HomeMy WebLinkAboutPermit Building 1992-3-20
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
ASSESSORS MAP:
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LOCATION OF PROPOSED WORK:
LOT:
Sb
OWNER.
Breeden Bros., Inc~
ADORE"".
366 East 40th
Euqene
CiTY:
DESCRIBE WORK. <:: I '^ ~J e.
J
NEW X
(."ya..",:+~
.2-
BLOCK.
STAT~.
Oreaon
,co..lM~lv Af'.J-o...ct,e.ol
I
REMODEL
, ADDITION
OTHER
DEMOLISH
. q \ U( ofJ;(.l
. JOB NUMBER I'\-Sb 0
225.Fifth Street
Springfield, Oregon 97477
TAX LOT: 'D..9..?o 0
SUBDIVISION. It \ V€r /-J;/I S
._ 0
PHONF.
(503) 686-9431
ZIP:
97405
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES PHONE
GENERA' . Breeden Bros. Euaene 27 11/30 686-9431
PLUMBING. Absolute Plumbing Eugene 20-2PB 6/30 345-3055
MECHANICAl. Marsha11s Springfield 25790 12/23 747-7445
ELECTRICAl. Thornton Eugene .20.,.706C 5/31 686-16;18
. . . - ,
\~ \\'\\1) -'-OFFICE USE -
QUAD AREA: LAND USE: \ \ \ \ FLOOD PLAIN:
. OF BLOGS. \ . OF UNITS: \ ZONING CODE: l f') {L-
OCCY GROUP: -tZ. ?J '"t N\ CONSTR. TYPE: ~ . OF BDRMS. ~.
. OF STORIES: A. HEAT SOURCE: ~e.., SECONDARY HEAT:
WATER HEATER: tp~ RANGE::. r~ SQUARE FOOTAGE: r<lM8
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.
~TempOrary Electric
~ rvl Site Inspection - To. be made
l.AJ after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
fVl'Footing - After trenches are
~ ~~cavated.
D Masonry - Ste,:1 location, bond
beams, grouting.
!8r:Foundation - After forms are
erected but prior to concrete
placement.
t2Sr:UndergrOUnd Plumbing - Prior
to filling trench.
IVf Underfloor:P!umblng1Mecharical)
~ - Prior to. Insulation or decking.
0" Post and Beam - .Prlor to floor
insulation or decking.
~ Floor Insulation - Prior to
decking.
0' Sanitary Sewer - Prior to filling
trench.
~ Storm Sewer - Prior to filling
trench.
~ Water Line - Prior to filling
~ trench.
tzSJ Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
IC/f'Rough Mechanical - Prior to
~ cover.
~ Rough Electrical - Prior to
cover.
~Iectrlcal Service - Must be
approved to obtain permanent
electr!cal power.
~Flreplace'- PrIor to facing
t,.::::::::::l materials and framing Insp,
~ramlng - Prior to cover,
~Wall/Ceiling Insulation - Prior to
cover.
CCJ:DryWall - Prior to taping,
.0 Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
-rs::::::?'l Curbcut & Approach - After
~ forms are erected but prior to
placement of concrete.
l":7"f Sidewalk & Driveway - After
~ excavation is complete, fo'rms
and sub.base materlalln place.
o Fence -:. When completed.
rA Street Trees - When all req"uired
~trees are planted.
fVr'Final Plumbing - When all
~ plumbing work is complete.
k3J Final Electrical - When all
- electrical wark is campl.ete.
~;inal Mechanical - When all
mechanical work is complete.
r?JFinal Building - When all
~ ~equlred Inspections have been
approved and building Is
completed.
o Other
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 Connect.i,on - 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.
,
~----.
\ . .THE PROPOSED WORK IN THE
Lot faces -2.. Lot Type Setbacks
(J/fc9{) V' I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
Lot sq. ftg. Interior IN -f1" I THE HISTORICAL REGISTER?
ill
Lot coverage Corner Is 2,0' I If yes, this application must be signed
and approved by the Historical
Topography d1/ Panhandle Iw 1/,;(" 0. I I Coordinat~r prior to permit issuance.
Total height Cul-de-sac
IE I/c. I ,.
APPROVED:
BUILDING PERMIT
ITEM SQ. FT.
X $/SQ. FT. -
,'1 ~
~lf J..2
VALUE
{If/f3 ~
,
5,ff~
Main
---Ua 3.
43.5
Garage
Carport
7t:/.4-'-'i
9#6-fr ~
I 7 3.E.
(A) $ 063,'30-
. SYSTE,MS DEV,ELOPMENT CHARGE (SDC)
JUIJ, &..25 ) (B) -I05(J8
PLUMBING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
ITEM
FEE ,
Fixture's
Residential Batn(s)
N'
:<.
/~&.t)O
Sanitary Sewer FT.
wawr ",'
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
16&.60
'b,~o
169!@
State Surcharge
Totar Charge
(C)
MECHANICAL PERMIT
h.t90
4-. >0
q.&CJ
I C;, CJ(')
'5 . c)c!
Furnace
Exhaust Hood
Vent Fan
N'
3
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
s7. ,>V
/t!/ ,t'JeJ
/.3'6"JS'
Issuance
State Surcharge
Total Permit
1'7 ;;r.~
,
(D)
MISCELLANEOUS PERMI:TS
Mobile Home
State Issuance.
State Surcharge
Sidewalk fo 0 ft
Jlet.
Curbcut ~ ~
1'1..00
/3.00
ft
Demolition
State Surcharge
)~to
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electriCal)l~ 'I, htO. ( b'
(A, B, C, D, and E Combined) I
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that tile said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulat,ing the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: .~ 1.98
Date Paid: _ (() .6Ji ''-11)
Receipt Number: ~ /
R;~N~- {~q~
Pian's Reviewed-By ~a~
Systems Development Charge is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
.'
,
(',\ 1 'l\ ~ .rtQ )
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 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 witl 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/1urlng zr"%tion.
Signature ~!?I2AFh?gN ~c&.)
Date
~
VALIDATION: A 1\~I1.
RECEIPT NUMBER '\I k ,1-:-\
DATE PAID 0" ~2 ,V( J+:
AMOUNT RECEIV~. ~ (1 t3-. '6'::::;
RECEIVED BY r:!\ I, . ~