HomeMy WebLinkAboutPermit Building 1986-11-03-
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La,ne Count v Authortzattott
J
fon
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ON PROPERTY?
7?
OF
OT PROPOSED -BESP
AND OSR
: certify that registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exenpt the basis for exempti
roted hereon, and that only subcontractors ed enployees who are in compLiance with oRs 701.055 will be used on this project. I HAVE READ AND
:KED THIS APPLICATION
I HAVE CARIFULLY EXAMINED THE CO,IPLETED APPLICATION !'OR PER},!IT, arrd do hereby certi.fy t-hat all infomation hereon ls true and correct, and that I
: the following legal interest in the property,[or."r of recordi f contra..:. p,,t.h.""r.,,1Srthorized agent.
:rlher certify that any and all work perfomed shall be done in accordaDr:e witlr tl-.c ordrriancB of Lme Cowty and th@ Laws of the State of Oregon
:aining to the work described herein, and that No oCcUPANcY will be made of anj'st-rrlcture withouE the pemission of the Building Division. f fur-
%7
SIGNATURE DATE
FOR OFFICE USE ONLY
l:3*i:';'""' 3lFrfl
I(AIYb.U a3 PROPOSED USE OF PROPERTY
ftu"tountial ! errr:.i"
f ndus tr:-al
Commercial
/PAP,CEL
ZIPCITY
S VALUEDEr.?:AIlED>r)
WA?ER SUPPLY ! eroposed€ldxisting
OF
NUMBERAND
TELEPHONE NI'MBER
-5
READ THIS SECTION CAREFULLY. YOUR
] pr,arqurrlc/zoNrNG
Minimum Setba cL
ZATION I{AS BEEN BASED ON THE FOLLOWING CONDITIONS:
Partiti.on #Parcel #ParceI Size
t C interior
COITUENTS
SANITATION: s. I. il
Installation callon
Specifications: _ T.rnk
PLANS EXAMINATION:
B. P. *
rear
Date
Installation Record Issued?
l,taximun Depth
of Trenches
fl r"= f]ll"
Lineal Feet
of Drainfield
Grourl--Use
CO}4}1ENTS:
LANE COUNW
ct4..25 R*
TDate:
//-s4APPROVED BY OFF
125 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INF'ORMATION
IGNEE ORS DATE
OF PUBLIC WORKS LAND MANAGEMENT DIVISION,687.4061,
4
-.-.__
CALL 68]-1065. A T1INII'1UI1 OF AT LEAST 2{ IIOURS ADVAIiCE NOTICE FOR INSPEC-
HilA--EEE-ollowj.ng information ready: permiL number, job addresa, type
be ready, your nane and phone nunber, and any special directions to site.
SETBiTCKS AND OTIIER CONDITIO]]S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
C;TION OF TIIIS PERMIT, CITATlO:i UNDER PROVISIOi-S Oi LANE COU\TY':; INFRACTION ORDINANCE, AND,/OR OTHER
RE}IEDlES ALLOI{ED BY LAW.
WHEN READY FOR INSPECTION,
@ENof inspection, uhen it wil,I
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Inspectlon: To be made after trenches are exca!,ated and forms erected and when all
nateriafs for the foundation are delivered on the Job. llhere concrete from a central mixing
plant (comonly termed "transiL mixed") j.s to be used, materials need not be on the job.
2. concrete sLab or Uqggtal* Inspection: To be made after alL in-slab or under-fIoor building
r6nri*eqilrpmqt, mndnft, piping ressories, and other ancillary equrpment items are in
place but beiore any concrete is poured or floor sheathing installed, iocluding the subfloor.
3. Framing & Insulation Insoections: To be made after the roof, all franing, fire blocking, and
i;i*u6 arJ-ii-pTre SnE ETI-$Iles, fireplaces, chimneys, and vents are ionplete and ali rough
e.Lectrical and plumbing are approved. AI1 wall insulation and vapor barrier are in p1ace.
4. Lath and,/or cypsum Board Inspection: To be made after all lathlng and qypsum board, interior
anileit6rl6ri1-ullrce-5uE-ET-re any plastering is applj-ed and beiore gypsm board joints
and fasteners are taped and fj.nished.
5. Final Inspection: To be made after the bu.il.ding is complete and before occupancy.
APPROVAL REQUIRED. No work shall be done on any part of the buj-Lding o! Structure beyond the point
indj-cated in each successive inspection without first obtaining the approval of the building offrcial
Such approval shaLl be- given only after an inspection shall have been maCe of each successive stepj.n the construction as indicated by each of the inspections required.
