HomeMy WebLinkAboutPermit Building 1987-03-25.. RESID \TIAL..
22s North rrt, irr"i"'rcA?ro,/PERl4rr
SprLrryfield, 2regon 97477
Building Diuision
7 26-37 53
Job Ioeaticn:A^O-L
Aesessore Map #
Sttbdioision:
a,nter: el h-Q-/
Address:')S(O CA-a Pt,one
zip:
SPFTINGFIEI-D
t#
Date
UaB
3
ci
Additicn
RenoCel
"ffiiw_fl"
LotAtt-d d-t
Date of oopuoori., 3'-(3- 87
vrbilL AA-a^r'>:
VaLue 0
Iour Ci.ty Desi.gr.ated Job Nutnber fs:
TNSULA?TON/VAPOR BARRTER ITISPEC?ION :
Io be made after aLL insulaticn and
required uapor borie?a @e in place
but befoz,e oty Lath, WpsLon bcarC or
tnLL eooering is applied, cttd before
oty insuT,ation is concealed.
DRYWALL INSPECTT)N: Ic be nade
-.
aftez, aLL C"nyuall. is in place,
but prior to any toping.
MASONRI: Steel Location, bond
beans, gxouting or uerticals in
aceordorce uLth A.B.C. Section
24L 5.
VOODSTOVE:
enpTetA.
After installation ie
CURB & APPROACH APPAN: After formsee erecteC but prior to pour"tng
conc"ete.
SIDEWALK & DRfIEWA!: ?or all con-
crete pauing uithin street right-
of-teA, to be naie after aLL ecca-
oating catrplete & forn uork & sub-
base rm.terial in place.
Phone
GeneraL
L
r^t ia the respottsibi-Li!! oi tle penrtt holder to aee that aLL inspeetions ee nade at the proper tine, that 2411 aiirsss is rensahi.eIyl-tly at?ee.t' and, tlat the-pewit_e@d is located at the frcni of the p?operty*Building Diuiciot cppro"*ed pl-an slwll remain on tle aunlalng-iite'at aLL'tiines."
:CALL726-3769(lecolder)stateyou!Citydesigrl,ated,jobntor:ber,jobacir,ess'tgpeofinspee=,icn
::*"i!"1 ar.d'.uhen iiou uiLL be ready fo_t'inspeetion, cont?actor" o? ormers"ncmeL"a puin nu,nbez,.' -Eequests reletiZa bL1cre'z:00 c:iL'LLL be made the sane dcy' ?equests made after ?:00 aq vLLL be nnde the nezt aorki$ day. _
81c t7 t
i Coas*ueti.gl_Lend?
, FN]AL PLIJI4BITIG
SITE INSPEC?I)N: ?o be nade after
eacauation, but pz'tor tc set up of
forns.
UIDERSLAB PLUMBTNG, ELECTRICAL &
WCH,:.IIICAL: To be made before enuffiE-li5,let ed.
lyf ro.ormc a rounoerrc!!: ro be nace
U:_l afxer trenches are escansated and
forns ate erected, but ptiot, to
pour.tTq ccneret€.
a4
LLrq x"enchee.
,jl unowruoaR pLUr.ErNG a MECI:ANrIAL:iloT
floor insulati.on or decking.
,Qf posr auo aem: To be nade prior to
1, ^ | GEliTTili.-6n of floon insut)tion or
decking.
rn
-
util these irrcpeetions tnue been
mad.e and approoed..
ELPEP4ACI: Py"Lor to placirq facingmaterials and before franting inspeb-tion.
\ Pnrutac: I"lust be requested aft,ez,
't I approual of z,ough plurbing, electri-cal & mecianical. ALL toofing' btaeing & chinmeys, etc. rrust be
. eottpleted. Ilo ucy,k is to be eon-
- cealed until this inspeetLon ?ns'been made anC apptoted.
hthen eonplete -- ProuiCe
or mooable sections thtough
OR )!OW) BUILDI;ICS
FEAtaE.
gate6
P.U.E.
ffi /1157a<7za.z 2r. 222/* ftxe
-Ray6ta, R€qq.qFD P?/aat77r ,/f.y/r.?r/H.
lg
I
PINAL IIECHANICAL
ALL project conditions, such as the i.nstallation of street trees, co:toletion of tie
required Landsecpizg, etc., m$t be satisfi.ed before the BUfLDfNC FMAL can be z,equested.
FINAL BUfLDIN?: The Pinal Building Inspection nuat be requested aftet, the Fi.nal PlunbingElectrical, anC Meclur:ical fnspeetions hque been made and approoeC.
