HomeMy WebLinkAboutPermit Building 1987-09-28" RESID=-..lTlAL". APPLICATT)N/PERMLT
225 lforth |t/t Street
Spn rqfield, 1z'egon 97477
Building Diuision
7 26-37 s3
#
SPFIhlGFTELD
-0fc
Date
2aa
It ie the rcspol.ribi.ti*g af tl* W"ntit lDUd to see that aL! inepeetions ee nade at the pto?er tine' that ecch ad4ress is ?eaCqbie
fron the at?eet, @td eM the pqnit eatd id Located at th9 fiont of tlze ptopet'ty.*Ouilding Noision ryrot;d pLoz ehcll remain on the Ouilding Site at aLL times.
PROCEDURE FOR rnSp4Cyf1n nEqrnsr:CALL726-3769(reeoz,der,) state youz, City Cesigna-ted iob m.onbet', iob aCdz'ess, lUee-9f inspec=icn
eaafor,inspeetion,Contr,actol,soiannei8nclneandp7nnenu-,bel.Eequestsreceil:edbefcr,e7:00cn
,,vill be nade the sane dq, requests ncde after ?:00 an trill be made the nert aoz'king dag.
You? CitA Desigr,ated Job NwnbeY fs
P o m t t'. n a,4 Tn <n a nLti- m e
8?c 5*l
aa33 3Prr"rob Loeaticn:
Assessore Map # I -02 - a.t Tar Lot #
Subdioision:
1tmer:
Phone:Addtess:
37?- 4ycity:
/foa.n
Q-s/ -r? &r.r,r,*fl4b Do,
Desarry{.be Vat:k:
/,y'w,v,y+
n Ned
Date of
ndditian
RenoCel.
GenetaL
i Plranbi,n4 'n - l
Etectyi.cal |QL-L
ueaawtatr/tr-gr9
Pege 7 of 2
Vl toornc & PauND,{rrEN: To be twcetxl@@fr. forns ee *retad, bwt griot, to
pou?iflg ecuereie.
AIIDEP,FLOAR FWWBNWA' & MEC9ANTCAT, :
a7
floor insw.Latie* ar de,eking.
POST AYD SNAIf: Ya be made Prdax to
ffiffio7 ftaar irr,u'{ati"o* at
decking.
noucu etustrc@ wcw;
ANICAL: No uapk r.s to be coDerea
ffilTthese'tnspeeti*ns ?tsts e beeri
made cnd qpruoed.
DRYWALL fNSPECTI)N: Ic be made
aftet, aLL fuyaall is in p'Laee'
but ptior to anA taping.
I"\AS0NRI: Steel Location, bond
dZdijgrouti.ng ot, uerticals dn
aceordutce tLth U.B,C. Section
2415,
WOODSTOI,/E:
@taT;TA.
After instaLZation is
SnE fNSPECT,6N: Yo be rmde aftet'
e*;"oatlo*,ffi prf"ar ba seL tq of
forne.
ANDERSLAB PLUbtsINI;\ EI.ECtrRIAAL &
WCHAIIICAI,: 3o be nwde befaee any
ffi7i7ooerd*
TNSULATTON/VAPOR BARRIER II|SPPCTION :
To be nade after aLL insulaticn axd
requined oqor buriers @e in Plaeebut before ory Lath, Wpswn bootC ot'
tnLL eouering is applied, and. before
ay insulation is concealed.
DEl,l)LIfIAl! 0R
Sanitatrl secer capped at properQ; Lire
Septic tattk pzir;rped and fi.lled trith grauel
Final - h*ten abcoe itens are ecrnpleted
and uhen Cernclition is eotrplete o" st?ue-
tuye mooed and. prernises cleaneC up.
BLocking otd Set-up
Pktnbing eonnections -- sare? qrl. uatet
Electtical Connection - Blocking' set-up
anl. plunbing connections mtst be apprc"^ed
before requesting eleetrical inspeetion
Aecessory BuiWnng
Firal - After pcrehes, skirting, decks,
etc. one cornpleled.
to
tuior ta pT.aairq
and. before frufting
CURB & APPRCACH APPQN: Afte? forTnse,e e"AtAnut p;lo" to pouring
conctete.