All building pernits require i.nspections for the work autholized, such as buL noL lj-mited to:
Bl-ock l^Iall: To be maCe after reinforcing is in place, but before any grout is poured. This
fispecEIon is required for each bond beam pour. There will be no approval until the plumbing
and electrical inspeclions have been made and aPproved.
!^Iood stove: To be made after completion of nasonry (if applicable) and when install-ation is
aomFlet.e. Insrallation shaLl be in accordance witsh an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
MobiLe Homer An inspection is required after the mobile home is connected to an aPproved
EEi-rei-reptic system for setback requirements, blocking, footing connectlon, tiedowns,
skirtj.ng, and plmblng coonections.
l. Footings and piers to conply with State foundation requirements for mobile homes or as
recomended by the manufacturer.
2. Mobile home minj-mum finish floor elevation shall be certified when requj.red by a f)'ood-
plain management let.ter.
3. Uobite home tiedowns, when required, and sk.j,rti,ng shall be inslalted and ready for inspec-
tion uithin aL least 30 days ifter occupancy. Tredowns and skj.rtj-ng shall be installed
per enclosure.
Swiminq poolr Below grade when steel is in place and before concrete is Poured. Above grade
ilhen poor rs rnstalred.
A.
ippROVED PLANS MUST BE oN THE JOB SITE AT ALL TIMES DURI!*G WORKING HOURS. THIS PERIIIT vJrLL EXPIRE
IF l,tORK DOES NOT BEGrN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR IIORE THAN 180 DAYS.
SUSPENSION OR REVOCATION I.IAY OCCUR IF IHIS PERMIT WAS ISSUDD ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYoNE PRoCEEDING PAST THE POIIiT OT REQUIRED INSPECTIONS T,,IILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEh'AGE DISPOSAL SYSTEIIIS:
1. Permits shall be effective for one year from lhe Cate of issuance'
2. Upon completing the construction for uhich a permit has been issued, the permit holder shall
nitity tire Lane county Department of Planning and Comunity Development by submitting the.
installation record form,- The Departrent shall inspect the construction to determine if it
complies with the rules contai.ned in this division. If the construction does comPly with such
ruILs, the Department shalI issue a certificate of satisfactory conpletion to lhe permiti holder
If the construction does not compLy with such rul.es, the Department shall notify the Permit
holder and shall requlre satisfictory completi.on before issuing the certificate. Failure to
.."i tn" io!"i.uni"niu for satisfacrory compterion wj.thin a reasonable time constiLutes a vj-o-
Iation of oRs 454.605 to 454.145 and this rule.
Seibacks - Subsurfhcc Sewage Disposal
sePtic Tank
Interior ProPertY lines
Edge of road right-of-way
Burlciing foundation
lie1Is, other water sources
Drainfield
10,
I0'
10,
r00 |
arom:t0'
t0 |
50'
ACTI' TY INFORMAI-ION JHL,L,
C()MPLETE THIS SECTION. INCOMPLETE FORMS l.lILL BE REJECTED!
o:
1 trl /Zz eJ
Err?
ILI-7
,/O ql A'4"-cz't
ffi HOME TELEPHONE #BUSINESS TELEPHONE #
2 PROPERTY ADDRESS /
I
/
TEL
-4.a
( IT DIFFERENT F
3 naae a PAFIeEL NUMBEFI
(RE UrRED INF0RI4ATI0N)
MTNSFIP
MMSN-:P RANGE SMT-ION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
(from tax maps in Department of Assessment and Taxation
or from tax statement)
ZON I NG
TO-INSHTP MNE SE-CrIOru ffi ZONING
ffi ZON ING
ACRES
4 SUBDIVISI0N (if appl icab"le)
5 REQUEST (state exactly what you plan to do)
LOT BLOCK
6 DIRECTIONS TO SiTE:X/a-r--Z-**
** FOR STAFF USE ONLY **
ZONE/LAND US E:
4-33
LAND N,IANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, 0R 9740'l / 687-4061
4
--TTRS0N
MAKING &EQUEST
7t
/7*//4 dL?t
CITY STATE ZIP CODE
Z.t
LANE COU
BUILDING MH
PERMIT OR MOBILE USE PERMIT
PERMIT NO.375-75
MAITING ADDRESS
837 Phcrgrnt Blvd.on€ r
MAITING ADDRESS
PHONE
PHONE
- INCTUDE POST OTFICE
Iaft on Phraaant, to end on ri ght
PROPERTY I.EGAT DESCRIPTION _ METES, BOUNDS
. mttd Illlrse Lot. t0 Block 3
RANGE
,1,4 TAX LOT NO, CODE.tr2%oSECTION CENSUS TRACT
t'l
Stockdale. T
EXISTING STRUCTURES ON PROPERTYAPPI.