Sardtatg saser capped at properhi Lite
Septic tank p,,rped a:,d. fi.Lled trith gra;sel
li.nal - lthen abcoe 'Ltens are eclnoleied.
and uhen Cqeclitior is cornplete br s*,ue-
tuye noueC and. prerrLses cleaneC up.
llobile Ecnes
Blocking old Set-up
Plunbing connections -- aeue? ad. uaiet
Electrieal Ccmnection - Bloeking, set-ua
and plutnbing connections tn;st be qtprc,^ed
before requesting eleclrical inspeeliot
Aceessory BuiEing
Pinal - After pcrekes, skirting, decks,
etc. are completed.
Page 1 of 2
'lo4a-b?t .))i ia.
I Ica Lot #
FINAL ELECTRICAL
*ALL I4ANHCLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUSTIIENI TO BE I.'ADE N? IIO C1ST TO CI?Y
TI
JoB No.x ry I soLAR AccEss REQ.-
IDt Sq. Ftg-7
r--co C
Bedroons:
Z of Lct Caserage ?
* of Stot ies
Total Eei.ght
topogrcphg
rTEM
Residzntia.L (1 bath)
Seuer
Nau/Ettend Circ'uits
Sentice
State
lotal
IT!M
Permit rssuntce
Meelnnical Petmit
-- ENCROACHMENT --
Sec.u.t
Main
Penrtt
Chanaes
Cvtbcu!
Sideualk
Mobile Hone
LOT TWE
_ Interior
_ Corae?
_ Panhand.Le
CUL-de-sac
Reeeipt #:
Signed
'a)
Electricol Permit
Whex,e State La requiz,es tlnt the electrieal uork be done by an Electrical
Contnaetor, the elietTLcal pot'tion of this permit slnll not be oalil' until
the Lobel Lns been s'Lgned by the Electtical Contractor.
Mechqnicol Permit
W
tlcodstoile
f HAW CAREEULLy EXilLfNED tle eonrpleted appltcation for permit, and' da
hereby certify tTwt all infotnation heveon is trae and. eorrect, cnC f
futther eertify that any ard aLL uot'k perfonned sLnLL be done it accor-
danee tLth the 1rdinances of the City of Sprtngfield, atd the Laus of the
State of 1regon pertaining to the wt'k Cescribed herein, cttd thdt N0 1CCU-
PANCY vil,L be nad.e of any st?uctu"e uithout permission of the Building N-
oision. f further certify thet only contractors and enplcyees uho are in
conpliance Dith.ORS 701.05s uiLL be used on this proieet
a 3 - 2a--
t:
Lot Faces -En Sources
lleat
HouseDf Access
th tote
t
ITEM fiu x Value
Main
a7m.
TOTAL VALUE
S.D.C. 1.5 c
Date Paid o
ut>
Building Volue & Permit
This perrnt is granted on the eEp"ess eondition that the said-consttaction
slnlL', in all r"espeets, conform to the ordinorce edopted by the City o.f
Sp?ingfield., ine|uding- the Zoning CYdinance, regulating the ccnstmtcticn
and u-s'e of buildings,- otd may be suspended or reuokec at cny tine upon oic-
Lation of dly prcoisione of said }rdirunces.
Building Pe?nrLt
?otal Clnrges
State Sutchege
N0.FEE CHARGE
Fi.tu?es Plumbing Permit
No pereon sha|-L constt'ttct, instal'!., altet or ehange,ang fiev-ct' esisting
pttintLttg o7 dtainage stJstall in uhole oz' in pan't' unless sueh person is the
iegol pbssesso, of a u'-olid pl*rb.:"'s Li,eense' eceept that a pe?son na! 4q
ptimtl..irg uork to property ihi.h is ot'med, Leased ot' opez'ated by the appli'-
cant.
ylumblng yerrilt
State Sutehange
Tctal
NO FEE
2
ncr
E?UI
bha$t HooC
Vent P@t
,*
6f,bo
TOTAL AI,IOUIIT DUE: */ 57. ld Signed
4..*r/-C/
Res- Sa. fta.
2a \,h1br*
?z-so
-?a
z*
.. RESIDENTIAL..
sffidyth sfi, itr"*"Lr cAr r(
SprLrqfield, 2regon 97477
Building Diotsion
7 26-37 53
Job t-oeaticn P 5
Aeseasors Map #
SPRINGFIELIS ,-,PERTIIT
Tc.r lot #
Phote:
Desct tbe h'ork:
Value
UE B-
It (b1
{w J
o
Svbdioision:
Asner:
Address:
ci
Additicn
fr v&
I
I
W K,t
''o/
w[
otl{'rru i
tt RenoCeL *iH*CUY
Date of App Licatian Date:
ntmber
nunb*.
