HomeMy WebLinkAboutPermit Plumbing 1982-4-26 (2)
.. RESIDE"IAL"
APPLICATION/PERMIT
225 North 5th Street
SpnngfieZd, Oregon 97477
BuiZding Division
726-3753
Job Location.:
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17 -f)"'- :z,~ -/ J Tax Lot #
~_X'\...5L...-
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ASG8S00rS Map IJ
Subdivision:
Add:reS3:
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~-lA c:L.
V
h.-u-o...Jl rL. n. n\ ~(5-\-oJ:z-,
ClG. )[SOf\ La. no Phone:
01<2-
Ct.mel' :
City:
Q,VP1"
n Addition
n Remoda7.
n ,'!obi1.a !Iomo
Zi'g:
qrF-ili
Describe rl'ork:
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</-c9(P -Jd
Date of Application
[..'ontl'actol'S
General
PLumbing
(Y Wvu....-y
i electrica z.
I, MechanioaL
Constn.4ctian Lender
VaZue
Addres3
- .ce-::pt ,if.
.L)g'9. ~'Y
'PP
/5-- 66
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Sigr.ed:
Date:
L-nci<'p--,
q'-2b-,f.<.--
Liaa. #
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Ezr,irss
Phone
It is ths l'sspanaibitity al tJui pemt hol.t:Uuo to sse that aLL inapecti01t8 are r::ade at =he proptu" tir.u~~ that ecch -=dti:ess is rea.::ab~a
from tM Btreet~ and that the permit aard is Zacated at ths front of ths propert;y.
"Bui!di~.g LJi.vi:;io~ approved ptan shatz. remain on t~ Building Sit:; at all times. .
PROCEDURE FOR INSPECTION REQUEST:CALl 726-3769 (recorder) state your City designated jot ~be1", job cICQ"C'BS, type of ir.3pec~icn
l'aquestcd ar.d wl':en you /JiU be ready [or inspoct'.:on, Contractors 01' OIJ7'te:'s name auf phone number. Requests reeeived befcre 7:00 (;':1
:.JiLL be made the sarns day, requssts made afta' 7:00 am wizz. ba nnde the n~t :.JOrking day.
~ir.pd T'11'2~'1t;.1~r:"l'l
O SITS INSPECTION: To be nr:uis after
excavation, but prier to set. up of
forms.
O . UNDERSLAB PLlJ,'.fBING. ELECTRICAL &
MECHANICAL: To be made befors any
work. is covered.
o
FOOTING !i FOUNDATION: To be lTrlde
after trenches are excavated and
forms are erected, but prior to
LipoUring ccncret;.
I UNDSRGROa.fn PUJMEIN.~. SEWER. W.1TE.~
! DRAINAGE: ~ prior to [il-
1.ir.g trenches.
D. UNDbERFLOOR PL~/.aJnlG & MEa;~~IC:AL: "
To 6 made pM-or to insta"'l.U.twn 01
fZaor insu l..ation or decking.
O POST AND BEAM: To be r1Ialk prior to
. instaZz.ation of fl,oor ins~l.ation or
~Cki"li' '
RO{}CH0u.:~~ ELE;RICAL & MECFl-
ANICA . rk is to De COt,'8red
untiZ these inspec:ior.s have beer.
..naae and approved.
D FI.r?EPLACE: PM.or to ?Zc.cir.g facing
.' materials and before framing inspec-
tior..
D FRANING: Must be requested after
. appl'oval of rough plwr.bing, eZectri-
caL & mechanical.. AU roOfing
bracing d chimneys, ate. must be
. compLeted. No wol'k is to be con-
-:. asaZed until this inspection has
. bs.::n roods and approvBd.
~ FIliAL PWNBIIIG
D FINAL tfECP.ANICAL
D FINAL ELECTRICAL
,Ll
Jour City Deoigr.ated Job Number 10:
D INSULATIONIVAP08 BARRIER INSPECTION:
To bs made alter a l Z insu k.ti..:m w.d
... required vapor car'1'>iers are in place
but csiol'e any l.ath, ~pswn boa:rd 01'
lXlLZ covering is appUed~ and befol'e
any i7U1u'lation is concealed.
O DRYWALL I!JSP~CT!ON: Tc bo :nade
after all. dl'ywaZL is in pl.ace~
but prior to any tapir.g.
O MASONRY: Stee l Z.oaati07l, oona
beams, ~ting or rJ61'ticaZs in
accordance !.Jith a.B.C. Ssctwn
2415.
D WOODSTOVE: After instaLZation is
. cc'"PL8t~d.
D
CURB & APPROACH APRON: Alte:' forms
are ereated but prior to pouring
-,on....'T8t8.
SIDEWALK & DRr-TWA!: For alL con-
crete paving within street right-
of-wc.y, to be made aftel' aU exca-
~ating compLete & fo~ work & ~ub-
bass mc.terial in p Uu!e.
?3' 2038v>
DENOLITION OR ;'.:OVE~ 3UILDIiiCS
=:J So:n.i:ary Se'..Je1' ~apped ::t ~opc:rt":i Lir:e
~ Septi~ tank p~~ed and filLed with gra~2Z.
---, Final - r'hen ab.:ve ite:ns are cc....roLetc:d
~ ar.d when de~li:ior: is compLe~e or st~~~.
ture moved and ?r~3eS :leaned up.
Mobile Hcmes
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D !'ENCE: WhIm complote -- Provide
gates or movable secticn.s through
P.U.E.