SIDEWALK & DRfIEWAY: Eor aLL con-
cret; pA@Affi street right-
of-ucA, to be made after aLL eaca-
oating canpLete & forn w'k & sub-
base material in place.f,aefuzg
inepee-
tion.
Wl mMntg: ttust be reqtestd af!.a
llL "pp"ou"z lf yal pltir,bins, -e1etu"i-cal & nenltst'ical. Al! noofiztg' braci.ng & clrtmnegs, etc. rrusi be
; conpleted. flo uork ie to be can-
., ceaLed unti,l this inspecttot lae
'been made anC approtsed.
EfP.EPLACEt;a;fra;
FTilAL PLUAEINC
FTNAL MECHANTCAL
Wen conplete -- ProrsiCe
oy, notsable sections through
!ENCE:
gates
P.A,E.
ALL p?oject con&Ltions, such as the i.nstallation of stteet trees,- conpletion-of the
o"qi.tn.} Landsccping, itc,, mtst be satisfied befote the BUTLDTN? EINAL can be requested-
?rNAL BUTLDTNG: The Einal Building Inspection mtst be z,equested after the final Plunbi.ng
ElectricaL, ard. Meclnnical fnspeetions haoe been made ard approoed'
'K FIIIAL ELEC?RICAL
*ALL I4ANE1LES AND CLEAN1IJTS MUST BE ACCESSTBLE, ADJUSTIIEIIT TO BE I,L4DE I1.T NO COST TO CEY
/d-dl
t4D0
a)
f iln ^-,.-
-T-a^" laz )
zip:
X
tr
JOB N
Iot 5q. Etg.
% of Lct Cotseraga.
# of StorLes
Total Hei'ght
llopogruphY
LOT TWE
_ Interior
_ Cornef
_ Panhartdle
-
Cul-de-sac
cSOT-NN ACCESS RE a.-L-CO
Bedt'ooms:
Gro.
-- Fees --
ss
Lace
Df House
Lot Faces -
ValuexSQ. ETGITEM
Md;-n
Gcraqe 432 //b.*
Catoort
Accessotu
,4wryrryroj /r22*
TOTAL VALUE booo,*
S.D.C. 7.5 c
n^+- D^;s.
65,67
-
CHARGE
Building Volue & Permit
Thi.s perrr.t i.s granted. on the efipress conli,tion tlnt the said-eonstruct'LOn
slwll', tn all rLspeets, eonforn-to the lrdi.nance adoptedby the City of
Spr.ingfield, including the Zoning 1rdinance, r,egulating the ccnstrueticn
and. use of buildings, cnd mey be suspended or z,euokeC at cnA time upon oic-
Lation of cnA prcoisions of said Otdinances.
Building Pel,irLt 4?
?otal Clntgee
State
Signed:
ITEM NO FEE
Fisttees
Resid.ential (1 bath)
Sanitary Seuet,
tlate?
ail A Dat
Plumbing Permit
No pereon shall consttttct, instal?., alter oz, change anA neu cr eristing
gLutnbing or dtainage systan in uhole or in part, unless such person is- the
Legal .possessor of a ualid plwnber's License, escept that a p-erson nag do
plutnbing uork to property uhich is otmed, Leased or operated by the ippli,-
cant.
*
Plutnbing Perrrtt
aotaL una?qeg
ITEM N0.!EE
-Bes. sq. ftq.
2a)a>r*2Neu/Ectend. Circuits
--5??anpcrug Ser"uice
?-so/-tzz-a63
-
Electricql Permit
Where State Lan requires that the electrieal uork be done by an Eleetz,Leal
Cont?actor, the eleetyLcal pottion of this permit shall not be oalil. untilthe Label ?ns been aigned by the Electrical- Cont?acto?.