GeneraL
1
,
rt is the reeponaibt-lilY of-tne penrit lolder to aee tlut alt inspecttons ee nod,e at the pro?er tine, th6.t ecch.ad,,tneas is tea2ahle
i1ffi,**'fr:,:r'"*ffi"'!Z#T;ri*;x,*"i:E*,r"#r*7;i'"%iirqn*"r: -' I .
P|Ir?crpup+FoR, ryspEnry;cALL726-3769 (recordet) state your citg designated. job
::*"i1"!-1!-11hen 'sou uiLL be ieady for inspection, contraetois oir a,mers- ncrn. "ord p,?-n.|"LLL be nnde the eante dcy, ?eEtests made aftet ?:00 on ttLL be rade theiit i"iri"g'a.y.
e 1o tl I
, iob aCdress, type of inspeclicn
Requests receitedbefcre 7:00 @l
Iour City Desigr,a.ted Job Nunbet fs:Tnsneati-ane
SIIE TNSPEC?ION: lo be nade aftetetcantation, but prtor tc set up of
JO"mA,
INSALA?TONy'VAPOR BARRTER IIISPECTTON:
To be natie aftet, aLL insulcticn ed.requlred oapor beriers d"e in p'Lacebut before ory Lath, WpsLn baal,C ortnLL cooering is applied, od. beforeoty insulation is concealed.
DEI.IOLruIO!] OR'
Sanit@V aeuer capped at propert7 Line
Septic totk y,,o:ped and. fitled ttth gza;tel
UNDERSLAB PLUMBING, ELECTRICAL &wcltycnL! ro ue-ffiTiy& answrk is cooeyed.
P0pTrNc & FOUNDATICN: ?o be rruCeafte" t?enches a?e eceauated and
forms ate ereeted, but prior topouYing ccncrete.
7 ay0sRcnoul:D pLuruErNG. sttlEp.- tt.ATER-I I D.,D4IIIAGE: To be nad.e prtor to fil-.lirg trenchee.
] uaompzoon ptwnmG & r,rECtrANrcAL:lryb@offloor inaulation or decking.
I P9Sr 4t!D BEAM: Io be nade pr.Lor toI inetallatian of floot iraulation on
decking.
-l ROUGH pLUEItlC, ELEC?RTCAL & I,{ECH-J .w:til these inspections hae been
_ nod.e and approued.
, I fnwtnct: pr.ior to placira fccina| | matenials and, befone franitfi in"pnl_. tion.
a rnilrc: I,tust be nequested aftenI app-roual of rough plttrbing, eiectri_q.L & necitanical. ALL roofing
.' .braetry A_ ehinmeya, etc. nust be: conpLeted. Ilo uotk is to be con_
-..,;.eecled until thts inspection ltaa:bee,l rade anc approoed.
lla
l
DRWALL fNSPEAf)N: ?c be madeafter aLL dryuall is in plaee,but prior to any taping.
MASONRI: Steel Location, bond
beans, grouting ot uerticals in
accotdorce Lrith U.B.C. Section
241 5.
W)1DST),|E: After installation ieanpleted,
Pinal - I{hen abcte itens ee canole
and uhen Certclition is canpletei'otture moued otd. pretrises cleuteC up.
*ed
st?uc-
CURB & APPRCACH AppAN: 'After formsee ez,ecteC but prtot to pout"tng
conc?ete.
SfDIWALK & DRftry'rlAy: For al| eon-cyete pauirq uithin stteet right-gf-txA, to be na.de after aLL ecea-lating canplete & forn uork & sub-
base na.ter.Lal in place.
e Hcnes
Plunbing connectia-ns -- aa,reu )*, *r",
I
Electrieal Couection - Blockittg, set-up
and plwnbing connections m;st be appto,sbd
before tequesting eleclyLcal inspectio;z
AecessoryBuitCing ..
;
FTUAL PLUAEITIG
PII'IAL MECHANICAL
PIIIAL ELEC?RICAL
!EIIC!: When cotnplate -- tuaiCegates o" nooable sections thtough
P,U.E.
ALL projeet conditions, sueh as the installation of street trees, conpletion of tierequited landscqing, etc., rmtst be aatisfied.before the BUfLDfilG PfNAL can be requested.
O llr':!-:yr-rr*c:- rhl Final Building rnspection nust be requested aften the Finat plwnbiry\_,/ ELectr.Lcal, od lieclurical Inspectione larse been naie ard'approoed.
Page 7 of 2
44
'ALL I'LANHCLES AttD CLEANOWS MUS? BE ACCESSTBLE, ADJUS?I2EIE rO BE |L4DE /t? NO COST TO Crly
J
Final - After pctckes, skitting, declcs,etc. @e compleied.
I JoB NO.?:iULAK AUL;E)) KEV.-L-CO G^
lieat
Df House
Lace
IDt TW.--z
_ Intertor
_ Cormer
_ Panl'tard.Le
_ CUl-de-sac
[pt Faces -
Bedlooi:s:
Total Height
lnt Sq. Ftg.
