HomeMy WebLinkAboutPermit Building 1994-1-25
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
<9
LOT'
OWNI
ADDf
CITY'
,
.
SPRINGFIELD
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BLOCI"
0000 .
. HE AND 1 CONSTRUCTION,INC
84959 Parkway
PLEASANT HILL,OR 97455 .
DESCRIBE WORK: :5 F D
NEW"; REMODEL
#71158
... AT~'
ADDITION
DEMOLISH
OTHER
CONTRACTOR'S NAME
---...--......"""----
HE and i Const.,Inc.
ADDRESS
CONST,
CONTRACTOR .
__._ ~_._"._._e.,"
84959 Parkway
Pleasant Hill,
02/95
8ills Elect de
71158
Dr 97455
3170 W 11th,
Eugene, Or 97402
04/94
I
Don Lewis Plumbing
21351
500 Greenfield
Eugene, Or 97404
06/94
33076
Marshalls Oil & Ins. 4131"E"St. 25790
Springfield, Or 97478
8rooks Excavation
12/94
27661 Crow Rd
Eugene, Or 97402
03/94
55921
.~/9}7~
JOB NUMBER Gl"\fJ7\.SJ
225 Fifth Street
Springfield, Oregon 97477
, TAX LOT:
SUBDIVISION: #/lST/V PI}/ZK dr1Zf.Zl/
,
"
PHON~'
'*
ZIP:
EXPIRES
PHONE
726-3898-
687-1851
688-1931
747-7445
345-7564
o Temporary Electric
O Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
-It:::J,.J=ooting - After trenches are
} excavated.
o Maso.nry - Steel location, bond
beams, grouting.
~ Foundation - After forms are
l.L.J erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
F::Z1 Underlloor PlumblnglMechanical
~_ Prior to insulation or decking.
BPost and Beam - Prior to floor
Insulation or decking. .
~Floor Insulation - Prior to
~deCklng,
~ Sanitary Sewer - Prior to filling
~rench.
~ Storm Sewer - Prior to filling
~ench.
~ Water line - Prior to filling
-~ench. .
@ "J ' ..' '\-:5',
I' j t. .... f b ~
Rough PIUmblng(- Prlor"to
cover. .
REQUIRED INSPECTIONS
.~ Rough Mechanical - Prior to
~over.
~OU9h Electrical - Prior to
cover. .
J2:J eiectrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
Warning - Prior to cover.
. ciWall/celllng Insulation - Prior to
~over.
~Wrywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and InstallatIon of unit.
~ Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
flSidewalk & Driveway - After
excavation is complete. forms
and sub-base material in place.
o Fence - When completed.
'~~treet Trees - When'-a~r required
trees are planted. ~_ _~_
. ~. I .
J7(Final Plumbing - When all
~Iumblng work Is complet.e.
-d1 Final Electrical - When all
~electrlcal work is complete.
.J7l Final Mechanical - When all
~echanical work Is complete.
r7'1.binal Building - When all
~~~Quired Inspections have been
approved and building is
completed.
DOthsr
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
~
\ }. . ctt THE PROPOSED WORK IN THE
Lot faces L~Type Setbacks
Lot sq, fig, _ Interior I P.L. I HSE ' GAR' ACC I HISTORICAL DISTRICT, OR ON
IN I I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I I and approved by the Historical
Topography \':':> / Panhandle Iw I I Coordinator prior to permit Issuance.
Total height Cul.de.sac
(IS/) IE I I APPROVED'
BUILDING PERMIT
ITEM SQ, FT.
~
'1-\ '~
x ~;~?O ~ ~ ~~~
~.\D A?D1
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 construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of s_aid ordinances.
Plan Check Fee: ~~~
~~~ Date Paid:
Total Value
Receipt Nu
Building Permit Fee
State Surcharge. Iq~ fii\~.D ~
4-lYL
i ~ Total Fee (A) Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC) ,h
.Ii 'lS7"'fP
(B) f{' 2-0 ~ID -
PLUMBING PERMIT
ITEM
FEE
Fixtures ; ,. .
~"
cD
lion, .
Residential Bath(s)
N'
Sanitary Sewer
FT,
FT,
Water, I
,
"
Storm Sewer
,-
FT.
. Mobile. Home
Plumbing Permit
l.Laf )..cp
/B,CP
jjd6. q[)
~~)
q ,CD
:!l.cO
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
.3
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
:J...1-i. '::D
[O,OU
\. I'~
7->~,LP~
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk ~ It
Curbcut m-- ft
Demolition
\o;CV
I {j .W
Strt' Surc~e"" f'lL
( ~ (\ fL oVn (\ t
,
41 ) cO
.-
Total Miscellaneous Permits
(E)
,
. .'. '-'~ )j
.
TOTAL AMOUNT DUE (excluding electrical)'.:' '
(A, B, C. D, and E Combined) ''-/ ~.~
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
'J
" ADDITIONAL COMMENTS
j'
.~
t ~I'l \l) loa)
\
t ~f\Q J{.Dn1-,~ \L\I)9)
C\b~ \
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, an.d 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 Safety Division.
I further 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 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 si\e at allJlmes during constructio~,
Signature ~lLd ~ ~U't.t:i.~
i - / Ie( -V('/
I
Date
VALIDATION: I I4Ll7~~b_
RECEIPT NUMBER \.~..
DATE PAID - . 1- r~_
AMOUNT REC~Ir;;< ~, ~.1 C::l ~ ~
RECEIVED BY I ~ - --