HomeMy WebLinkAboutPermit Building 1992-6-24
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SPRINGFIELD
RE!,)IDENTIAL
PERMIT APPLICATION
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JOB NUMBER
Inspections: 726.3769
Office: 726.3759
225 Fifth Slreet
Springfield, Oregon 97477
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,TAX LOT: N/A ()~fY)
LOCATION OF PROPOSED WORK: 6,;;l?
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N/A
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ASSESSORS MAP'
Lochaven
688-912' *
97402 . -
LOT'
BLOCK'
SUBDIVISION'
Lochaven Partners
OWNER'
ADDRESS:
CITY'
PHONE:
1199 N. Terry St.
Eugene
OR
STATF'
ZIP'
DESCRIBE WORK: Mobile Home set UD
.- Concrete stringers - Accessorv Value $ 17~
DEMOLISH ' OTHER H.H. Value $1 ~r c;<iS -
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NEW
REMODEL
ADDITION
CON ST.
CONTRACTOR'S NAME ADDRESS ,CONTRACTOR'
GENERA" Erilie & Son's 87922 LaPorte Dr.. EUll. 41497
PLUMBING: Harrison Construction 1441 N. Hwv. 99 20-236PB
MECHANICAl' 'Ernie & Son's 87922 LaPorte Dr.. Eug. 411.97
EXPIRES PHONE
212/92 484-6505
689-7762
2/2/92 484-6505
.'l44-1500
Heritage Electric
855 Ii. 24th
, 20-2ROr:/61U7
ELECTRICAl'
\ P\\)\D - OFFICE USE -
QUAD AREA: LAND USE: \ ~'60 FLOOD PLAIN'
. OF BLDGS: \ . OF UNIT!" l ZONING CODE: \D~
OCCY GROUP: ~~ CONSTR. TYPE: F'i... . OF BDRMS' ~
. OF STORIES: \ HEAT SOURCF' SECONDARY HEA"P.
WATER HEATER: F.J RANGF' rJ SQUARE FOOTAGE:
To requesl an Inspection, you must call 726.3769. This Is a 24 hour recording, All Inspections requesled before 7:00 a.m, will be
made the S8mB working day, Inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
o Rough Mechanical - Prior to
cover. .
o Final Plumbing - When all
. plumbing work Is complete.
o Site Inspecllon - To be made
after excavation, but prior to
setting forms.
~nderslab Plumbln / ectrlca~1
~MeChanfcal - Prior t co
rn1FOOtlng -'After trenches are
l...J( excavated.
o Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work Is complete.'
o Final Mechanical - When all
mechanIcal work Is complete.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Final Building - When all
required Inspecllons have been
approved and building Is
completed,
o Fireplace - Prior to facing
materials and framing Insp.
D Masonry ~ Steel locallon, bond
beams, groullng.
o Framing - Prior to cover.
o Other
D Foundation - After 'orms are
erected but prior to concrete
placement.
o Wail/Ceiling Insulation - Prior to
cover.
o Underground Plumbing - Prior
to filling trench.
o Drywall - Prior 10 taping.
MOBILE HOME INSPECTIONS
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Wood Stove - After Installation.
~Iocklng and Set.Up - When all
'-\ blocking Is complete.
o Post and Beam - Prior to floor
Insulation or decking.
o Insert - After fireplace approval
and Installallon 0' unit.
r?1'Plumblng Connections - When
l.f-1 home has been connected to
water and sewer. .
o Floor Insulation - Prior to
decking,
~anltarY Sewer - Prior 10 filling
trench.
Storm Sewer - Prior to filling
trench.
DCurbcut & Approach - Alter
forms are erected but prior to
placement of concrete.
~Sldewalk &.Drlveway - Alter
~ ;xcavatlon Is complete, forms
"and sub.base malerlal In place,
. TIlectrlcal Connection - When
locking, set-up, and plumbing
Inspecllons have been approved
and the home Is connected to
the service panel,
r.71'lwater'L1ne ,- Prior to filling
~ i;ench.
o Fence - When completed.
r;;::zC9tnal - After all required
\ ,~~spectlons are approved and .
porches, skirting, decks. and
venting have been Installed.
o Rough Plumbing - Prior 10
cover.
o Street Trees"": When all.requlred
trees Bre planted.
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Lot Type, Setbacks "'HE PROPOSED WORK 1I>l' T~E-'
Interior I P.L, HSE GAR ACC I HISTORICAL DISTRICT, OR ON
IN THE HISTORICAL REGISTER?
Corner If yes, this application must be signed
Is and approved by the Historical
Panhandle I Coordinator prior to permit Issuance,
Cul.de.sac ,W
I ..
,E .i , APPROVED'
,Lot faces
, r
Lot sq, ftg.:
Lot coverage
0,
Topography
Total height
r
BUILDING PERMIT
ITEM SQ. FT.
\
X S/SQ, FT. _ VALUE
1~5qCS
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 01 Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked al any time
upon violation of any provisions of said ordln::mcos.
~ '14D Plan Check Fee'
AO~?-5 Date Paid:
Total Value
::JG\ .m Receipt Number'
Building Permit Fee
l.~ Received By:
State Surcharge
Total Fee (A) 3>n, 6 Plans Reviewed By Oato
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) 2IY5.03
PLUMBING PERMIT
ITEM
FEE
Flxlures
;,. ,
Residential Bath(s) N'
6J'O~
AS.CD
IJ'S,OO
Sanitary Sewer
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
7'S,DO
3.'1S
')K f}S
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhau",t ,Hood
Vent Fan
N'
Wood Slovellnsert/Flreplace Unit
Dryt.H Vent
Mechanical Per:nlt
Issuance
State Surct;srge
Total Permit
(2:Y
(D)
MISCEI.LANEOUS PERMITS
Mobile Home
BJ.~
1:5.'kc;
~.B.'S
Iq.(y)
State Issuance
State Surchcygr;... ../
Sldewal ( v::l) ft
Curbcut
II
Demolition
State Surcherge
Totel Mlscel,anecus Permits (E)
TOTAL AMOUNT VUE (excluding electrical)
(A, B, C. D, aod E Combined)
~'"S44 01
Systems Development Charge Is due on all undeveloped
properlles within the City limits which are. being Improved,
. ADDITIONAL COMMENTS
, .
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By signature, I state and agree, that I have carefUlly examlnod
the completed appllcallon and do hereby certify that all
Infor'1latlon hereon Is true and correct, and I furth~r cartHy
that any and all work performed shall be done In accordance
with the Ordinances of the City 01 Springfield, and the Laws
of the Slate of Oregon pertaining to the work described
herein.' and that NO OCCUPANCY will be made 01 any
structure without permission of the Building Safely Division.
I furl her certify that 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 Inspections are
requested at the proper lime. that each address Is readable
from the sireet. that the permit card Is located at the front
or the property, and the approved set of plans will remain
on the site atl~1 times during co,\structl~n,
Signature dJ?AA"'~~~~. ,~
Date
VALIDATION:
RECEIPT NUMBER
DATE PAID
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AMOUNT RECEIVED
RECEIVED BY _
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