HomeMy WebLinkAboutPermit Backflow Test 1989-8-10
.. RESIDENTIAL"
. APPLICAT../PERMIT
225 North 5th Street
SpringfieZd, Oregon 97477
BuiZding Division
726-3753
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Job Location:
ASOeSOO1'3 Map #
Subdiuision:
CUrIel':
AddrOBS:
City:
Taz Lot 6
Phone:
Zip: 97~77
~~J
n Additicn
n Remodel
r---l :robile Homo
De8cribe r.'ork:
Rcce~pt ,II
,/3
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;W5~?L ~f?r-?~--~ "Dcvrc:.E'
~?r Lnz~/9 ::?/8./#p:gj: Ce- /y
sr5~ . '/rf)~:
~-/?>,...'fBJ<? ' Value ,5()V~
Oate of Application
Contractors
General
I Plumbing D1~
I Hechanicai
I E~"etrical
Suoervi~ing Electr~cian
::~~-ib
l
Bidrs Board Rez.
.<\ddress
, .Lisc. II
Exoires
Ph
It ill the l"S8ponDibil~t!l of the p.rmit holds,. to BBB that aU inopectio7tB are r.tads at the proper timc~ that Cl:ch .:ddrSBlJ is readabZe
f1'Ol1l'tM Bte66t, and that the pDJ'lllit oacd ie located at thB fcont of the pcopeety.
.4Bui!di!'t!1 Dividor: appzool:Bd plan B.hall remain on tha Building Sits at all times.
PROCEDURE FOn INSPECTION R!OUE~~CALL 726-3769 (rccordel'J state YOUI' City designated job number, job a&ircs.~, typo of in3poc~ic'l
requested ar.d w.l:en you uiH be ready for inspection, CcmtNctors or tl.mers name and FOOno number. Roqtu;sts r,2ceivBd bofcro 7: 00 a':'f
L.~ill be mado the same day, requests made after 7:00 am Lrill be made the ncxt :x>rking day.
Reouirp.d InsDp.cticnA
O SITE INSPECTION: To be "",de aftee
ezca~ation, but prior to set up of
fol'f11S.
D. UNOERSLAB PLUMBING. ELECTRICAL &
MECHANICAl.: To bB madB bBforB any
wrk is ':o~Cl'ed.
o
FOOTING & FOUNDATION: To be mule
after trenches arB excavated and
forms are erected, but prior to
pouring ccncreto:.
UNOSRGROUND PLUMBING/ SSWER. W,1TER,
DRAINAGE: To bB made prior to fil-
.Hr.g troncMs. .
D, UNDERFWOR PLU~mING & MECHANICAL'
. To be mado prior to inotaUat1.0n of
floor insulation or deckinu.
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POST AND BEAM: To be mulc pcioe to.
installation of floor insulation or
decki,,".
l1DpCll PLCP.f8ING. El.ECTRfCAL " MECH-.
ANICAL: No work io to be covered
,ur.til thesB inspoctions have 'beer.
mads and approve.:!. .
FIREPLACE: Pri,()r to placir.g faoing
materials and befors framing inspec-
tion.
D FRAI~INC: Must be rsquooted aftor
approvaL afrough pLwr.bing, alectri-
cal d mechanica'L. AU roofing
bracing ~ chimneys, et.:. must be
,: completed. No IJOrk is to be con-
... cea'Lod until. thio inspection has
. be~? inadi: and approved.
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[Z]
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(2J FIliAL PLUMBING
o FINAL MECHANICAL
D' FINAL ELECTRICAL
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Your City Dooigr.ated Job Numb€l' 10:
O INSULATION/VAPOR BARRIER INSPECTION,
To be made after aLL inBul::ti:m and.
'. required vapor barrisrs are in p Laco
. but before any lath, gypsum board or
wzz. covering is applied, and beforo
'~y inoulation io concea'Led.
DRYWALL INSPECTION: Tc be made
after a'Ll. drYLJal.L is in place,
but prior to any taping.
D MASONRY: Stee'L 'Location, bona
beama, grouting or verticals in
accordancQ Lrith U.B.C. Section
2415.
D WOODSTOVE.: After installation io
ccmplet€d.
o
o
CURB & APPROACH APRON: Afte~ foems
are cre~ted but prior to pouring
co""rete.
SIDEWALK & DRIVEWAY: For all con-
crete paving within stroot right-
of-way, to be made after all exca-
vating ccmplete & form work & ::ub-
, base rrntenal in pLa~e.
~7C> 28:<"9
DDIOLITION OR f.:QVED BUfLOINCS
=:l Sanitary scnJer ::apptld at P~OpCl't:; Ur,;s
~ Sspti:J tank p:JmPcd and fiHa~ with 17ra~el
:J FinaL - r/hen above items are ccmplstcd
ar.d when dsmotitio;,: is oompLDtB or 8tru.J-
ture moved and premises cLoaned up.