D
:J BLocking and Set-up
:J PLumbing connections SaJ9r ar.d water
:J Electrical CCrI7:Bction - BLocking, set-u.p
and plumbing connections nr~st ce a.ppl'~ved
before requesting eZec:rical inspec:ion
.=J ACC8SS01"'.:i BuiLC-:.n.g
~ FinaL - Aft~r p~rcr.e8, sk-:.rt-:.ng, decks~
~ eta. are ccmple=~d.
D
All. project conditions~ such as the instaLlation of street traes~ ~o~tetivn of the
required 1.andscapir..g, etc., must be satisfied before tr~ BUILDING FINAL can be rtZquestad.
o
PINAL BUILDING: Ths Final. BuiLding Inspection must os r-equested c.fter the Final. ?~ur.lbi7"";
ELectroical~ and Mechar.ical Inspecti.o1W hava been made and approved.
-+ALL MANHOLES AND CLEANOUTS HUST BE ACCESSIELE, ADJUST:!ENT TO BE t.!.1DE ,IT NO C;:;ST TO CITY I Page 1 of 2
I JOB
Izene:
NO.
g2032?c'o SOLA.CCESS
OaculXlnC!l Czrouo:
Lot Sq. Pt(;.
S of L.?t Coverag<
,i/ of Stories
Total Height
Topography
WT TYPE
Inteno:,
Corner
PanhandLe
Cut-de-sac
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lITEM I SQ. FTG X Value I
I ,'tzin I
I Ga-aae I I
Carxl't I I
Acaessoru I I
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TOTAL VALUE I
I S.D.C. 1. S '" (VaLUe) , '
BuUding Permit
State SUI'charge
TotaL ~e.
lITEM
I Fi--tures
'Re.identiaL (1 bath)
I Sanitarli SelJel'
I Water
I'i'j
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I)f)d . SJ2..1J>P{ _'
Plumbing Permi t
Stats Surar.arge
Total Chazoaes
lITEM
I Res. Sa. fta.
I Nel.IIEztend Ciraui t.
!Temporary Service
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I NO'1
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EZe::rtl"'icat Permit
State Surcharae
Total C'rro:rc:es
1 ITEM
I FUrnace ETU'S
I F..:hau.st Hood
I Vent Pan
I WOodStO"J6
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I NO.1
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Psrmit Issuance
Meahanica.l. Fermi t:
State Surcharae
TCJtal Charf'1I1S
-- ENCROACHI.!E:,rr --
I Sec-.a""';tt; Der:osit
I Storage
I Mainteru:rn.cs
Permi t
Total. Chal'aes
I Curb",,!;
SideLXJ.Lk
Fe~e
I EZectrica Z. Labs 1.
I Mobi Ze Home
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I TOTAL ANOUNT DUE: ~
PIT
CHARGE I
."')-:COI
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I /0.00
I / 5,O() I
I ,1//0 I
I /5-. 0/J1,
FEE
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CHARGE
FEE
CrlAReE
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<.$ J'J. (PO I.
Page 2
REQ,-
L-COG"l.'
T"oelcor.st:.
Bedrooms:
I Lot Faces ~
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I P.G,
INorth
lEast
ISouth
IWest
I Enerau Sources
I Heat
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I
II
II
Tupe
Setbacks
I House : Caraqe
: I
I I
I Access.
I
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Watel' Hp.atpr"
Ranqe
Fil'eplace
Wood3tove
FOlee
Building Value & Permit
This permit i3 granted on the express condition that the sdid. C'onst1'Uction
shall~ in all l'espects. conform to the Ordinance adopted by the City of
Springfield. incZuding :he 20ning C'rdinan.ce. regul.c.tir:g the ccnstl"'.4cticn
and use of buiLdings. and may be suspended 01' revokec at cr.y time upon vio-
lation of any pr.?visions of said Ordir.ances.
I.
/Plan Check Fee:
Date Paid:
I Recdpt #:
I Sigr.ed:
Plumbing Permit
No person shall C0118truct~ instaZZ~ alter or change c.ny r.ew cr e--isting
plumbing or dPainage syst~ in ~hole or in part~ unless such person is tr~
legal possessor of a valid plumber's license~ except that a person may do
plwnbing lJOrk to property which is 0lJn.Sd~ leased or operated by the appli-
cant.
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Electrical Permit
Where State LazJ requires tr.at the electrical work be done by an Elec:tl'ical
Contractor. the electrical portion of this permit shall not be valid-until
the label has been Signed by the Electrical :ontractor. --
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Mechanical Permit
PUZri Ezc:;m..ner
l)a~e
I HAVE" CAREFULLY ::XA.J.fItlED t,w completed application for permit. c:nd do
hereby aertify that all ir:fo:rmation hereon is true and. correct. c:nd I
f'..U'ther certify that any ar.d aLl work pe'l'fomred shaLl be done in acc:or-
dance :.n.th the Ordinances of the City of SpringficZd~ and th,z La:.;s of tho
.. State of Oreg:Jn pel'ta.ining to the work d.escribed here~n~ end that NO OCCU-
PANCY :.JiZZ be lTClde of any structura without pal'missio'!'l of the 3uilding Di-
vision. I further certif:,j that cr.:Ly aontractors ar.d e::rpl.:;yees who are in
c~liance with ORS 701.0SE will be used on this pl'ojeat
~Jd (J,}//A/J(abJ
Sign:ad
i)~~