Topogqhy
7 of Lct Couerage
I of Stortes
Grr.:
r?!t'l FTG x Value
?OTAL VALUE
oc.S.D.C. I.5 c
Cheek Fee:
Date ya.-d:
Building Volue & Permit
This permit is gz,anted ot the eupress eondition tllat the said conetraetion
stwll', in aLL rZspects, eonform to the Ordinance adopted fiiy the City gf
Springfield, inetud."Jng the Zoning Cvdinance, regulating the ccnstracticn
and use of buildi.ngs, ord may be suspended or teuokeC dt cr,A tine upon oic-
?.a.tion of @ry prcoisione of said 0tdi-r,ances.
Building Penrit
?otal Clangea
State
)t Signed:
N0.FEE CHARGE
Fiztutes
Resid.zntial (1 bath)
Seuet
Plumbing Permit
No person shall construct, instal!, altet' ot elonge cnA nel cr eristtng
plutnbing or drainage systat in rtlale ot in pott, unless such person is the
Legal pbssessor ofa oalid plunbet"s L'Lcense' eceept that a pe?son nai1 loplunbing uork to p?ope"tA uhich is ouned, Leased or operated by the aPPLi-
cont.
*
Plunbing Penrtt
NO.FEE
Neu/Ectend Circuits
.75
Electricol Permit
Ithere State Lan requires th.at the eleetrLcal uotk be done bi an Eleatrtcal
Contraetor, the electrtcal portion of this permit shall t"ot be oalil until
the label Lns been signed by the Electrical Contractor.
?otaL
NC tr?n
bllaot HooC
Yent Fot
llcodstotse
#
Semsice
Permit rssuarce
Meclwnicel Penrit
-- ENCROACHMENT --
Mechonicql Permit
: Seei,tri
Permtt
TotaL
Ctttbeu!
Sida,talk
Eleetrical Ia.bel
MobLle llone
TUTAL AMOUNT DUE:.
T[attixoniner Date
*
f HAW CAREPULLy EXA|4INED tle completed application for pernit, and do
hereby certify that aLL information hereon is true attd correct, aruC f
furthbr ceftify that any ar.d aLL uork perfotrned slnll be dote in aceor-
dance tLth the- tudinancbs of the ci-ty of Springfield, ard the Laas of the
State of O"egon pertaining to the Dork Cescribcd herein, cnd that NO OCCU-
PANCy trtLL b-e nu-de of any structtu,e tithout permission of, the Building DL-
oision. f futther cbrtify that otly eontr'actors ad' enplcgeea uho ate in
cazpliance uith 1RS ?01.055 uiLL be used on this proiect
/ - 2-5- Fr
4
.-I-
/.5.75 Signed Date
IT9!,1
Fraffiac PTll'S
,
?c,z lat #I
Phone
t{.. RESIDENTIAL..
22s Nonth rrt, ironl"'rcArroN/PERIIT!
SprLngfi-eld, )t,egon 97477
Building Diuision
726-37 53
K (/,
SPFIINGFIEI-D
GJob Locaticn:
Aosessore llap #
Subdioision:
0tmer:2-c
Addyess: f S(; &Lt-o
3
-(.aD
l-t llork: -t.J__ (
aL-4 LC-n
AtVu d {."rAdditicn
RemoCeL
Le
Date of Aoo Lieatian
GeneraL
, Elec*"ica
C
IUE .LlL Acoov4
*^" gl M!Date
1
Ar t I \'
14echan:icaL
i Constnaetion Lender
r^t ie the respottsibi,-Lila oi-tte peodt holder to see that atl inspectiotts ate nade at the pyope" tine, that each address is vsasahi2iyl-t!" atpee.t' an4 that the-penrtt-eard is Located at -the ftotti of ttze propertytBui%ing Nuiciot appro"^ed pLan shcll pemain on tle Bunldinlq Site 'at aLL' tines."
P-!?ocgDUPt F1t?. il.tSPlCTI1n,8I=QyES?:CALL726-3769(reeorder) state yout, City desigrnted job nrmbet,, job aCitess, tgpe of i.nspec=icn
::.Y":11 .a-ti.unen gou uiLL be neady for ir,spection, contrdetcr," o7 asr.rs"r*r.Lrd pio).e nunbet.' biqui""" rele;i;Za befcre'z:ag c::'"LLL be nade the sane dcg' "eEtests ncde aftet ?:00 on mLLL be made the next:sotkinE day.rlc ffIcu? CitA Desigr,ated Job Number Is IReauiredecticnsTSnE IIIS?JC?ION: ?o be nacie aftet,
ezcauation, but pr"ior tc se! up of
forms.
