HomeMy WebLinkAboutPermit Building 1991-8-28 (2)
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" ,...RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
N/A
::1.0
ASSESSORS MAP'
LOT'
OWNER:
Lochaven Partners
ADDR""::<<'
1199 N. Terry St.
CITY'
Eugene
DESCRIBE WORK' Mobile Home set UP
NEW
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ADDITION
REMODEL
SPRINGFIELD
BLOCK:
STAT'"
OR
JOB NUMBER
Q'Vh1 \L
225 Fifth Street
Springfield, Oregon 97477
Auf" .
DQ?fi)
TAX LOT: N/A
SUBDIVISION:
Lochaven
PHON'"
688-9123
~L,
~
ZIP: 97402
.- Concrete stringers - Accessorv Value $l7Yb-
DEMOLlSHOTHERH.H. Value $ J-.f rS$ tRtXD
87922 LaPorte Dr.. Eug.
855 W. 24th
CON ST.
CONTRACTOR'S NAME ADDRESS , CONTRACTOR'
GENERA" Ernie & Son 's 87922 LaPorte Dr.. EUlL 41497
PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB
ELECTRICAl'
QUAD AREA: \ Q \,-\0
\
Q~~
. OF STORIES: \
WATER HEATER: ,--e. )
. OF BLDGS'
OCCY GROUP:
EXPIRES
2/2/92
PHONE
484-6505
689-7762
484-6505
144-1500
20-280r./63117
41/197
2/2/92
- OFFICE USE -
LAND USE:' \ SD
. OF UNITS: - \
CONSTR. TYPF'
HEAT SOURC'" ~7
G
RAN(.:'"
FLOOD PLAIN:
ZONING CODE:
. OF BDRMS:
m~
?-,
MECHANICAl' Ernie & Son 's
~eritaQe Electric
SECONDARY HEAr.
SQUARE FOOTAGE:
To requesl an Inspection, you must call 726.3769, This Is a 24 hour recording, All Inspections requeste'd before 7:00 a.m, will be
made the same working day, Inspections requested after 7:00 8.rn. will be made the following work day.
o Temporary Electric
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Site Inspection - To be made 0 Rough Electrical - Prior to
after excavation, but prior to cover. .
setting forms. ___
o Masonry - Steel location, bond
beams, grouting.
D Foundatlon'- After forms Bre
erected but. prior to concrete
placement. .
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking,
rrt9sanllary Sewer - Prior to filling
~ trench.
. ~torm Sewe'r - Prior to filling
~t;.ench.
r:fi')water LI~e ~ Prior t~"f11l1ng
~ trench. !
o Rough Plumbing ~'Prlor to
cover. . . . .
o Electrical Service - Must be
approved to obtain permanent
electrical power,
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior 10
cover.
o Drywall - Prior to. taping,
o Wood Stove - After Installation.
o Insett - After fireplace approval
and Installation of unll.
o Curbcut & Approach - AHer
forms are erected but prior to
placement of concrete.
r.-7'9Sldewalk & Driveway - AHer .
~ excavation Is complete, forms
.and sub-base material In place.
o Fence - When completed.
o Street Trees"'; When all required
trees are plaQted;' :- I
o Flna' Plumbing - When all
. plumbing work Is complete.
D Final Electrical - When all
electrical work Is complete.'
o Final Mechanlca' - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
~Iocklng and 'Set.Up - When all
'"'\' blocking Is complete.
~PIUmblng Connections - When
home has been connected to
water and sewer. .
. ~'ectrlcaJ Connecllon - When
locking. set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel,
rII1lnal - After all required
~Inspecllons are epprovecl and
porches, skirting, decks. and
venllng have been Installed,
Lot faces 0': Lot Type . Setbacks .THE PROPOSED WORK lIi~THE .>
-
Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
Lot sq. flg, IN I THE HISTORICAL REGISTER?
Lot coverage Corner 'If yes, this application must be signed
Is 1 and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit Issuance.
Total height Cul.de.sac IE I~
!f APPROVE'"
BUILDING PERMIT
ITEM sa, FT,
X s/sa. FT, - VALUE
.! ~~P.a
J ~ ('fY)
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permllls granted on the express condition thatlhe said
construction shall,ln all respects, conform to the Ordinance
adopted by the City of Sprlnglleld, Including the
Development Code, regulating the construction and use 01
buildings, and may be suspended or revoked al any time
upon violation 01 any prOVisions 01 said ordlnnncos.
1!MQ Plan Check Fee'
.- q~- ~..- Date Paid:
Total Value I ,1.:8-:)
I ~ Receipt Number'
Building Permll Fee /, ~
Received By:
State Surcharge
Total Fee (A) 3D qf? Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC) .
&9(O./O(B) 1+fD.~
PLUMBING PERMIT
ITEM
Flxture.s i
. t
Resldentlal'Balh(s)
,FEE
N'
FT. &,1::) ..
FT. as
FT, 85
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permll
State Surcharge
'1S.CO
3.15
r;K1o
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhau",t Hood
Vent Fan
N'
WOod StovellnserllFlreplace Unll
Dryor Vent
Mechanical Per:nll
Issuance
State Surcharge
Total P~rmlt
p
.~
-,"). tJ8
let.CD
(D)
MISCEI.LANEOUS PERMITS
Mobile Hume
State Issuance
State Surcharge
Sldewal< ~ fl
Curbcut
fl
Demolition
State Surchi?'rge
Total Mlscel,anecus Permlls (E)
TOTAL AMOUNT l>UE (excluding electrical)
(A, B, C. D, sod E Combined)
-
.........,.-.
Systems Development Charge Is due on all undeveloped
properties wlthl.n the City limits which are, being Improved.
. ADDITIONAL COMMENTS
j
/, ,
~
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By ~Ign.ature, I state and agree, that I have carelully examlnod
the completed application and do hereby certify that all
Inlormatlon hereon Is true and correct, and Ilurlhe'r certlly
that any and all work performed shall be done In accordance
with the Ordinances of the Clly 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
structure without permission of the Building Safely Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required InspacHons are
requested at the proper time. that each address Is readable
from the sireet. that the permll card Is located at the front
of the property, and the approved set of plans will remain
on the site at .all times during construction.
Signature J:?u A---<- ?/'.....P' /.~~ __
~
Date
VALIDATION:
RECEIPT NUMBE~ f:) I }(~~
DATE PAID . ~l ')(J ~~'
AMOUNT REC~IVED - 0' - '_' ::;..
. RECEIVED BY C:7)L{JO ~
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