MabUs Hamos
::J Blocking and Sst-:.lj1
::J Plumbing connoctions -- sewor and ua~6r
::J Electrical Connection - Blocking, sot-up
and plumbing conno.zHono nr..4st 1:0 appl'or.:ed
. before requesting 8lee~rica'L ins?oc~ion
:=J Acae8Gol"J Buil.ding
:J Fina'L - Aftar p:)rc.'-:es, skirtino, decks,
etc. are comp'Lotcd.
D
All project conditions, Duch as the i,nstaLlation of street trees, co::rpLotion of t~.
required Landscapir:g, etc... must be satisfiod before the BUILDING FI,VAL can bo rsquest:1d.
FINAL BUILDING: 2'ho FinaL Building I~opection rtlUst be requeotsd aft,~r tha FinaL Plumbin.]
EleotricaL, and Meohar.icaL Inspectiono hava boen made and approlu~d.
o
'ALL MANI/OLES AND CLF.ABOUT:; IIUST Bli ACCEsfrBU:, A[J.IUST/lEIIT TO BE ~MOE AT NO COST TO CITY I Pa~c ! of ,1
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D
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!'ENCE: Whon compl~te -- Provide
gat06 or movablo soctions through
P.U.E. '
- ,.-
I JOB NO.
I Zona:
Lot Sq. Ftg.
s ,f lot Covecag=
,f of Stociee
Total Haight
Topogrophy
I [TE:M
I Main
I ~J'l1aR
I CarnOJ.t
I AccessorII
I
I
Is.D.c.
S~.I'TG
TOTAL VAWE:
(oo"uCI
1.5 :r:
Sui l.ding parmi t
Soots Surcharge
SOLAR AifESS
Occuoancu c.
Total Chacge.
I ITE:M 110. I FE:E:
I Fixtures
I Reeidentiol () bath)
I Sanitary Sewer
I Water
I
I ITCM
Plumbing Permit
State Surcl-.a:rge
Tota Z. Chargos
Ratl. Sa. ftq.
N~/EXt8nd Circuits
I Temporary Servico
IITSH
furnaCB l!TU' S
Exhaua t Hood
Vent Fan
Woodstovo
Electrical Permit
StatB Surcharae
Total Chtzcoe.
Permit 13suanca
Mechanical. Pel"mit
Stato SurCM'f'Qt;
Total Charaeo
-- ENCROACRM/iNT --
Sn~Jrity D~po3it
Storage
Ma.intenancg
Parmit
I Cucbcut
I SideuJa lie
Fenca
To ta 1 Chal't7cS
electricaL Label
I Mobile Home
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I TnTilT. AJll)JIN'l' TJlJ~~"
(0'
I NO. I FEE
x
FEE
WT TYPE
'Interior
Corner
Panhandle
Cut-do-aae
VaLue
CRARGE I
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lCi.M I
-76.1
IS- '76 I.
CHARGE:
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C/lARGE
It::;, 7~, .
REQ,-
L-COC'"
Tuve/Cor.st:
.
I Lot Facae -
I
I P.L,
INorth
East
ISouth
Went
Bedrooms:
I I Enert711 SO:41'cns
I iieat
Access. I
I
I
II
f 1,\
TIIT"l(!
Setback8
lIou,ne Ca11Q(l8
hiatal' !ltmtn1'
Ra'tge
Firopl.aca
Wood:Jtor.:e
,
Fees --
Building Value & Permit
This pe~it in granted on tho express condition that the said construction
shaU, in all respects, conform to the Ql'dinance a.dopted b'y tho City of
Springfield, including the Zoning Crdinanco, regulatillg tlte CCI18tructtCn
and UGe of buildings, mu1 m:lY_ be Buc;pended or~relJoked at cny time upon uic-
lation of any provisiono of iJaid:Ordinanc6o. >"', ~
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I Plan Check
Date Paid:
,IRecdpt'N:
ISig"ed:
F~M:
."" ~,
Plumbing' Permit
No person ohall construct, in8tall~.alte! or change any new cr ezisting
plumbing or drainage oystam in whole' or in part, unless Buch perno'l La the
legal poooesnol' of a valid plumber's licanoe, except that a p6:'8011 may do
plumbing work to property which is olUned, leased or operatBd by tho appli-
cant.
Electrical Permi t
Where State Law requires that the electrical work be done by an Eleatrical
Contractor, the electricaL portion of this permit shall r~t be valid until
the ~el has been signed by the Electrical Contractor.
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Mechanical Permit
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Pi.an EJ:amLn6r
UQt;6
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I H,1VE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all. information hereon is tru6 and correct, and I
further certify that any ar.d all work perfor:ned shall be done in accor-
dance fJitll the OrdinancB8 of tits City of Springfield, and th;: Ur..;J8 of tho
State of Oreg.:m psrtaining to the work dB8cribod here:'", and that NO OCCU-
PANCY will be made of any 8tructura without parmioaion of the Building [)i..
vision. I further certify that o:1ly contractors and e-npz..:,YOI;S who are in
compliance with ORS 701.055 witl be used on this project
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Sionad
Date