Permit
State
lotal
NC,FEE
Furnaee ETUTS
bhanet Hood
Vent Fot
Vcodstote
Mechonicql Permit
Permtt Issucnee
Mechanical Permtt
-- ENCROACHMENT -.
Seeuritv Deposit
!!9oo.gn
Majnterwnce
Petmit
-
Cutbcut
SLAeUaLk
?enoe
Electrieal Label
Mobile llome
#
f HAW CAREFULLy EYA|4INED tle eompleted application for pennit, and. do
hereby certify that. aLL infotmation het,eon is true and. eorrect, anC f
furtkez, cet,tify that any ard aLL aork perforned sLnLL be done in accot-
dance trith the 1rdinances of the City of Springfield, and the Laas of thex State of }regon pertaining to the uoz,k Cescribbd herein, and tlnt NO 1CCU-
PANCY uill be mad.e of ang strueture uithout permission of the Buitding DL-uision. f further eertify that only contractor.s and anplsysss uho ar-e in
conpliance uith CRS 701.0s5 ILLL be used on this projeet
TotaL
TOTAL AilOAil? DIJE: *C Ez.=e Signed
Zone: I
IleatSetbacks
:arade
North
East
Sot;th
lest
PLan Check !ee: -1 e , 83
*
ITSM
?otal Clwraes
State
" RESID*.lTlAL"
22s Noz,th sth sl;tneeAPPLrcATr0N/PERMT?
SprLngfield, Onegon 97477
ButLding Dtuision
726-3753
Job Ipcaticn:
Aesessote Map #
SPFlINGFTEI-D
Icz l-at #
fu774t*22 S*- :"
CC, C,C
Rccet
Siqred:
{
Sttbdiuision:
Asner:
Addtess:
ci
Describe t"ork:1)QL lt) tOE .tr,Loorce rssg_r
UrecL..A d.u-f,C/<
dr-
<
Additicn
RenoCeL
Date of Aoo Lieaticn
General
ELeetrieal
14echar:ica
* -a 4 -8t-l .l Lue
L
ooa\)
Phone:
-_Izip:
I-t i'e the resaonsibi-LilV of tle penrit lzoller to aee that atl insoections oe nade at lhe proper tine, that s-sl2 .i,ltess is vsasrhi:1'mn the at?eet' anC that the penrtt eard ie T,oeated at the ftptt of the nrooeyat -tEuiUing Diuisio- appro"-ed. pl^an siull remain on the Bunldnng- site-"ax "1t'"i^"-"."P:?2C!DUPE Fo4 IySP-frI1lt,E-9=8ry5r;CALL726-3769 (reeorden) state Aou City desigrated job ntonber, job aifuess, type oi ir:soee=icn
::-f":"^"1-1y-'-::lo, uili be ready fot'inspection, cont"dctc"s olr an.,er"-rrcr,,e cni p'noie rutr.tbcr.' R"qrn""" reLeii:'ed bLicre'Z:00 c:tLaLL be made the sone <icy, ?equests ncde cfter ?:00 611 trill be nad.e the nc.xx uorkirq'cag.
your City Desigra.ted Job Number fs:Kqc58
-
Sm l:ts?:::rc::: Io be natie after
I e.zcaoaxion, but pricr tc set up of
-1
UIIDERSLA? ?LUI$TNG. ELEC?PIC,1L &lnauo?K LS COUe?ed.
I pc-ormc t rou;to,trrcn: ro be np,ceI \ I afcer xtenches are eseauated and.
forms ote erected, but prior topourtr,g ccnerete.
1 u:t0sncpou::c ptutprNc, ssntp. wlir*.I DRAIITAGI: To be naie prtor to fil-Lirq treneies.
1 uttpzrrtccs pLU:sr:tG I tlECeAtrcAL:
lI To De r,ane orior xo installaxion
ftoor insulction or decking.
IIISULA.?ION/VAPOR BARRTER IIISP9C?fiII :
Io be made after aLL insulaticn a.d.
nequited oapot baTie?s @e in place
bat befcre ozy 'La.th, Wpswn boarC or
tnLL couering is appliea, and. befote
oty insulation is concealed.