INSULA?IOII /VAPOR BARRTER IIISPECTION :OR :,!CW) BIJILDT;JCS
Sanitarg seuer eapged ct pz'opez,ti Lire
Septic tutk p;nped and filled tith gra:;ei
w
a
forms aze erected., but pz,ior to
pour-ir,g
to
AilDERSLAB PLUMBTNC, ELECTRTCAL &
YECH;.;|iCAL: Io be macie beioz,e anyttotk is cotleted.
)-
ruqfu t FI\NDATTIN: ro be nace
@; trenctes a?;iccauated and
To be made after aLL insulaticn a"l.
z,oqui.red uapor berie?s @e in pl.a.ce
bat before any Lath, Wpsrn boatC or
tnLL cooering is applied, and beioreotg insulation is concealed.
DRYWALL TNSPECTTON: Tc be nade
-.
after aLL CayuaLL is in plaee,
but prior to cny taping.
ILASONRY: Steel Loeation, bond
beans, gnouting ot uerticals in
accotdotce tLth U.B.C. Section
24L 5.
WOODSTOI|E:
cc,tpT;t7.
After installntion is
CURB & APPRCACH APP.2N: After fonnsee ereeteC but prior to pour.tng
cor1,o?ete.
SfDE\|ALK & DRf\EWAY: For aLL con-
crete pauin4 uithin st?eet right-of-txg, to be mol.e after aLL ecca-
oating conplete & forn wz,k & sub-
base nwtertal in pla,ce.
IENCE: I{hen eonplete -- ProuiCe
gates ot, notsable sections through
P.U.E.
Final - h1ten abcue ;rtens are eatpleteC
ard uhen Certclition is eonrplete o? stTuc-ture noued ani prerises cleaneC up.
f uuo*tLcoR zLUIETNG E t4ECltANrcAL:ttof
floor insuT.ction or decking.C
Q] posriuo auu: ?o be nade pnior to
i ^ | 6it-iTElGi-of ftoor insutZtion otdecking. q)
m'-
-
ul2til these inspeetiors hanse been
nade cnd. aoptoueC.
, l ruwpuct: pr.Lor to plceirq facinat t materiaZs and. before franing inspec-tion. ,Vyl FRAIIIilC: I'tust be z'equested aftenn I approval of rough plurbing, electri-eal & meciunieal. ALL roofing' braeing E ehittmeys, etc. rrust be
. conrpleted. lto ucrk is to be eon-
- cecled until this inspection lws'bee.n made anC appro"^ed.
e Hcmes
Blocking otd Set-up
Pltnbing connections -- sa)er ozd. uatet
Electrical Carnection - Blocking, set-uo
and plunbing connections rn;st be apprcxei
before tequesting eleclrLcal inspecliol
Accessory BuilCing
Pinal - Afteretc. ate eornp
pcrekes, skirting, decks,
Le!ed.
FTilAL PLUI,{BIIIG
R /ry**lr)*"?,' az:*t* ftae
-r<aY6ta, R€qc4/?€D A?
Za a.VZ ? r//.y t 7-227/.,+rry .
ALL pro,iect eonditions, such as the i.nstallation of street trees, ccnpletion of therequined Landsecping' etc., must be satisficd befot,e the B(lILDftlG FIIiAL can be requested..
FINAL BUfLDING: The Final Buildirtg Inspeetion mtst be requested cfter the Pinal PltnbingElectrieal, anC Meclnniccl Inspeet.ons hqvc been nade ard approueC.
1 un;t r4ECHAttrcAL'l \,lA
fl rrna,t'ELEcrRrcAL
l 'ALL I.rAltHcLES AND CLEAT\OUTS ltUS? BE ACCESSIBLE, ADJUST:liill rO BE tlltDE t? ilO C1ST ?C Cny Page 1 of 2
/
Desct+be
CtJ
T
tr
Iat sq. Fts. ?qZ_
z of Lct ccu"roge 2/€
i Joe No.8 lfll soLAR r-cEss REQ.-L-CO G+
Building Volue & Permit
This penn"Jt is granted on the es??ess cortdition tltat the said-consttaction
slwll-, in all rbspeets, conform to the 1rdinance adopted 6y the City of
Springfield, including the Zoning Crdinance, z'egulctitlg the ccnstrueticn
and use of buildinos, cnd may be suspended ot' reuokeC at cnA time upon oic-
Lation of any prcuisions of said 1tdinances.
