HomeMy WebLinkAboutPermit Plumbing 1990-3-1
.. RESIO TIAl"
APPLICATION/fERMIT
22.5 Noy.th 5th Street.
Springfield.J Oregon 97477
BuiZding Division
726-3753
Job Lc>cation:
(p 7 2- A Y\. J~~' ;'~
# \"lY~3~ \4
on~rr)
Asaessors Map
Subdivision:
OI.mer:
LJ;III~ L,
C. .17 J... IJ "'- d .q f tfyo...
>)>t^ I~ 9~f!)c1
I v'
J:J~ () I'lL
L~e
Address:
Ci ty :
Nm.u
L-o...........L
Tax Lot #
Phone:
7J...C.:'2~70
97 7'~ 7
Zip:
Describe rl'ork:
\
h e.....filA(j
J<(l.
Addition
'. '".
> 0 /a.-J' W'J'-! e".
Remodel
Nobile Home
6.\J~t}
.Date of Application
Contractors
, General
. i) w- '" E... yO-
Vice
,Rece-!.pt .11
I (t? 1 4 q.
Address
, ~~LloV
~isc. # Bldrs Board
Signed:
Date:
~IDO )
~, ~~ . /-CJ()
Value
Reg.
Exbi.-c.es
Pnonp
! Plumbing 0 LV "- >e-r
i Hechanical
E~ec.tr:ij:al
Sllpelt"Jclt1;:;'11g Electr~cian
It is the ~esponsibility of the permit hoUier to see that all inspections are made.at the proper tim€, that each ~ess is readabZe
from the street. and that the permit card is Zocated at the front of the property.
"Bui!ding Divi:;ior: approved plan shall l'emain on thE Building Site at all times.
.
PROCEDURE FOR TNSPECTION RE'QUEST:CALL 726-3769 (recorder) state YOUI' City designated job nw,;ber, job ad6>ess, type of inspection
requested and when you will be ready for inspection, Contractors 01' OI.mers name and phone number. Requests received before 7:00 ~
",'ill be made the same day, requests made ~~ter 7:00 am will be made the next :xJrking day. q I\f\ ('L/\.O
YOUI' city Deaigr~ted Job Number Ia: ( Jl )~
Reaui~ed Insvections
O SITE INSPECTION: To be made after
excavation, but prior to set up of
.foI'l7/s.
O UNDERSLAB PLU/.fBING, ELECTRICAL &
: NECHANICAL: To be made before any
work is ~overed.
o
FOOTING & FOUNDATION: To be made
after trenches are excavated and
foI'l7/s are erected. but prior to
pouring concrete.
UNDSRGROUND PLUMBING. SEWER, W.1TER.
DRAINAGE: To be made prior to fil-
. Zir.g trenches.
0,. UNDERFWOR PLUMBING & MECHANICAL:
To be made prior to installation of
j100r insulation or decking.
O POST AND BEAM: To be made prior to
installation of floor ins~lation or
deCki~j .
~ROUGr(PLUMBI!JC; . ELECTRICAL & MECH-
L::] ANI~L: N~k is to be covered
.ur.tit ~nese inspections have been
made and approved. .
D FI.'~F:PLACE: Prior to placir.g facing
materials and before framing inspec-
tion.
o
D
FRAHINC: Must be requeated after
approval of rough plumbing, electri-
cal & mechanical. All roofing
bracing. & chimneys. etc. rrr.lst be
,. completed. No work is to be con-
"cealed until this inspection has
~ been made and approved.
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insulation ar~
. .. required vapor ba:rriers are in place
. ., but before any lath, gypslp'n board or
wall covering is applied, and before
" ..!l'ly insulation is concealed.
DRYWALL INSPECTION: To be made
after all drywall is in place.
but prior to any taping.
O. ~SONRY: Steel location, bond
beama, grouting or verticals in
accordance with U,B.C. Section
2415.
D WOODSTOVE: After installation is
ccmpleted.
~
D
CURB & APPROACH APRON: After- foI'l7/s
are erected but prior to pouring
~o=rete.
DENOLITION OR :'.!OVE0 BUILDIilGS
=:J Sani tary se'..Jer capped at p:r:.opert--::i line
~ Septic tank p~~ed and filled with gra~el
----, Final - rihen above items are completed
~ and when demolition is complete or stru~-
ture moved and premiaes cleaned up.
'Nobile Hemes
~ Blocking and Set-up
~ Plumbing con;ections s~er and water
~ Electrical Connection - Blocking, set-up
~ and plumbing connections rrr~st be approved
. before requesting electrical inspection
:=J Acc~ssory Building
----, Final - After porches, skirting. decks,
~ etc. are completed.
D
B~() ~~
. .. \J .
All project conditions, auch as the installation of street trees, co~letion of tae
requir~d landscaping, etc., must be satisfied before the BUILDING FINAL can be requested.
D
SIDEWALK & DRIr'EWAY: For all con-
crete paving within street right-
of-way, to be made after all exca-
vating complete & foI'r.7 uJOrk & sub-
'base material in place.
D PENCE: f-/hen complete -- Provide.
gates or movable sections through
P,U.E.
D FINAL PLUMBIllG
o FIliAL MECHANICAL
o FINAL ELECTRICAL
[J
o
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electri~al, and Mechanical Inspectiona have been made and approved.
"ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!!ENT TO BE f.!.1DE /!T NO COST TO CITY Pa~e 1 of 2
- -
JOB NO. CfO(}9:iZJOlAR ~,.~CESS REQ.-
I Zone: Occupancy Gl
Lot Sq. Ftg.