NAME
&
MAII.ING
ADDRESS
TEGAT ACCESS TO PROPERTY
ene. 0reqon 9740I
PROPERTY SIZE - FT.
WIDTH DEPTI{AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existin
TYPE CONSTRUCTION
System ! New m
se. FT BDRMS VALUATIONitlon {Famll y Roorn)
SEWAGE DISPOSAT
PUBr.tC tr SEPTTC TANK tr OTHERD
PTUMBING INSTATTED BY
OWNER N OTHER: NAME
BU ITDING
WASTE DISPOSAT
PLUMBING
PTAN REVIEW
PARK TRAITER
TOTAL $-
$. FEES WATER SUPPTY
PUBUC tr tr OTHER
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY DRAIN FIETD REQUIRED
IIN. FT TRENCH WIDTH FT.WITH DIST. BOXr GA[.OR SQ. FT.
Itr Filt c7 ADDtttoil To BE FLAcED ovER SEUAGE otsPosAL sYstEl,
TYPE OF STRUCTURE OCCUPANCY
i
ZONE PUBTIC UTII. EASEMENT
AGT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION
FRONT SIDE INT.
AUTHORIZED SIGNATURE _
SIDE EXT REAR
DATE
*J Rov Eun*rfrlnrrAntAlt t/rc/m
BLDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOLDENROD
Coll 687-4065 to schedule oll required inspections. All conslruc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering
plumbing. All buildings require o certificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posr TH|S pERMrr oN MAIN BLDG. AT SlrE)
TANE COUNTY, DEPT, OF ENVIRONMENTAT MANAGEMENT I
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu 1t 655-13
CONTRACTOR
Blri+-o tile S tf E EVALUATION -:>/cttgts't€
T r'1 R OBS
suB0lvl-,0N:
LZ. TAX LOT
LOT:_ BLOCK:-ij-BUtLDtNG pERHtr APPLIcATI0N N0.
()SITE INSPECTION
Zoning Ordinance Cornpliance: Z one
2. Subdivision Ordinance Compl iance
cK'D BYF{L r tl l;ltS
Setbacks frqa c/l' oT'road:Front 60'
APPL I CANT
DATE
Not
A I icable
)
No Yes
fl ffi
6
3. Required Access ( )4. Building Site (Area, width, Frontage) ( )
5. 0ther (see comments) ( )
Sidc€rt=rt6?
Setbacks f
Side
Rear
rom interior )ines:
%)
COI{HENTS:
PLANN t NG o I U I S Iffi(TNOTI APPLICATION#
BUILDING INSPECTION DIVISION
7. Plans Submitted
8. Soi I Stabi I lty (footings)
9, Flood Plain
I O. 0ther (see conments)
No YesT) T4I() ()
() ()
() (),OMt-z{
A
Notli le
CKID BY
7 DATE
COHMENTS:
WATER POLUT ION CONTROL
ll. l{eets Department of Environmental
Qual ity Standards.
12. 0ther (see comments)
COI{I,IENTS:
Not
I icable No Yesr)rI
() ()q CKIO BY:Q"6'*'
DATP). *tt.\ $,''
TO APPLICANT:
Your Building / Site lnspection:( ) can be approved.( ) Cannot be approved at this time as Indicated on item N0
Questions and further information on items I through 6
COUNTY PLANNING DIVISION Questions and further information on it
aboye.
contact the LANE-
c55-28
eilf7
135 Sixth Avenue East Eugene Oregon 97401
PHONE z 687-4065
LANE COUNTY PLANNING DlVlSlON PH0NE: 587-4186
PLANNING DIVISION
rl
t 2 contacturill be held in this
ls being
Your bui
returned.
ce unt you can reso vet
f
ION DIVISI
rmit Iildi
ems cated.