DRYI,IALL TNSPETfON: ?c be nade
aftet, aLL dryuall is in place,
but prior to dny taping.
WS)NRI: Steel Loeation, bond
beans, gzouting or verticcls in
accotd.otce Ltith U.B.C. Section
241 5.
IIOCDSTOllE:
cctnpLeted.
Aftet' instalZation is
CURB & APPRCACII APP)N: Aftet formsue etecteC but ptior to pourirq
conc"ete.
SIDEWALK & DRTIEWAI: Por aLL eon-
crete pauirg uithin styeet tight-of-txy" to be ma.de after aLL erea-
oating conrpLete & fora tsork & sub-
base naterial in place.
A!!L: hthen eonplete -- ProuiCe
gate6 ol mooable aectians through
DIID
DErfiLrTr2r! 0R :.:ow) ts1,
Sanitaty seaer capped st propert! line
Septie totk p'.iryed ed fi.lled trtth g'rawL
Final - hhen abctse i.taes are canoleted
ard uhen Certclition is eonolete ot struc-ture moued orC. prerLses elZanei up.
of
Hcmes
Blocking od Set-up
Plunbing connections -- saner otC. ualet
1 posr AND BtA!.r: ?o be nade D?io? to) Gstalli;G;-of floot, insutation or
decking.
-- ROUGI| PLLI:9r:]G, ELECTI?ICAL ,4 IIEEH-I4NICAL:@
--tt:til these inspeetions hanse- been
nade aryi coototei.
I pnzptlqzi p.to, to plceira fceingI mc-terials ar,.d. before froning inspee-tion.
-1 fA.U:tttC: ttust be recuested aftp-n
) "ppirurl of rough plwrbing, e-Lectni-cal & necinanical. ALL toofing
btacing E ehinmcys, etc. rrust be
. cornpleteci. llo wtk is to be con-. cealed until this inspection llas'been nade anC approoed.
Electt:ieal Cotnection - Bloekittg, eet-uo
and plwnbing conneetions m;st be apprct;bC
before ?equesting eleclrtcal inspectio:t
Accescory BuilCing
Finzl - After pcrel..es, skirting, decl<,s,etc. ane conpleted.
l
l
f
l
FIIIAL PLUI.IBIIIC
FTilAL MECHAIIICAL
PTNAL EEtrRICAL
ALL proiect eodi,tions, such as the installation of street trees, conoletion of tierequired Landsccpirg, etc., ttust be satisficd before the BUILDI\\C FIiAL can be requested.
FINAL BIJfLDIN|: The Fi1at Buitd,ing. fnsoeetion nwet be requesteC aftet the Fina| PtwbitqElectrical, od Meclanieal fnspect-.ons lsoe been nade ard'approoed,.
d
'ALL I.|ANHCLES AND 1WANOWS NAS? BE ACCESSTBLE, ADJUSa!!?tt? ?O BE n!1DE /,.? rO ClS? TO Cpy Page 1 of 2
)
x
Cong!"".tio"_Ln"de!_
tr
T
tr
o
JOB NO.81Cs El SOLAR ACCESS REQ.-L-CO G*
3o,!c 1csu7anet Grct
Lot Sq. Ftg.
i cf Lct Couerage_
i of Stortes
lotal P.eight
?opogrohy
!?E:.!
.{ceess
TOTAI I'!.LUE
LUCS.D.C. 1.5 s
Euilding Pertrrtt
?otal Charges
rnT qDa
_ Intericr
_ Corner
_ Panhandle
Cul-de-sac
karwa
I'irc
-- fccs --
Building Volue & Permit
This oertn'tt is granted on the ecpress eondition that the said.consttwetion
slnll, in all respeets, conform to the Crdinance edopted by the City of
Springfi.eld, including the -Zoning C'rdinance, regulctittg tiTe ccnstruciicn
aid use of builditzgs, and may be suspended or reookeC at cru t:.ne upon vic-
Lation of anA prcui.sions of said 1rdir,ances.