% of Lot Coverag~
# of Stories
TotaL Height
Topogrcz;:;hy
LOT TYPE
Interior
Corner
PanhandLe
CuL-de-sac
I
lITEM
I Main
I GaI'aae
I
I
I
Cll1'Port~' L" ". L . .11
Accesso - .~;t(L(J t jI YLvtf1 f ~ I
I lJ flL (XllUJfJ. 11/0 f::O I
I TOTAL VALUE -- I I
I (vaLue) I
S.D.C. 1.5xl*
SQ.FTG
x
VaLue
BuiUling Permit
State SUI'chapge
TotaL Charges
\ ~( r 'I
. r \ . ~ .
"l~
{CQ,rYS *
ITEM NO.
FixtUI'es
CHARGE I
I
I
I.
I I
I ,
I \~~(X) I
I . '\'\ I
I\~.\\~l*
FEE
ResidentiaL (1 bath)
I Sanitary Sewer
.1 Water
k f'\\{f0
PLumbing Per>rr:it
State SUI'cr.a:roge
TotaL Charoes
ITEM NO.
FEE
CHARGE
Res. Sa. fto.
I Naw/Extend Circuits
I Temporary Service
ELectricaL Permit
State SUI'aha.rqe
TotaL Charr:;es
ITEM
NO.
FEE
CHARGE
Furnace ETU'S
Exhaust Hood
I
I
I
I
Vent Fan
Woodstove
Permit Issucmae
MeahanicaL Permit
State SUI'charoe
TotqL Chara@1J
I -- ENCROACHMENT --
Ise~~rity Deposit
I Storage
I Maint~e
Permit
TotaL Charqes
I
I Cu1'bcut
I SidewaLk
./Fe=e
ELectricaL LabeL
Mobile Home
I
I
I
8\.SD
TOTAL AMOUNT DUE: *
,;::.ge 6
l-CO G~
Type/Cor:st:
Bedrooms:
Enero,!.{ Sources
Heat
Water Heater
Range
FirepLace
Woodstove
T.iDe
Lot Faces -
I
Access. I
I I
I I
I
J
P.L.
North
East
South
IWest
Setbacks
House Carage
Fees
Building Value & Permit
This pernr:t is granted on the express condition that the said construction
shaLL, 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 suspended or revoked at any time upon vio-
Lation of any provisions of said Ordinances.
PLan Check Fee:
Date Paid:
IRecdpt #:
jSigned:
Plumbing Permit
No person shalL construct, instaLZ, alter 01' change any new or ex~sting
pLumbing or drainage system in whoLe or in papt, unLess such person is the
LegaL possessor of a vaLid pLumber's License, except that a person may dq
pLumbing work to property which is owned, Leased or operated by the appLi-
cant.
Electrical Permi t
Where State Law requires th~t the eLectricaL work be done by an ELeatricaL
Contractor, the eLectricaL portion of this permit shaLL not be vaLid untiL
the UlbeL has been signed by the ELectricaL Contractor.
*
Mechanical Permit
,0' ,
*
I
f
I
I.
I
f *
Plan Examiner
LJate
I HAVE CAREFULLY EXANINED the compLeted appLication for permit, and do
hereby certify that aLL information hereon is true and correct, and I
further certify that any ar.d an !Jork performed shan be done in accor-
dance with the Ordinances of the City of SpringfieLd, and th~ L~~s of the
.State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY wiU be made of any structUI'e without permission of the Building Di-
vision. I further certify that onLy contraators ardi e~pLoyees who are in
compLiance with ORS 701.055 wiLL be used on this project
XM~
Signed
*
'~J
-/;/ V .
(Y/~~_
- v-
/ .
5//;/9/?
/ / (./
Date "
.... ,.;...
J
Permit No: qQ('l~}~O. .
Address:. \ Q f) g ,~m u s0;fU
..ISSued by: ~/M_) oate:cif/A/I/qO
'~~
Note: Oregon Law, ORS 701.055(4), requires residential building permit applieants ~~ V
who are not registered with the Construetion Contractors Board to sign the \ ~
following statement before the building permit ean be issued. Lieensed Arehiteet .
and. Engineerapplieants, 'exempt from registration under ORS.701.010(7), need
not submit this statement. This .statement will be filed with the permit.
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
FiH in the applicable blanks, and initial box 1 and either box2A or 2B:
1., ~
2. A. I
I own,. reside in, or will reside in the completed strueture:
My general contraetor is
Contraetor registration number
I will instruet my general eontraetor that all.subeontraetors who work on
the structure must be registered with the Construetion Contraetors Board.
OR
B. I x: I I wi II be my own general eontractor.
If I hire subeontraetors, I will hire only subcontractors registered with the
Construetion Contraetors Board. If I ehange my mind and 00 hire a general
contractor, I will eontraet with a eontraetor who is registered with the
Construetion Contraetors Board and I will immediately notify the offiee
issuing this building permit of the name of the eontraetor.
I hereby certify that the above information is correct and that I have read' cl'nd understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
J ,. -..rO ?J
. ~~4--A /7 (I~
SignaTure of Permit Applicant
j~ /90
Date
CONSTRUCTION CONTRACTORS. BOARD .
0244J 10/24/89 . .. . ,.,
r---
~D~E COPY TO ISSUING AGENCY PERMIT FILE
. ~ COPY TO APPUCANT @.