)
LCT ?WE
_ fnteticr
_ CYl-de-sac
I of Sto ies
Iotal Eeight
Topogrcphy
ty'gtz / corile?-'-
Panhad.Le
U
Euilding Permit
State
?otal Clnrges
)
Signed:
Becroons:
Acccss
th
Df House
Lot Faees -
eat
Sources
Lace
tove
-- Fees --
ITEI.t SQ. FTG x Value
llain
C,sace
Carocrt
Aeeessot'u
/Dr*dt9 7c92.*
TOTAL VALUE
S.D.C. 1.5 c /y4 .
6Z.SA Cheek
i-+^ D-"').42.f?
Receipt #a <-ao<eclr'
CHARGENOFEE
'vletey
\ NEil
Fistti:res
Resil.znti-a.L ( 1 bath)
Sani Seuer
PLtmbing Penrit
Nat/Ectend Circ'uits
Sez'oice
?otal
Plumbing Perrnit
No pe?son s?nll constzact, install, alter or elwnge cnA neu cr e*isting
plwrbing oz, dnainage systen in;slale ot in patt, utless sueh person is the
Legal possessot of a oalid pltntber's License, eccePt th,at a pe"son nay do
plut",bing uotk to p?opertA uhich is ouned, Leased or opetated by the apPli.-
cqrtt.
Electricol Permit
Where State Lan z,equires tlnt the electrieal uork be done by an Eleetrical
Cont"aeto?, the electrical portion of this permit slnll not be ualil' until
the Label has been signed by the Electrical Cont?actor.
1
;;t FE!CiiARCL
Qrq ??.Eo
2Z-;;>
-?a
2?.{b
F!T atJ t Da;
Futr.aee P?Ut S
i?!t4
bhanst EooC
Vent Fot
Sectri
Penrit
Cutbcttt
Sida,talk
ELectricaL
PermLt Issuanee
Mechanieal Permit
-- ENCROACHMENT -.
TotaL Chanaes
Mechonicol Permit
Ilcodstotle
.ner 32a*z-
3 - 2c,
I ltAW CAREEULLY |XAIIINED the cornpleted application for pernit, cnd do
herebg certify that aLL infornation het'eon is true and. cotz'ect' cnd f
furthet' certify that any ard aLL wrk perforaed sltall be done in aecot-
dance rrtth the ozdinanees of the Ci.ty of Springfield, artd the Lc;s of the* State of Oregcn pertaining to the aork Cescribcd herein, cnd tlnt N0 )ccu'
PANcy vitl bb ma,1e of any st?ucture uithout permission of the Suilding N-
uision. f further certify thet only eontracto"s and enplcyees u|^.o ote in
eanpliance uith.ORS ?0L.055 uiLL be used on this proiect
L
Mobile Hone ul(
ct.., -:.1
6{oo
TOTAL AIr!0Ui17 DUE:./57 /o Signe<i Date
Po< Rn- ffn.
thlbrx
D
-
Lane CountY Authori za"ttott fort FOR OFFICE USE ONLY
Applicationl"
Permit *
I d/
TOWNSHIP RANGE SECTION
slBDrvrsroN,/pARTrTroN (if appli.cable)LOTIPAF.CEL
v
BIPCK
PROPOSED USE OF PROPERTY
Residential
Commercial
fl rndustrial
PubIic
I,CCATIO)] ADDRESS '.'r t'l ZIPSTREET
/-Z 3ex.
?1t
DiSCRIPTION OF PROPOSED WORK - BIJ SPECII-IC
.*./tr-,\,4*7.-r
DECI,ARED S VALUE
7. OF BEDROO!4S * oLsToRrEs + OF E}IPLOYEES SUPPLY Proposed
Exi s ti
O:\'NER'S IJAME AND ADDRXSS TELEPHONE NUMBER>f
cQryIRAcroR's NAME AND osR #
/<
TELEPHONE NIJMBER
"6-Cqe/ra a.B. 9)4
I EAVE CAREFULLY EXAI.IINED THE COMPLETED APPLICATION !'OR PERMIT, ar,C ,lo herelr'/ certi"fy that all infolaation hereon is true and correc!, and that I
have the following legal, interest in the property, !ornut of record; f cc,ntract prrrchaser; !authorized agent.
I f:rther certify that any and aII work perfomed shall be done in accoldait.e with th.r Ordrnances of Lane Couty and the Laws of the Slate of Oregon
perEaining to the work described herej-n, and that NO OCCUPANCy will be nade of 3nl'strrrcture without the pemission of the Building Division. f fur-ther certify that registration with the Builder's Board is in fuIl force and effect as required by oRs 7O1.055, that if exenpt the basis for exeq)tiis noted hereon, and that only subcontractors ad employees who are in conpliance with ORS 701.055 will be used on this project. I IIAVE READ AND
CHECKED THIS APPLICATION THOROT'GHLY.
NAME (please print) SIGNATURE
2
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION I{AS BEEN BASED ON TIIE FOLLOWING CONDITIONS!
