HomeMy WebLinkAboutPermit Building 1992-6-24
..~ .
RESIDENTIAL
PERMIT APPLICATION
.
Inspections; 726.3769
Office: 726.3759
ASSESSORS MAP'
N/A
,;2;)-
LOT'
OWNER'
Lochaven Partners
ADORESf"
1199 N. Terry St.
Eugene
CITY'
DESCRIBE WORK: Mobile Home set UP
NEW
x
ADDITION
REMODEL
CONTRACTOR'S NAME
Ernie & Son's
GENERA' .
SPRINGFIELD
BLOCI"
__ S
STATF'
OR
JOB NUMBER~
225 Fifth Street
Springfield, Oregon 97477
Aut7.
,TAX LOT: N/A O-;:::)SQI')'
SUBDIVISION'
Lochaven
PHON='
688-9123
*
ZIP' 97402
DEMOLISH
.- Concrete strinllers - Accessorv Value $ rllfO-
OTHERH.H. Value $ Iq,~-
,
CON ST.
CONTRACTOR' EXPIRES PHONE
EUll. 41497 2/2/92 484-6505
20-236PB 689-7762
EUll. 41/.97 2/2/92 484-6505
, 20-280e/63] 17 144-1500
ADDRESS
87922 LaPorte Dr..
PLUMBING: Harrison Construction 1441 N. Hwv. 99
MECHANICAl' Ernie & Son's 87922 LaPorte Dr..
ELECTRICAl'
Heritalle Electric
QUAD AREA: ~ Q .t\ ') (l.. ')
. OF BLDGS: - r
OCCY GROUP' ~5
. OF STORIES: ,
WATER HEATER: _7' )
855 W. 24th
- OFFICE USE -
\\.~
l
LAND USE:
. OF UNITS:
CONSTR. TYP='
HEAT SOURCE:
RANGF'
t:r....
P....
FLOOD PLAIN:
ZONING CODE:-L.QlZ.-
-:::;
. OF BDRMS'
SECONDARY HEAr:
SOUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a,m. will be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
D Temporary Electric
D SUe Inspection - To be made
after excavation, but prior to
setting forms.
--
~nderslab PIUmblng(fl~ctrICal/)
~ Mechanical - Prior tv __.v"
rTl'pollng - After trenches are
--(exCavated.
D Masonry - Steel location. bond
beams, groutlng.
D Foundation' - After forms are
erected but prIor to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
~ Sanitary Sewer - Prior to filling
! trench.
I<:.J1'storm Sewer - Prior. to filling
( trench.
r7"9. Water Line - Prior to filling
lQ trench. .
D Rough Plumbing -'Prior to
cover. .
D Rough Mechanical - Prior to
cover. .
D Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved 10 obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - PrIor to cover.
D Wail/Ceiling Insulallon - Prior to
cover.
D Drywall - Prior to laplng.
D Wood Stove - Alter Installation.
D Insert - After fireplace approval
and Installation of unit.
D Curbcul & Approach - Alter
forms are erec-ted but prior to
placement of concrete.
p5Sldewalk &.Drlveway - Alter
excavation Is complete, forms
.and sub.base material In place.
D Fence - When completed.
D Street Trees"": When all required.
trees are planted. -
D Final Plumbing - When all
plumbing work I. complete.
D Final Electrical - When all
electrical work Is complete.'
D Final Mechanical - When all
mechanical work Is complete.
D Flna' Building - When all
required Inspections have been
approved and building I.
completed.
DOlher
MOBILE HOME INSPECTIONS
I~ocklng and Set.Up - When all
\ blocking Is complete.
ri:A'Plumblng Connections - When
T home has been connected to
water and sewer. .
. ~Iectrlcal Connection - When
blocking, sel.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
~F'nal - Alter all required
qJ ,inspections are approved and.
porches, skirting, decks," and
venting have been Installed.
Lot face's .~, Lot Type . Setbacks .THE PROPOSED WORK tN THE .-
,. I P.L. ACC I HISTORICAL DISTRICT, OR ON
Lot sq. ft'g. Interior HSE GAR
IN I THE HISTORICAL REGISTER?
Lot coverage Corner 'If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle Iw Coordinator prior to permit Issuance.
Total height Cul.de.sac
IE APPROVEf"
BUILDING PERMIT
ITEM sa. FT.
X $/sa. FT. - VALUE
f9<-'YfS
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield. Including the
Development Code. regulating the construe lion and use of
buildings, and may be suspended or revoked at any lima
upon violation of any provisions of said ordinances.
I f}qO Plan Check Fee'
/)1. 6lLlCS Date Paid:
Total Value
'c-rr1.~ Receipt Number'
Building Permit Fee
I.~ Received By:
State Surcharge
Total Fee lA) 3f).q Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE ~DC)
(B) ~ Irs,loB.
PLUMBING PERMIT
ITEM
:FEE ,
, .
Fixtures
Resldenllal Bath(s)
N'
Sanitary Sewer
FT.
FT.
ri5
~5',
..!J .c::;
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
!JS,ClJ
3/)5
!) ~ ,I)~
State Surcharge
Total Charge
(e)
MECHANICAL PERMIT
Furnace
Exhau,..t Hood
Vent Fan
N'
Wood Stove/lnsertl Fireplace Unit
Dryor Vent
Mechanical Per:nlt
Issuance
State Surcharge
(jf
Total Permit
(D)
MISCEl.LANEOUS PERMITS
Mobile Hume
A1,~
, Sf)<=;
~,j.S
(G..to
State Issuance
State Surcharge
Sldewal< _hi)' II
Curbcut
II
Demollllon
Stale Surchi?rge
Total Mlscel,anecus Permits (E)
TOTAL AMOUNT !DUE (excluding electrical)
(A, B, C. D, and E Combined)
,~~U..1~
Systems Development Charge Is due on all undeveloped
properlles within the City limits which are. being Improved,
. ADDITIONAL COMMENTS
j
"
,
'.
By signature, I state and agree, that I have carefUlly examined
the completed appllcallon and do hereby certify' that all
Information hereon Is true and correct, and I further cerllfy
that any and all work performed shall be done In accordance
with the Ordinances 01 the City of Springfield, and the Laws
of the State 01 Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made 01 any
slructure without permission of the Building Safety Division.
I further certify thai. only contractors and employees who
are In compliance with OAS 701.055 will be used on this
project.
I further agree to ensure that all required Inspectlons are
requested at the proper lime, thai each address Is readable
from the street, that the permit card Is located al the front
of the property, and the approved set of plans will remain
on the site at .all times during construction.
Signature >>.. - -/ dfd/~~_",,-
v
Date
VALIDATION:
RECEIPT NUMBER ~ 0
DATE PAID ,1(-:;2 '/-"'77
AMOUNT RECEIVED _ Af:1 ~. rzJ
. RECEIVED BY ~~,
.. ~/'l/