HomeMy WebLinkAboutPermit Building 1993-11-22
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726,3759
LOCATION OF PROPOSED WORK'
ASSESSORS MAP:
LOT' "'lk:>
.
SPRINGFIELD
t13 ~e- ,(Ot:..Jj /J~
BLOCK'
OWNER: ~
ADDRESS:
HE AND i CONSTRUCTION,INC #71158_
84959 Parkway
PLEASANT HILL,OR 97455
GENERAL: HE and i Const.,Inc.
PLUMBING: ----'
I
MECHANICAL:.-J Bills Electric
I
ELECTRICAL: --1
,
,
I Don Lewis Plumbing
QUAD AREA: .dXl
I Marshalls Oil & Ins.
. OF BLDGS: _
OCCY GROUP: j
I Brooks Excavation
. OF STORIES:_
WATER HEATER: J
J
CITY:_
DESCRIBE WORK'
SFD
NEW X
REMODEL
ADDITION
CONTRACTOR'S NAME
DEMOLISH
OTHER
_k€
;(CXJ I ,fJon/J/e. U;
q'3lloBS
ADDRESS
CONST,
CONTRACTOR .
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
SUBDIV1SION:A/I{'OL~ I~ p~
~.
84959 Parkway 71158
Pleasant Hill, Or 97455
3170 W 11th,
Eugene, Or 97402
500 Greenfield '33076
Eugene, Or 97404
4131 "E"St. 25790
Springfield, Or 97478
27661 Crow Rd 55921
Eugene, Or 97402
PHONE:
*
ZIP'
'n
EXPIRES PHONE
02/95 726-3898
04/94 687-1851
06/93 688-1931
12/93 747-7445
03/94 345-7564
21351
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.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/ElectricalJ
Mechanical - Prior to cover.
'-~otlng - After trenches ar~
~:~cavated.
D Masonry - Steel locatlon, bond
~e s, grouting.
Foundation - After forms are
ected but prior to concrete
placement.
D Underground Plumbing - Prior
to fllling trench.
;UnderflOOr Plumbing/Mechanical
. - Prior to Insulation or decking,
Post and Beam - Prior to floor
.Insulation or decking. '
m Floor Insulation - Prior to
~ decking.
.I1i ~anltary Sewer - Prior to filling
~rench.
k71 Storm Sewer - Prior to filling
~trench.
-01 ~ater Line - .Prlor to filling
renCh.
rll ROU9,h Plumbing - Prior to
~over.
REQUIRED INSPECTIONS
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover.
~Iectrical Service - Must be .
approved to obtain permanent
ectrlcal power.
D Fireplace - Prior to. facing
materials and framing Insp.
R Framing - Prior to cover,
tSlf Wall/Ceiling Insulation - Prior to
~cover.
~ Drywall - Prior to taping,
D Wood Stove - After Installation.
D Insert - After fireplace approval
and Installation of unit.
1\71 Curbcut & Approach - After
~, forms are erected but prior to
placement of concrete.
~Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
~~.
:\
D Fe~~e ~ When completed.
D Street Trees - When all required
trees are planted_'
..... t Final Plumbing _ When all
ffi-Plumblng work Is complete.
-
htl Final Electrical - When all
~ electrical work Is complete.
bFinal Mechanical - When all
~ mechanical work Is complete.
m Final Building - When all
~reQulred Inspectlons have been
approved and building is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
D Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
.
Lot faces Lot Type Setbacks
Lot sq, itg, ~ Interior I PL HSE'GAR'ACCI
IN
Lot coverage Corner
Is I
Topography Panhandle
fl Iw I
Total height Cu/-de-sac
('ZZ" IE I
l\ "":::'n r~ - [v.:
I 0 cJJ .~-ffi\-f-\'~-~2QQ;r.g\t~)
& , WJ\~~ "( [YJto ): \~fjS,
. ~-r': lDi(()(Y) I:"'~.r \'!--P--
BUILDING PERMIT
SQ, FT.
\7\\ r:s
4~:\
X $/SQ, FT, = VALUE
5\o.?n m,8'Ff
\~ .\C)_ to .'6f,n
ITEM
Main
Garage
Carport
Total Val ue
q31C\.~
4;\~<<:)
c4fl.~
~2}S,~S
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC) If>
(B) #1-ll<f'i!
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N,d
SanItary Sewer
FT.
FT,
Water \
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
I {oU pO
Aoo
JJdi-)tD
Total Charge
(C)
MECHANICAL PERMIT
( () ,00
Lf,CSO
CfcO
Furnace
Exhaust Hood
-3
Vent Fan
N.
Wood Stove/Insert/Fireplace Unit
....~ 00
Dryer Vent
Mechanical Permit
~.<so
,1U ,OU
/, l.-':>
A'2>'~
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk 9)
Curbcut -~
It
\f\ .S{J
~~ \nO
,
It
Demolition
\ \)\(\~h~~
~,
~c0
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricalpJR.~ 14(0
(A, B, C, D, and E Combined)
.
\ IS THE PROPOSED WORK IN THE
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED'
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 construction and use of
,buildings, and may be suspended or revoked at any time
upon violation of ?ny provisions of said ordinances.
Plan Check Fee:~ n f"lI p )-.... __
Date Paid:
Receipt Number'
Received By: .
~S:~frN
JI.lq~
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMM~NTS
lim~~AITffi It j\\\()nn Orn~7
'S,\),c.; ) ')
c
By 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 thaI NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify lIlal only contraclors 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 time, that each address Is readable
from the street, that the permit 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 ~..IVl/)4~ ~
Date 11- S- 93
VALIDATION: \ f\(\ \ _ c:::...
RECEIPT NUMBER u2:'\\(}-..J
DATE PAIr> \ \ \ 15/ ~.y' ~
AMOUNT RECEI~ ':fJ0.1f14ln
RECEIVED BY C) \\~ ./