Zone- Partition #- ParceL f- Parcel size-
Date:
Yes
I er,eus ExAMrNArroN Use
COM}IENTS:
rear
NoD
COM}IENTS
Date
PLANNING
I seurtarron, s. r. #B. P. #
ttt
r lroll.l
Installation Record Issued?
COI'[\ENTS
interior
ZONING:
Lineal Eeet
of Drainfield
Installation -!'- Ga1lon
Specifications: ''"-'. i Tank
Maximum Depth
of Trenches
Mj.nimum Setbacks, cL, front "", =
PERMIT APPROVED BY BUILDING OFFICIAL,/DESIGNEE (DET ORS 455.805 (1) ) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061,
125 EAST 8TH AVENUE, EUGENE, OBEGON 97401
SEE REVERSE FOR INSPECTION INFORMATION cL4-25 R*
ll l
?
L 5 ,q q o
c)-
)<./{ (
{74 )
/y '/24
7y6<
I </ dFl
,*fr/i 5
tr
T
Date: D
4.4r)
SETBiTCKS AND OTIIER CC:;DITIOIIS OP APPRO'/AL IIUST BE STRICTL! oBSERVED. VIOLATION CAr* RESULT IN REVO-
C;TION OF TItIS PERI1IT, CITATlO:l UNDER PROVISIONS Oi LANE aOUI;TY'3 INFRACTION ORDI]-ANCE, ANDi/OR OTHER
RE}IEDIES ALLOWED BY LAt.'.
WHEN RE.\DY FOR INSPECTION, CALL 687-{065. A MINI}1Ui1 OF AT L'AST 24 IIOURS ADVAI,ICE NOTICE POR INSPEC.
@N:---E;'Elh-E-o1lovinginfornationready:permitnumber,jobaddress,tyPeof inspecrion, when it will be ready, your name and phone nunber, and any special directions to si.te.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
I. Foundalion Inspection: To be made after trenches are excavated and forms erected and when all
n;[6;TFfd--ElE--fotrndarion are deLivercd on the job. lJhere concrete from a cenlral mixing
plant (comonl"y termed "transit mlxedrr) is to be used, materials need noL be on the job.
2. Concrete Slab o! Under-aloor InsDection: To be made afr-er alI in-sIab or under-floor buiLding
se-vire eq-uipmmt, conturt, prpmg rcrcssories, and other ancj-Ilary equipment items are in
pl-ace but before any concrete is poured or floor sheathj-ng i-nstalled, includinq the subfloor.
3. Franing & Insulati.on Inspections: To be made after the roof, all framing, fire blocking, and
br;ci;a ir6ln-lfre Ei?-III -cipes, firepraces, chinneys, and vents are conplete and all rough
electrical and plumbing are approved. AII walI lnsulation and vapo! balrier are j.n p.Lace.
4. Lath and,/or c),psum Board Inspection: To be made after all Iathing and qypsun board, interior
anilex*-erior, rs in place but before any plasterj"ng is applied and before gypsm board joint.s
and fasteners are taped and frnished.
5. Final Inspeclion: To be made after the building is complete and before oecupancy.
APPRoVAL REQUIRED. No work shall be done on any part of the building or structure beyond the point
indicaced io each successive inspection ilithout first obtiinrng the approval of the buj,lding offlciaL.
Such approval shafl be gj-ven cnl-y after an inspection shalI have been nade of each successive step
in the conscruction as indicated by each of the inspections required.
NOTEr AL.L building permits require inspections for the uork autho!ized, such as but not lj.mited to.
A. Block l,lall: To be nade after reinforcing is ia place, but before any qrout is poured. Thj.s
InEFEcEIEF is requiled for each bond beam pour. There witl be no approval until the plwbing
and electricaL inspections have been made and approved.
B. l,lood Stove: To be made after completion of nasonr)' (if applicable) and when rnstal-lation j.s
coneletn Installation shaIl be in accordance with an approved, national-ly recognized testing
agency and the manufacturer's instal.Iation instructions.
C. Mobile Home: An inspection is required after Lhe mobile home is connected to an approved
sEi-rcrept.ic system for setback requirements, blocking, footing connectlon, tiedowns,
skirring, and pLubing connecLions.
l. Footings and piers to comply with State foundation requirements for mobile homes or as
recomended by the manufacturer.
2. Mobile home minimum finish floor elevati-on shall be certified when required by a flood-
plain managemenl letter.
3. i.obiIe home t.iedowns, uhen required, and skirti.ng shalL be installed and ready for inspec-
tion wlthi.n al l-east 30 days after occupancy. Tiedowos and skirting sha1l be instalLed
per enclosure.
D. Swiming PooI: Be]"ow grade when steel, is in place and before concrete is poured. Above grade
ilhen pool is insLallcd.
