HomeMy WebLinkAboutPermit Plumbing 1979-7-16
I~
.. RESIDalTlAL"
APPLICAT./PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753, '
Job Wcotion: \ \ ~ Pi \ Y"t"'\\r\9. 0 ')
ABDeBOO'S Map N "~()~ (j 1-.r \:\ . T,,:t:Lot N I d 100
Subdivision:
.
:::3:1} ~~1~~nJJtfy-fkpr2e:
CitY:,-~Yi f\~iQ ~cl)J,0.A~()VZJp:
[L...
n Addition
n Remodel'
n !lobile 110m3
Describe ll'ork:
~~0s\~ ~(bD
, ~\JYC~
I)-! /4(Y , Value f\ f(U
Date of Applicaticn
Conrractors
General
...: Plumbing W:l\ O~ q..., A.~~.
~ I Hechanicai ~DY\Q. y~ ,dSSC(l~
I E~~ctr:i.!;al
I SI1JJe'C....m.t~;;,..,g glectr:i<<.;ian
U6b
Sigr.ed:
Date:
A~
~1,1(/J,0ri
Arlrlress
Lise. W
Bidrs Iloard J{e".
llhnni'
D INSULATION/VAPOR BARRIER I1ISP;:C'fION:
To be made after all inBulati~n and
'. rcquired vapor barriers are in placa.
but before any lath. gypsum booN! or
~ll covering is applied. and before
any insulation io concealed.
D DnYWAT~L INSPECT!ON: To be mado
alte,. all dl'YLJaLL i8 in place..
but p1'ior to any taping.
O ~SONRY: Steel location, bond
beama, grouting or verticals in
aocordance with U.B.C. Seotion
2415.
D WOODSTOVE.. After instaUation io
ccmpleted.
D CURB & APPROACI/ AP!10N: After fomB
aro oreated but prior to pouring
.:wnarete"
o
SIDEf/Af.X & 'ORII'EWAY.. For all con-
crete paving within otreot right-
of-IlJCY~ to bc made afteI' all e%ca-
'vating completo & fo~ work & Dub.
base rrnterial in plaae.
f') ~ p u'\ t"f\I\. to~
rx:J,S '-' ') ~, Wet
().fll\~
o~i)
EXDi,{,(~H
fhQ/~q(;)
~ ./) ( .'10
Jj45-$rofo
,,=*S-~~
It is the responoibility of the permit hoLder to seo that all inopectionB are made at the propsr tim~, t~at Qcoh ~8BO is roadabZu
from tho streot, and that the pormit oard is located at the front of the property.
.Bui!di~ ~vi=ion appro~ed plan shell remain on thB Buildin9 Sit$ at all times.
PflOCSDUP.E FOR INSPECTION R~OUEST~CAlL 726-3769 (recorde1') state your City deoignated job numbar, job acM.rcos, type of in3pec~ic'l
roquestcd ar.d when you uiH be ready for inspeotion, Cont1'aotors or O:.mers name and phone numbcl'. Requests reCeillQd bsforo 7..00 a-:1
lo.'Ul be made the sams day, l'equests made after 7:00 am will b:: made the next wol'kina ooy.
, ,,' y;", City Deaigr.atcd Job Numb", 10: Qm'74R
~rfc.tI TnPt'(>pt1:mVl
D SIT;: INSPEC':'ION:, To, be 11Klde after
excavation, but prior to set 'up of
fonne.
O UNDERSLA8 PLV1-fBING. ELECTRICAL ~
. /ofECH,!.YICAL: To be made befoI'B any
work is ~ovcrad.
o
FOOTING ~ FOUNDATION: To b. made
after tl'Cllchcs are excavated and
fonnG.are erscted, but p.,.ior to
pouring ccncret~.
UNDSRGROU,YD PLUMBING. SEWER. W.1TER,
DRAINAGE.. To be made priOlo to fil-
lir.g trenclree.
O UNDERFWOR PLUMBING & MECIIANICAL:
. To be made priol' to '1notallatton of
floor inoutation Ol' decking.
o
O POST AND BEAM: To be made p1'ior to
instaz,zation of !l001' insz.:lation 01'
decking.
IU-8lWGl1 PrJff!BI{{Q. ET.ECTR!C/I[. .C~EC112 )'
LI ANICAl"........~~l'k is to be cov~rom-
,until those inspections have beer.
made and approved.
D FIREPLACE: Prior to placir.g faoing
materiaLs and before framing :inBpec-
tior:.
D
FRAMINr:: Muat be requested after
approvaL of 1'OUgh plwr.bing, alectri-
cat & mechanical. All. roofing
bmcing & chimneys, stc. must be
. completed. No wrk is to be con-
, oeatefl until this inspeotion has
. bG~n made and approved.
D !'ENCE: When compl~te -- Provide'
..gates 01' movable sectiono th't'OUgl:
P.U.E. '
o
- ,'-
DF:MOLITION OR !-lOVSD BUILDINCS
=.J Sanitary seue1' ~appBd ::rt p:.opcrt!i lir.e
~ Septi:J tan~ p-.onped and filll:~ with J1'a:Jol
--, Final - (/him above items are ccmpleted
---1 ar.d wIlen demolition is compLeto 01' stru.::-
tUl'B moved 'and premises cleaned up.