- r Z.-.
Sesiier.tiaL (1 bcti:)
;'ct.
C+-+ ^ C-,e-
Sigred 'c-/-
Plumbing Per it
No pe?eon siuZl constntet, instal?., alter or eionge cnY ne) cr e:isting
plurioing or arainage Eysten in uhole or in pott, unless sucn person is the
Legal possessor of a oalid plwnber's License, escept th.at a pe"son ra'1 do
plwnbing uork to p/,ope"t! uhich is ouned, Leased. or operated by the appli-
iol: t,
t
it ous t
Lot Faees -Sources
leat
Wdte?
t--i^
Cataoe
x L'aiuc
,f*-*
b €P-Plan Check Fee
@
,e
8-tt- 1Date Paid#
Reeeipt #: /-2.-t t/a s6
ls*
/a;tt at>
-1 V.
I /**
2e.*
*
//;""
/5n
/,97a*
v/..q>
?ci:
! i -ts / E zx er,,C. C ;. r cti t s
Electyieal Petzit
Stcte
?otal Cnatces
Electricol Fermit
Were Stete Lan reouires tha.t the electrical aork be d.one b'1 en Slectvical
Contraexcr, tne elee:r,tcaL aorxion of tnis oer::it siicll x,at be .*clii until
xize Label itas been aignei by xhe Eleetrical Conircc.o".
ts
f=ito,rst HooC
it€'t1t Fc1
.'cotisto;te
-n,*'+., h--^-"'+
Tatal Cnaroes
ide.taL'r
'cbile Hqne
PetT it Issuenee
llec'rnr:icz7. Perit
-- L,tofr-ALdr:l,t1 --
e
I\4echonicol Permit
8-= 7-e-
uaaa
I HAW CAREFULLy EXAI\II|ED the eonoleted aoplication for penrit, cnd da
hereby certify ti@t aLL info:,nation hereon is true anC ecrrec;, dnl f
furthet, cettify that any ard aLL uot'k perlotned sitall be dote in accot-
oznce with the Ordinances of titt: City of Sprini1ficld., ani. th: Lc;s of the
State of 1regcn pcrtaining to the uork Ceseribcd heneitz, cnd ;iu*- l:0 CCCU-
PAllCy Lrill be nale of any st?uctut'e uitho;tt permission of the Sui.lding Di-
tision. f further certif'g tiut only contraetops ai;d enplcltees uho are in
co;npliance aith CRS 701.055 uiLL be used on this project?
2,r--rtta /t r'.
-.it n).j.ti)' iuz:'
D
2?.2
76
flAf.f t.7 t- ttrT
6-
-3 {c
2V5b
i,';ri,;:
I
I
(n _E
I
SPEINGFIEL.D
Phone - 3s75Address
" RESID,*,lTlAL"
APPLICAYION/PERIIIT
225 North ith Street
SprLngfield' 2tegon 97477
Bui,Lding Nutsio.n
7 26-37 53
Job Loeaticn:33
/vo MA P lT',frY L'I'
Alaercore llap ll
Subdiuieion:
Qsner:
?cs lat #
ll,.
t--l Add.iticn
DescrLbe h'orlc
VaLue
CC{-l RenoCel
Date of App Licaticn
Conxtactors
Getera
(-[/{a.mt Date
ELeetrLeaL
Mecinr.iezL
Cottstntctiott Lendet
It i., the reepotwibility of tlc penrit lzold* to aee tlut al.l inapeetioaa oe nade at tltc pro?er tine, tlat 264h 4'#2ss is t'easnii.
ftzz the atreet, atd tiu,t the penmt, ear<i ia Located at the frpnt of the prcperty..Buidi.g Diutctbt: apprw^ed pl,ot sItcLL remain on the Bual<iitrg Sitc at aLL tines.