APPROVED
'*N"U"
BE ON THE JOB SITE AT ALL TTMES DURING WORKTNG HOURS. TI{IS PERXIT WTLL EXPTRE
IF WORK DOES NOT BEGIN WITHIN I8O DAYS, OR IF WORK IS SUS.DENDED OR ABANDONED FOR }IORE THAN I8O DAYS.
SUSPENSION OR REVOCATION i.lAY OCCUR IF THIS P'R}'IT I^]AS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
f NFOR.t'1ATION.
ANYONE PROCEEDING PAST THE POINT Of REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEI1S:
Permits shall. be effective for one year from the date of issuance.
Upon completing the construction for which a permi! has been issued, the permit holder shalI
notify the Lane County Departient of Planning and Comunity Development by submitting the
installatj.on record form. The Departient shalt j.nspect the construction to detcrmine if it
complies with the ruLes contained in this Civision. If the construction does comply with suchrules, the Departmen! shalI issue a certificate of satisfactory completion to the permiti holderrf the construction does not comply wj-th such ruIes, the Department shall. notify the pernit
holder and shaII require satisfactory canpletion before issuing the ccrtificate. Failure tomeet Lhe requirements for satisfacLory completion wrthi,n a reasonable time constj,tutes a vio-
Iation of ORS 454.605 to 454-?45 and this ruIe.
Setbacks - Subsurface Sewaqe 4Eposal
Septic Tank Drainfield
Interj.or property Li.nes
Edge oi road riqht-of-way
Buildinq founCation
Hel"Is, other HaEe! sources
From:10 '10'
50 |
10 |
r0 t
10,
100,
o/o
I
i
2c)
q o"
toro'
z7''+"
(or/yV7z><f ,?rrtzaefr€/+q a/4e-
'6f
IT
t:
$\rh
__y?o-
Aa'
TIO N
,t,
2t,
/d Lr4s
2<)
Lo6
I
I
I
HOUS E )
\
i
I
EXISTING
\
I
I
i
i
I
I
I
i
!
I
i
I
I
[ni-
\
,*g4aort
2ppo/,,-7f,t
AD
I
-i
7
a
a
ijiji-Jiil',f I)|lP'1' [rt.lU i.lf-;1' I;'f rf:"1'f 'r :r* _r,'?I # i $rqTtr O3;]38?
r-'r:['$fi ;i:1,ii: F:n,5jt'- BL..n.'::'it.li'i $ft " , .'itjFl i:NfiF I E:L$ , rI
Bt
oI:,ao
o
3
t
a
ilJ : ::i
t.i l" i'i... .i. 1... ili !.i I
I!.-L
i.{ i:. t,'J lJ 1... LJi.r I I f'f:.
LJ frJ f'J L:. ii l'{ n i:. ii l::. i . . rl
1.,t.JlJf:. ,j;!- r'i... l1r..i
'f{ []
f,.r I
r.! c,
t..tiNL.
FiH:Yl"lilL.fiS, []VL*!tH'f T
Ma I_ !''r Y r rjl l r i..i ':'' 11i.i,.ii::. i',. ;:,r..,r,,::,;..1 ..:f i.ii.li.i i;!: 4.1i.:ii ;iil.tl'Li.l.i::.,:: :il:Hi....i-li.?;., Ui:]1 r'i-ii.ii\il:. irli) I'JJ.1Y:)
i iii;, i::.\,r[:i:ii::.'i] i:iliiift ;ii:-;*::l ;:ii:i;ii::: iJt..li,:iiij{:ii'{ liii:i|., ,:ilf:'Hl:iiil;i:rIIi..$, flIi
dri.l'l j. i.ji.i :.ii::.;ji:li:i:i i:r'i.i: i:jii jiii i:: i i.ji,i I'i i:;i:],i:'l \i'ril...i.!i:i'1':i. i:ii'l i::[::[i I]rtY,..
I
l1,L-
flL1.,r'l
:turt
F,a: k:
tfi
*FT ]:X,/iJATH
i i'r l1iiJ i'l-1 (ri1..1L'
.. ,.,..1
sl^IR: [iT. '#]'Fl,
i"iHf Hft i'l.t t-:r:tl.- Fh-[:
STTtrTH SUltCt'lAl'tG[:
13l-.f.rN Cl"lL.fii l-'IH
s:$5' 5: l:
fini,tF L[:1' ]: l]N I]ATE
RAIN
T(q'
Dr:F US I1' x'*
r'!
f fiT$: Af f:i
i't:'f1il . I
TAK[:N $Y RLI.I
Fr []
r- fr ?'r:J. , .
t:t i-r t,.t]1'H
i.1 i.i i.! t.., I I