. /tJobi lo Hcmes
:=J Bloaking and Sat-,p
:=J Plumbing connections -- D&wer and wa~or
---, Klectl'ical Conneotion - Blocking, set-up
.-J and plumbing conneotions trr.lst 1;0 approJ.'sd
before requesting sleo~rical i"spBo~ion
~ AacosGo1"J 8uild~ng
---, Final - Aft~1' p~rch8S, skirting, docks,
....J eta. aro oompleted.
D
All pl'oject conditions, ouch aD tIle i,nstallat~on of stroot trt:es, c~lation of tits
required landacapir:g, ctc.~ must be satisfied beforo t}:t: BUILDING FINAL can bo l'squost:rd.
',-
o FIliAL PLUMBIIIG
~AL M;:CIIANICAL
~INflL EU:CTRI~I.L
o
FINAL BUILDING: Tho Final BUildinu Inspection must bo requt:Dtcd altar tho Final Plumbin.3
Electrical, and Mochanical InBpacti-onD have bosn mads and approvod.
10
. . . .....
AAl.D UANIICl,ES AND CU:ANOUT:: JIlJ!'iT, ng ACCF.!JEI8LF., ADJUST/lf.'NT TO m: ',Mm.: AT NO COST TO Cl'!'Y PatJ!! of.~
I JOB NO.
I ;~onf!:~
qOO?4~::Ln:uR G~E S S
Lot Sq. Ftg.
s ~f lot Coverago
.II of Stones
Total. Height
Topography
I
lITEM
I Main
SQ.FTG
x
CcPnoe
'l,!rryrp.t;
AcCeSfJOl"ll
TOTAL VALUE
Is.o.c.
(vatuC)
1.5 :r
Building Pe1'1'f'lit
Sta te 5w'charge
Total Charges
ITEM
Futures
NO. I FEE
1
Reeidential (1 bath)
Sani ta~ Sewer
Water
~rt.{~ . ~.l[(:.Db"flC;
Plumbing Penr.i t I
State Surc".arge
Total. ChaMCB
111'o'M
I Res. Sa.
NO.
PO'S
fta.
Haw/EXtend Circuits
TempOl"artJ Service
Ele::trical Pennit
State SUl'::harae
Total
Chlzl'gos
I NO. I
FEE
lITEM
Furn:zce !!TV'S
I E:rhaus t Hood
I Vant Fan
I WOodSt07J6
I fV\1".lI\ Va Vh1/~a'.1
PBJ"J7fit Issuanca
Mechanical Permi t
Stato SUrcharoe
Tntal CharaaD
-- ENCROACRMENT --
I SecuM.tl/ Daoosit
I Storage
I Main tenan~e
I Permit
I Total ChalV108
I Curbcut
,I Sidewalk
I Fcn::e
I Eledtrical Label
I Nobile Home
I
I
1'l'rI'T'Ar 1IUJ1I1A1'l' nllr;'..
WT TYPE
Interior
Corner
Panhandle
CUl-do-sac
Value
CHARGE
Ib,OO
, '751
(C'). 75 I.
CHARGE
CIIARGE
/6.00
'}':'-,
~ .
/'S,YL"=3
J. .-
5.1.50
. -.,- -
REQ,-
L-COG~
TuoeICor.Bt: .
I I EnerQ}I SOl1l'CoS
I I Heat
Access. I I "'at~l' .c/p.atnr
II Range
Fireplace
I I W00d3 tove
II
Bedl'ooms:
Turf?
Lot Faces -
P.L.
North
East
isouth
IWeBt
Fees
Setbacks
House Carage
Building Value & Permit
This pennit io gronted on the express condition that the sdid construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinanco, regulating the ccnotructicn
and uoe of buildings, and m::zy b,e suopended 01' revoked at c.ny time upon vie-
lation of any provisions of said Ordinances.
.
Plan Check Fee:
Date Paid:
Receipt II:
Signed:
Plumbing Permit
No person ohall construct, instal!, alter 01" chang~ any ne~ or e:isting
plumbing o~ drainage 8Y8te~ in whole or in part, unless Buch pel'DOn is the
legal possessor of a valid plumber'8 liconS8, except that a pe:"son may do
plumbing work to property lJhich is OIIJnod, leased or operated by the appLi-
cant.
Electrical Permit
Where Stat8 La1J requires tJ..at the clectrical lJOrk be done by an Electrical
Contractor~ the electrical portion of this pel'mit shall root be valid until
the label has bf:en EJigned by the Electl'ical Controctol'.
.
Mechanical
Permit
I.
I
PLan Examiner
vate
I HAVE CAREFULLY EXAMINED ths completed application for permit# and do
hereby certify that all info~tion hereon is tl'Ue and corrcct~ and I
further certify that any ar.d all lJOrk perfomJed shatz be do:18 in accor-
dance :.nth the Ordinances of the City of Sprin!1ficld~ and th& 'La'..;s of tho
A State of Oreg,:m pertaining to the IJOrk described herein~ and that NO OCCU-
PANCY will be made of any structU1'8 fJithout p3l'misaion of the Building Di-
vision. I furthcr certify that only cont1'actors ar.d e:nplDyees who are in
compliance with ORS 701.055 ~ill be used on this project
/)~
7 ....; (.. -? /)
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