LANE COU}'-V BUILDING PERMII OR MOBITE }IE USE PERMIT
PERMIT NO.BUILDING MH
MAILING ADDRESSER PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY LOCATION _ INCTUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
\jj . i ,_'.-
RANG E SECTION
a
TAX LOT NO CENSUS TRACTCODE
EXISTING STRUCTURES ON PROPERTY
i
APPt.
NAME
&
MAITING
ADDRESS
)r J\ ,T LEGAL ACCESS TO PROPERTY
t,v
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewoge m
TYPE CONSTRUCTION so. FT. # BDR
New m
VALUATION
l.
SEWAGE DISPOSAL
t i
PUBIIC
BUILDING
WASTE DISPOSAT
PI.UMBING
PTAN REVIEW
PARK TRAII-ER
SEPTIC TANK
\r S
t owNER
WATER SUPPLY
PUBUC tr
OTHER: NAME
FEESs
b$ -t I
TOTAT
COUNTY BUILDING & SANIT TION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOXr GA[.
DRAIN FIEID REQUIRED
I-IN. FT TRENCH WIDTH FT OR SQ. FT.
$
tr \r
v +\r\$\1
\t'
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI"IC UTIt. EASEMENT
BLDG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BLDG, PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PTUMBING - CANARY
BUILDING _ GREEN
SANITATION _ GOLDENROD
Coll 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering
plumbing. All buildings require o certificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST TH|S PERMIT ON MA|N BrDG. AT SITE)
TANE COUNTY, DEPT, OF ENVIRONMENTAI. M,TNAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Ironu 11655-13
tr oTHER
,
I
S?TE INSPECTION
Ap pnov E o
RrMeRrs
-
I I
-
I
Dr srppnoveo Dar r I ruspecroR
FOUNDATION INSPECTION
t)
APPROV E D
Rrua ax s
Dr SAPPRovED Drr r I ruspecton
FRAMI NG I NSPECTION
APPROV E D Drs
MARK S
LATH OR SHEETROCK I NSPECT I
AP PRov E D
RrtrlRxs
DtslppRoveo
DarE
Dar r
-2-'ht-
-r4-
I NSPEcT
I HspEc R
ail
PROVE
,/
rINAL INSPECTI
Ap pnov r D
RrunRrs
SAPPROVEO Dar I NsPEcroR
CIRTIFICATE OF OCCUPANCY
RErov ro lssuE
Rrurnx s
D Nor Rreov ro lssuE D Darr -
\
7,5 -7 .r 83/
I NSPEcToR
D
D
/.,
fr /)
..,{-l,d^.a }1,
,
PERMTT #32 5 -7sN0TE: NO PERMIT WI
coNsrRucrro, .p(MOBILE HOME PLAN REVIEW
BE ISSUED UNTIL THIS APPLICATI
APPLICATION FOR:
HAS BEEN APPROVED
CTTAi{GE OF OCCUPANCY
OWNER
Name City
drA 7 zL-
Phone
CONTRACTOR
o. s. REG . /l a3
ACCESS TO PROPERIY (Road Name)
s,.tbatvisionjif W *AlrUltED l) illal tor
68 73
Address City zip
/Blo "kJ_Property Acreage Width_Depth_
Existing StrucEures on Property:
Property Locatlon - Address/Dlrectlons:
t-Tt /1rL
IZ
Below for Off e
Sq. Ft.edrooms Valuation
SEI^IAGE DISPOSAL:
Site Inspec tlon /l
WATER SI,]PPLY:
Well
B1dg.
Waste Disp.