PI?OCSDUPE FOI? 4ls?iltult -?l?yrST:CALL726-3769(reeorder) state lot" City desiglated job ntmber, iob ;iness, type of -incpeelictlrequestcci ar.a uien'gou uiLL be reaay fot, irspcction, Conxraeto?s or A,ne"s ncne cnd pione nstnbcr. ?,equests receiteri befcre 7:00 c'
tiLL be tttade the eone tby, "equests ncie afxer ?:00 on aLLL be nade the ncst:,mrking dcg
yollr City Desigr,ated Job Nutnber fs:81 8l
Reatite4 Trsnoaf,icnsr
I
_l
l
l
l
l
l
FCOTING 1 FOUND,ITIC\|: ?o be rmCe
afcer crenci,zes a"e eecauatei anC
forns are erected, but prior to
pw.irq ccnctete.
UND2RCP)U::D PLUl.tDIl;C, SS''E?, w.1T5.1'
DRAI\|AGI: Io be naae prior to fil-Lir4 crencines.
UIIDEP,FLCAP PLUI-BTi]G A EZC!]A::ICAL:
o1
floot insulction ot, deckino.
P1S! AllD BEAII: To be nadc prior to
fiGtlTitliTof floor insulation or
deckinE,
Rolci! PlltS-::c, ,LEr!?!c.!,1 r Htc!--
AI|ICAL: iio uork ts to oc co"*ered.
Gi-these inspeclions izave been
node ara qorooe!,
F|PEPLACE: L?Lon to plccir:t fccincmccerials and bcfore iraning inspee-
tion.
7 FRnl:r::c: l'tu.t be recuected after
-) "pp*""L of rou-oh plunbina, e'Lectr'L-
cal ti neciunical. AL! roofir4
bnastto 6 chtnmcys, etc. mtst be
: corapletci, Ilo ucrk ie to bc con-
.'-cecled until this inspeetion lad
'been runie anC approved.
lEllCE: h4ter: conolete -- Prouile
qate6 or. mooable aections throuqh
SM MS?SC?rcI: ?o be tneie after
e.;"tra;lon, 5G prtcr tc se! up of
forns.
UNDERSL4B PLUt4gItlG. EL,CIPTCAL A
tECllLl:iC;L: To be naae beiore any
uork is eouered.
I ilSULATrON./VAP1R BA\RrEj M!!!!!. lt :
Io be naie after aLL insuLaxi.cn cd.
rceuzred oqor bavie?a @e in pLace
bttt before ozy lath, Wpswt boari or
rnLL coueting is cpplied, otd before
oty insulation is eoncealeC.
DRYI.IALL IilSPTfrION: Ic be made
-.
a1'ter aLL ctyuall is in place,
but prior to cnA tapir-7.
!'LAS)NI?!: Steel loeation, bond
bects, qrouting ot, De"ticcls in
accotciotce Lllth U.B.C. Section
After installation is
CUPB 8 APPRCAC'|] APPOI]:After forms
pouringee erecteC but prior to
con2tete.
SIDEIALX 8 DRfIEVA!: Eor aLL eon-
c"ete nate-Gtd; stTeet right-
of-rcy, to be maie after aLL eeca-
oatinq canplete & forn r,tork & sub-
base ncterial in plaee.
aa BU
Soti:oy se.ter capped et ?topat4i Lire
Se?tic totk p'r,7ed cnn fi.Lled tith gra;se;
linal - hhen abcue it.ens ote cawleted
ari uhen iatclition is conalete o? atnte-
ture mouei ati prerrLses cleanei up.
llcbile iicnes
Blocking od. set-up
Plumbing eonnectiona -- aa;,e? otd, uatet
Electriccl Ccnnection - Blocking, aelu-ue
anC plwnbino connections nrist be apprc"*ec
be f or c ?eque sxLng elec'-rical inspectio:':
Accescor; BuilC'-ng
Final - Aftcr pcrckes, akirting, decla,
etc. aue ccnoleled.
