HomeMy WebLinkAboutPermit Building 1991-8-22 (2)
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"RESIDENTIAL .
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
N/A
.!J.-.
ASSESSORS MAP:
LOT:
OWNEf"
ADDRESS'
CITY'
Lochayen Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK: Mobile Home set UD
NEW
x
ADDITION
REMODEL
CONTRACTOR'S NAME
Ernie & Son's
GENERA' .
SPRINGFIELD
1"/
JOB NUMBEREI DW-
225 Fifth Street
Springfield, Oregon 97477
Aut"'.
. TAX LOT'
SUBDIVISION'
N/A
() (..,qt'y')
BLOCI"
STATF'
OR
Lochaven
PHONE:
688-9123
.d
w.:A.
~
ZIP' 97402
.- Concrete stringers - Accessory Value $~--
DEMOLISH ..OTHER N.H. Value $/"9. ~~- \\O~
. - \ --
CON ST.
ADDRESS . CONTRACTOR'
87922 LaPorte Dr.. Eug. 41497
EXPIRES PHONE
2/2/92 484-6505
689-7762
2/2/92 484-6505
144-1500
PLUMBING: Harrison Construction 1441 N. Hwy. 99 20-236PB
MECHANICAL' Ernie & Son 's 87922 LaPorte Dr.. Eug. 411197
ELECTRICAL:
Heritaee Electric
QUAD AREA:
\ R t\)lO
d:;),
\
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER: _?'~
855 W. 24th
?O-280C/63J37
- OFFICE USE -
l\S(j
t
LAND USE:
. OF UNITS:
CONSTR. TYP~'
HEAT SOURCE:
t:' r_
;:
FLOOD PLAIN: -
ZONING CODE: -LI ) ~
-...~
. OF BDRMS:
SECONDARY HEA"r.
SQUARE FOOTAGE:
To request an Inspecllon, 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, Ins pee lions requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
rtf7! Underslab PIUmblng""l~
r Mechanical - Prior ~'
fI7l1 Footing -. After trenches are
L....P excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underfloor PlumblnglMachanlcal
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
deckl ng.
~ Sanitary Sewer - Prior to filling
trench.
Storm Sewe'r - Prior to filling
trench.
~8ter Line - Prior to ftlUng
L.:p i;ench.
o Rough Plumbing - Prior to
cover. '
RANGE:
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover. .
o Rough Eleclrtcal - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to ,facing
malerlals and framing Insp.
o Framing - Prior to cover.
o Wall/Calllng Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
~s dewalk &.Drlveway - After
xcavation Is complete, forms
.and sub.base material In place.
o Fence - When com~leted.
o Street Trees - When all requlrE!d
trees are pl~nted. . .
o Final Plumbing - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work Is complete.'
D Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
DO'her
MOBILE HOME INSPECTIONS
dB'OCklng and Set.u~ - When all
r ,blOCking Is complete.
~IUmblng Connections - When
home has been connected to
water and sewer. .
. ~Electrlcal ConneclJon - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
-./7lnal - After all required
~spectlons are approve(j and '
porches, skIrting, decks, and
venting have been Installed.
..,.-... -,
Lot faces Lot Type . Setbacks "HE PROPOSED WORK IN TH:
Lot sq. fig. Interior I P.L. HSE GAR ACC HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
Lot coverage Corner N 'If yes, this application must be signed
S and approved by the Historical
Topography Panhandlo Iw Coordinator prior to permit Issuance.
Total height Cul-de-sac
IE APPROVED'
BUILDING PERMIT
ITEM . SO. FT.
X S/SO. FT. = VALUG....
Ilo?A5
. I
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permllls granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the Clly of Springfield, Including the
Development Code, regulating the construction and uso of
buildings, and may be suspended or revoked at sny time
upon violation of any provisions of said ordin~nccs.
. ~ fiN) Plan Check Fee'
Date Paid:
Total Value ] l:J~
Receipt Number'
Building Permit Fee
~6.~~ Received By:
State Surcharge
Total Fee (A) Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC) , .
(B) (j7fd7
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N'
Sanitary Sewer
FT.
FT.
-~ ~QQ
AS-DO
/15,00
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permll
'lc).CO
:-=3.05
i) K 'J.S
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur.t Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryor Vent
Mechanical Per:nlt
Issuance
State Surcharge
(/f
>
Total Permit
(D)
MISCEl.LANEOUS PERMITS
Mobile Home
~
/5.1)')
~.~~
Iq.W
State Issuance
State Surcharge
.r~^./
Sldawal, ~ II
Curbcut
II
Demolition
Slale Surchc?rge
Total Mlscel.snecus Permits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C, 0, aod E Combined)
-5/ (\?555
Systems Development Charge Is due on all undeveloped
properties within the Clly IImlls which are being Improvod.
. ADDITIONAL COMMENTS
By signature, I state and agree, thai I have carefully examlnoc.J
the compleled application and do hereby certify lhat 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 Clly of Springfield, and lhe 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 Safety 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 Inspecllons 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 ~A_~~~~A~_
Date
VALIDATION: 1\ l\v
RECEIPT NUMBEf' 'c;Y /1 ) 0- -=?
DATE PAID M. R.,g . q I
. AMOUNT RECEIV~' '] B. .~n
RECEIVED BY _M /
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