Plunblng
Plan Review
Mobile Home
1Z Surcharge
Spring _Other
Existing Sewage Disposal System
Pub11c
Comrunity Name of
or New Sy ired
or Pub1lc Systen
PLUMBING:
Installed by Owner 0ther Name32.4o
PLUI,IBING FEES:
^ l4 oorFixtures Serage
Connection
PLANS FURNISHED
YES
. Signature of Appl
Fee Received By:
I^Iater
Connection
FACILITY PERMIT
Date:
z2
TOTAL .)2,32
NO
Min. Septic Tank 1tv
+7t
Drainfield Required - Lineal Feet
h_
Maximum DeP th
f-t L
1,fr,(
Type of Constructi-on e Zote Use Classificati.on
Bldg Setbacks - from Center of Road Right of Way:
wor" hc,l-' slde rnr I
DATE DATE:
oatt* -/?t/
css-12 IANE COI]NTY DEPARTI"IENT OF ENVIRONMENTAL
3-l/-h'
*r. /7 *nce--A2-s".tioo2a. rax Lor code census rr"ct# /- ? O>
ffi
-
FEES:
I
Job Locaticn:
Tar Lot llAeceeeoz.e Map ll
A,men:l' lol,/d,Ph,oneUtlL*Addtess:
(,u,ru f,ry^
Wrw0l-
DescrLbe ffork:f*rn 1-g
r-l
Date of
.2L.8
Value
tdditian
RemoCel
#.. RESIDFNTIAL... APPLICATI-.,/PERMIT
225 North |th Street
Springfiald, Oregon 97477
But)Lding Ditsisio.n
7 26-37 53
SPFIINGFIELD
/]/.ilb/rr)Siqned
Date:
ta S
General
Plutnbing
ectric
Electt:c].anSu
DEI,IOLITIO!] OR
Sanilary seuer capped et ProPertA Line
Septic tank punped attt fi.Lled trith gra;sel
Final - tfiten abctse itens are ccrnpleted
and uhen danolition is complete o? atruc-
ture noued and prenrLses cleaneC up.
Hcmes
Blocking otd Set-uP
Plunbing connectione '- sa)el ord uater
ElectricaL Cc,nneetion - Bloeking' set-up
and plunbing eonnections mtst -be appro"-ed
before requbsting elec!.rieal inspecti'on
Aecessorg Building
pcrches, skirting, decks,
Leted.
Firul - After
etc. a.!e eomp
Pcge 1 of 2
tt ia the reeponaibility of the permit hold.er to aee that aLL inspeetione ate made at the pro?et' tine, that each ad'dteas is reaCabie
fton the streZ4 dnd tltat the peittrit ca.td ia Located at -!h-e. frolt of the-prgpefiA.iauildi,g Dhtision approt;ed plan,shalL remain on the Building Stte at aLL ttnes'
?ROCI!!)FE FQ8-IttEpEgllg!__gi3lEE!;cALL 726-3769(tecordet) state your City cesi.gna.ted iob nunber" iob aldreas' type-of inspe-ctich
"adyforinspection,Contractot,so1,a'mers"ncmeLndphonenunber,P,equest8receit;edbefcre7:00an*^iil be made the e;1e dcy, requeets-iade after ?:00 an viLL be made tke nett uorkirtg dayr^ ^
Iou, City Desigr.ated Job Nunber' '"' 9? Ob3 L
INSI]LATI ON /VAPOR PA RR-|ER -.IISPECTION :
To be made afLer aLL insuLaLicn attd
requined uapor barriers dte in place
bui belore ury Lath, gApslott boatC or
tnLL couering is applied, and before
any insulation is concealed.
after trenches a?e
forms are erected,
pow,ing ecncreta.
FINAL PLUMBING
FINAL MECHANICAL
FINAL ELECYRICAL
SITE INSPECTI1N: ?o be made after
e;aoatlon, Aut prior tc set up of
fonns.
UNDERSLAB PLUMBING. ELECTRICAL &
MECHtt-ltlICAL: To be nade befoz'e any
Git-l{Totsered.
POOTING & FOUNDATICN: Io be nPCe DRY\|ALL INSPECE)N: rc
after aLL dtyuall is in
but prior to cny taPing
MAS0NRI: Steel Location, bond
Tiililgrouti,ng or oertieals in
accord.otce LtLth U.B.C. Sect'Lon
2415.
WOoDSrovE: After installation is
ccr,fletA.
but ptior
and
to
be made
place,
After formsto pouring
UNDERGROUIID PLUMDING, SqWER, W,ITER'
DRAIIIAGE: To be rMde Prlor to !LL-
Tlfi-lr.nchee.
I]IIDERPLOOR PLUMBTNG & MECHANJCAL :
of
floor insulati.on or decking.
P1ST AND BEAM: To be nade Prlot' to
TGliTTdlf,6Tof floor insulation ot'
decking.
ROUGH PLUIIBING, ELECTRICAL & I4ECH-
ANIUL: No DorP' ts to be cor;ererl
,GllTthese inspections haue been
made and. approtled..
FIP.EPLACE: Pti.or to placirg facingiaterials and before froning inspec-
tion.
F84!!-!C: l,tust be requested aftet
approoat of rough plwrbi.ng, electri-
cal & mechanical. ALt roofing
braei.ng & ehinmeys, etc. tntst be
,eompleted. No uork Le to be con-
, eeiled until this i,nspection has
'been made anC approtsed.
concrete.
