
I Signed:
Plumbing Permit
No pereon nhall constM4ct, install, alter 01' change any new or existing
plumbing or drainage system in ~hole or in part, unless such person is the
legal possessor of a valid plwnber's license, except that a person may do
plwnbing work to property which is owned, leased 01' operated by the appti-
cant.
I ~';;-I~ N--~ck..Q.
I I .'7s-j "C;: . I())~"l /87
13~.7~1,
2D 0<>
FEE
CHARGE
FEE
CHARGE
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3~ -751 '
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Electrical Permit
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Where State LCILJ requires tr.at the electrical work be done by an Electrical
Contractor, the electroical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
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Pl-an Excnnner
va<e
I RAVE CAREFULLY EXAMINED the completed appZicati= fo" pernrit. and do
hereby c:ertify that all information hereon is true and correct, and I
fo.lrther certify that any ar.d all lJOrk perfor:ned shall be done in accor-
dance :dth the Ordinances of the City of Spl'ingficld, and th. UP;8 of the
State of Oregon p$rtaining to the work descroibcd herein, and :hat NO OCCU-
PANCY Is1iU be rn:zde of any structure without permission of the Building Di-
vision. I further certify that o':1ly contractors and e:np~yees who ar'e in
c:omplianae with ORS 701.055 will be used on this project
~r.
Sig~6
\nOO,v..",
.-/
_' f) - ? 7 - ~ 1_
Date
'''"''\ 0
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