HomeMy WebLinkAboutPermit Building 1993-5-6
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
7
(
OWNER
ADDR-E: '
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CITY: .J
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~050,
BLOCK:,
HE AND i CONSTRUCTION,INC #71158
84'35'3 Pax kway
PLEASANT HILL,OR 97455
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j
DESCRIBE WORK:
SFO
NEW
x
RErv10D~L ___ ADDITION
CONTRACTOR'S NAME
GENERAL: I
PLUMBING: I
MECHANICAL: J
ELECTRICAL: J
I
DEMOLISH
OTHER
,/
iLL. ~J'-f kn.1~
Q?f)37'7
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION: 1/J1(0Jl~ /19t2i~
PHONE:
7;).6--329J .
ZIP:
I' n-z~ if (S)
ADDRESS
CONST.
CONTRACTOR It
PHONE
HE ano i Const.,Inc.
Bills Electric
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,
, ,~
OU/W AREA:~
/I CW BLDGS: J
OCCY GROUP: J
/I OF STORIES: j
,
WATER HEATER:
Don Lewis Plumbing
Marshalls Oil & Ins.
Brooks Excavation
84959 Parkway 71158
Pleasant Hill, Or 97455
3170 W 11th, 21351
Eugene, Or 97402
500 Greenfield 33076
Eugene, Or 97404
4131"E"St. 25790
Springfield, Or 97478
27661 Crow Rd 55921
Eugene, Or 97402
EXPIRES
02/95
1-
r
r
r
,-
726:...3898
04/94
687-1851
06/93
688-1931 i
r
74 7-7445 r
1-
345-75~_4 L
__ ii_,_.J
12/93
03/94
<-
To request an inspection, you must call 726-3769, This is a 24 hour recording, All inspections requested before 7:00 a,lT1, will be
made the same working day. inspections requested after 7:00 a,m, wili be made the following work day,
~ Temporary Electric
D
Site Inspection - To be made.
after excavation, but prior to
setting forms.
D Underslab Plumbing/ Electrical/
Mechanical - Prior to cover,
I~ Footing - After trenches are
Lp excavated.
D
Masonry - Steel location, bond
beams, groutinQ.
1"v1 Foundation - After forms are
~ erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
~ Underfloor Plumbing/Mechanical
__ r"'\~:__._ ~_ : ........1.....:.-,. _. . I,'
. . - r-:lv: t!...': !rl~;Jlo.l!vn vr decl.,!ilg.
r"J'f' Post and Beam - Prior to floor
~ insulation or decking. '
- ~ Flo'or In's~I'ation - Prior to
L,DJ decking.
~ Sanitary Sewer - Prior to filling
L:,Dl_ trench, '
'"""~.-~ .
~ Storm Sewer - Prior to fil!ing
~ trench, - . ,
\,
~ Water Line - Prior to filling "
trench.: ,
~
Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
f'Z1 Rough Mechanical - Prior, to
P cover,
1'\/1 Rough Electrical - Pr:or to
~ cover.
~ Electrical Service - Must be
I,L-Jl approvec! to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover,
IRf WalliCeiling Insulation - Prior to
cove~ '
~ Drywall - Prior to taping.
!Vl Wood Stove - After installation.
~j Z~ c''-IC .
D Insert - After fireplace approval
and installation of unit,
'M' Curbcut & Approach - After
'~ forms are erected tJut prior to'
placement of concrete.
rv1 Sidewalk & Driveway - After
~ excavation is complete, forms
and sub-base material in place.
.. D Fence - When cOf:npleted,
rv1 Street Trees -:--When all required
Lp trees are planted. /'
~ Final Plumbing - WhEm all
l...,.LJ' plumbing work is complete.
IV! Final Electrical - When all
, ~ electrical work is complete.
~ Final Mechanical - When all
~ mechanical work is complete.
rvr Final Building - When all
~ required inspections have been
approved and building is
completed.
D Other
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When all
blocking is complete.
o Plumbing Connections - When
home has been connected to '
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final -- After all required
inspections are approved and
porches, skirting, decks, and'
"venting have been, installed.
i,;
~
,{
: lot' faces
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5!lrLo .
31t ~(),
EWj
~
~
Lot Type
~
interior
Lot sq. itQ:
Lot coverage
Corner.,
Topography
Panhand:e
Total height
Cui-de-sac
BUILmNG PERMIT
, so. FT. '
>4rr
X' $/so, FT.
~9p.?l2
t4.lD
ITEM
Main
Garage _
Carport
, .
,~:rotal Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) - NO
Sani tary Sewer FT.
~
Water
.
" ~.\
FT.
Storm Sewer
'. FT.
, Mobile Home
',Plumbing Permit
State"surcharge
. Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
, Vent Fan
NO
. ..- .
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
, (D)
MISCELLANEOUS PERMITS
Mobile'Home
State Issuance
State Surcharge
Sidewalk . 60ft
Curbcut ~ tJ f(
Demoliti'on
,State Surcharge
/!JJN' c/c ffe
Total Miscellaneous Permits (E)
TOTAL AMOUrH DUE (~xcluding electrical)
(A; B, C, D, and E C.ombined)
,SetBacks
I P,L, I HSc I GAR I ACC ,
> I -~---,
N ' 18 .,', : I "
-~-- ,}S, I
,/~il-iE PROPOSED WORK IN THE
\(t/-,,'TORICAL,DISTRICT, OR ON "
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance',
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16.5 I I
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VA LU E
.:2!6?-f 0 ,
5,EOCfrU
FEE
_Li.i-,-_~fl
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8.00
II~ .tJo
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APPROVED:
Bl)ILdt~G VALUE, PLAN CHECK
,AND -g'UILDING .PERMIT
This permit is granted on the express condition that the said
construction shal:, in all, respects, conform to,the Ordinance
adopted by the City of Springfield, including the
Dev'elopment Code, regulating the construction and u'se of
bl!ildings, and may be suspended or revoked at any time
upon violation of anY provisions .of said ordinances:
Plan Check Fee:
Date Paid: ---. ~ C ) ./
~ecei.pt Num~er{.._ ~V'"'.-
FJecelved By: C, '
~f) ;1:,' ,
'Plans Reviewed By
tf-/5-93
Date
Systems Development Charge is due on '"JI undeveloped
properties within the City limits which are being improvEld.
ADDITIONAL COMMENTS
, - '"
~tf+--Jf..8.i, 2(;
3..29.06
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---'io,],,-'tt!
SYSTEMS DEVELOPMENT CHARGE (SDC), It>
Jt / L: '2,.2,
.. (B) u:JoS -
(~dL&fig~
~J){; [Vro.31trtJ~
"Geo j) C EN TS.
')?y signature:i state and agree, that' I have carefully examined
, the completed application and do hereby certify that all
information hereon is true and correct, and I further certify
that any and all work performed shalL be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
struciure without permission of the Building Safety Division.
I further cer,tify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
i furtrer agree to ensure that all required inspections are
requested at the proper time, that Elach address is readable
. " 7
'f(q~~~l ~i-;"I-: ~::tr'€et. tha~ the pei",Tdt. card-is lo:ct~..te.:r at thr:?; front
of the property, and the approved set of'plans will, remain
on the site at ail times during construction.
.du-~~)?,. ~
Date 3/,;)3/9-3
Signature
'VALIDATION: R-:::<. a
RECEIPT NUMBER . )~f)
D;l.TEPAID ~ - (" (1 .q~. '
\J....' &\') IL/t '\l ~
AMOUNTREC{IVEsj1, : I/. ~,' '(-,("r _'~
RECEIVED -=y_~lLY_/ ,