WOODSTO'IE:
@mpLe-A.
f FrtAL pluttBrt:c
) runet itE:nAitrcAL
f
o
ALI pnoieet conditions, suc!', as the i.nstallataon of s:reet ttees, eoiDlction of tile
required T.andsccpirq, ctc., iast be satisfied bcfore the BUILDII:G FIIIAL can be rzquested.
FINAL BUfLDINI: The Einal Build.ing Inspeetion rrnr;t be nequesteC cfte" the Final PlunbiryElectrical, dnC Neehu,ical Inspections ltaue been made anti aporooeC.
'ALL t,At:llcLrs AND CLEANOUTS HUS? BE ACCESSIBLE, ADJUS?IE:]? TO pt I.'iD' t? t:0 CtST T0 eM Pzge 2 of 2
I,-,
pg
JOB NO.c SOLAR A.-'.ESS REQ..L-CO G+
Beitoons:
-- Fees --
ieaa
PLan
Datc Paid:
Reeaiot #:
Signeti:
Building Volue & Permit
This penr:.t ia granted on the eir"ess eondition that the sai.d constntctiotta_lall, -in all nespeets, conform to the O?ditunce adooted. by the City ofSpr-ingfield, includ,ing the Zoning Cyd)nance, reguleiinq thZ ccnstrtitiZnord.use of buildinps, otd meu be suspended or reuoke! it cry t--ne upon uic-la.tion of ary prcoisiona of said Orci,irances.
a
Builiino Pehrtt
State
?otal Ch.cges
Resiienti-a,L (1 bcth)
Pl'anbing Perrtt
State &cchanve
Cil;EJ:Plumbing Permit
Ng percon sllall eonstntet, install, alter or cianae d.nV rcu cr e:i.sting
ylwying or drainaae ;yltan in uiole or in pott, unless euch person is- trz
Le-gal.posseasor of a ualid plwtber,s License, ezcept thdt a De?sotr ia! do
OH:r"n uonk to ptope?ty uhich is otsneC, Leased or operated by the qpli-
Iat Facee -
Setbaeks
Df Houae Cataoe Access
Notth
East
South
I$ TWE
_ Inter.ior
_ Conet
_ Pat'itandle
_ CUl-de-sac
VaZucl
tot Sq. Fti.
Z of Lot Cooerage
I of Stortea
Total Eeight
Topogttphy
Ueet
lI:in
bdce
C@ocrt
Aecessoru
TOTAL VALUE
LUCS.D.C. 1.5 r
Soiitant Serter
,lctey
Nz1,r/btend Ciradts
Sentice
?otal Cnarces
Electricql Permit
t{he?e stdte la,t reouires tlu.t the electrtcal uork be done bu an gLectical
Conxraetar, the electrical oortion of titis pernic si.all ?ot be uali.C, wttilthe label has been sigtzed by xhe Electrieal Contyactor.
tr ati.:-:
Mechonicql Permit
'*|w,tdt Hool
Vent F@t
llcoCsto;tc
Perrit'Issuotce
Me:ianiczl Perit
-- E;,lcitcACHt:!:;T --
Seetitu Dccosi:
Storaoe
Penrit
Totc! Ctarocs
Ctrbat2
Si-dddlk
Yobile Harc
I'Lanz Lraniner
f HAW CARSFULLy ,Y/LUINED th.e comoleted atplication for oentit, atd d.o
hereby certifll that aLL itfo:z-ation hereon is xrue and eorrcet, cnl, f
further certify that any ard aLL uork penlornei shctt be ciote it accor-
<iance with the Oriiinances of xhe City of Sortnitiictd, anl th: Ian:s of theState of Ore?cn pcrtainino to the utork Ceseribcd hcre)n, cr..C. :tst IIO CCCU-
Pl.tlcy viLL be nade of anu st?ucture uitho:tt permission of the 3uitding Di-vision. f furthen certi'f.g that otly contractors ati. enpicyee" il,.o are inerrpl;.ance ul-th CRS 701.055 uiLL be used on this project
5" oD
:CTAL M)Uiii DU!:'{CD
L)'
l4)
Dite
/{ -r
I LTPO