SIDEilALK & DRIVEWAI: For aLL eon-
crete paofr-fiTtl; street right'
of-txA, to be made after aLL erca-
oating conplete & fomt tnrk & sub-
base nateri.al in Place-
CURB & APPRCACH APP'ON;
ale "rectAEt p;lor'
lutt:gates
hhten conPlete -- ProoiCe
oy, mouable sections through
P, U. E.
*AI,L ILANHCLES AND CLEANOUTS I,IUST BE ACCESSIBLE, ADJUSTIIENI TO BE I'14D8 AT NO COS? TO CIIY
nLL proiebt eonditions, such as the i.nstallation of s!;reet t19e_2,- conpletion.of the
,nq*.nlia- tini,"ipi*g, Ltu., mtst be satisfiid. befone the BUTLDIN7 FINAL can be requested'
FINAL BUILDING: The Einal Building fnepection mtet be requested after the Final Plwnbing
ttn.7"l."-t,-'and Neehanical Inspectl)ons itaun been nade and app,oued.
Subdioisi.on:
'.:yL
SOLAR ACCESS REQ._L-CO dJOB NO
TotaL
Vtan Etcniner
f HAVE CAREFULLy \XA!|INED the cotnpleted application for permit' and do
hereby certify that aLL info':tnation hereon ia true and correct, an'l f
fuz.th.Zr certiiy that any ar"d aLL Dork perfonned slnll be done in accot'-
dance v[bh th-e- Ordinanees of the City of Springfield, and the Lcas of the
state of 7regcn pertaining to the uark cescr'ibad herein, cnd tlnt N0 occu-
pANCy ilill b"e ,a7te of any structune uithout pennission of the Building Di.-
uision. .I further c-erti"fu that otly contraclors and enplcyees aho are in
conplitmce uith oRS ?0'1 .055 uiLL be used on thie pz'oiect
z
s'tgn
Building Volue & Permit
This permi.b is gtanted on the ewt,ess cond.-ition tlwt the said-constvwction
slnll, i.n atl t'eepects"- con\or* "to the Ordinance adop.ted by the lity o-f
,soi;";t;nrn, inelluding- the 2oning crdinanc-e, 7egulctirtg the ccnstrttcticn
olrrl ,'""" of Luild.ings, rtnd nay be suspended or yeookeC at.cna time upon uic-
Lation oJ- anll prcuisions oJ' said Ordinances.
I!eatSetbac
Aacess.
VaLue,tfu
TOTAL VALUE
Euilding PennLt
?otal Clnrges
Bedroons
fri
XITEM
{
Signed:
s.D.c. 1.5 x
t)r tlolise
Ct ot
Lot Faces -
th
PLan Check Fee:
Dtte PaLd
Iat Sq. Ftg.
% of Lct Ccuerage
# of Stories
Total Height
topography
LCT TYPE
' Intet'ict,
_ Corner
_ Panhandle
CuL-de-sac
Plumbing Permit
No peyson slnll cortsttuat, instal|., alter. ot change,any neD-c|. eristing
plinbing or, drainage sysl;en in uhole o,r in part, unless such person is the
iegol yio"""u"o, o7-o uiulid pl*rbnttts Lic-ens,e' escept that a person na7 q9
ptl"otl-irg uonk to pt:operty uhich is otmed, Leased on operated by the appli-
cdnt.
CHAR(;IINO.T LLITEM
Fiotures
Residential (1 L'ath)
Sani Seuen
Plwnbing Pet'nit
e
Electricol Permit
Where State Laut requires that the electtical work be done by an Electrical
Contractor, the electnical portion of this pertnit alull not be ualiC until
tlte Label lns been signed by the Electrical Contracto?.
NO.T LLI'1'EM
Res.
Nau/Esterd. Circuits
Seruice
SLectricaL
State
?otal
FSE CIIARCEilgM Mechq nicol Permit
Esharct Hood
Ilcodstope
Vent Fot
PernrLt fssuartce
Mech,aniceL Pe?nrit
.- TNCROACHMENT --
Sean itu Deposit
Storage
Maintenance
Perwtt
Cutbcut
Sida,talk
.qence
Electrieal Labol
Mobile Home
nhb 5,ac-
Receipt ll:
l|/\d'^f
^l||\]1,.|n
t |.. 1 ao
State
ffi
5,