HomeMy WebLinkAboutPermit Building 1992-6-18
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
'Pb--c.a .
LOCATION OF PROPOSED WO~!(' ~::?q GJ2.AN I ~
ASSES.SORS MAP: \'\ D '6~,/).( \ ':\ .
LOT: G ~\ . BLOCK'
OWNER'
Breeden Bros., Inc~
AODR[:~~'
366 East 40th
CITY:
Euqene
STAT~'
Oreqon
DESCRIBE WORK'
!:l t=-. \( 0 Dl ri. 0 flDSL.
NEW' X
REMODEL'
.
ADDITION
CONTRACTOR'S NAME
GENERAl'
Breeden Bros.
Absolute Plumbing
Marshalls
Thornton
PLUMBING:
MECHANICA' .
ELECTRICA' .
QUAD AREA:
\ Rn 'JlD
\
K6-\-"N\
bt
7/
. OF BLDGS'
OCCY GROUP:
. OF STORIES:
WATER HEATER:
DEMOLISH
.
/'7-63
JOB NUMBER' YJrt()f17
225 ,Fifth Street
Springfield, Oregon 97477
!
TAX LOT: } Lf-'lI1 ')
S~BDIVISION: bR..t? H:' u <..
PHONF'
(503) 686-9431
ZIP'
97405'
OTHER
CONST.
CONTRACTOR' EXPIRES PHONE
27 11/30 686-9431
20-2PB 6/30 345-3055
25790 12/23 747-7445
20-706C 5/31 686-1628
r'\?J Rough Mechanical - PrIor to
~ cover.
~Rough Electrical -.Prlor to
)::::.J cover.
~ Electrical Service - Must be
approved to obtain permanent
electrical power.
rY'r'Fireplace' - Prior to facIng
~ materials and framing Insp.
~Framing.- Prior to cover.
1Z1 WalllCeiling Insulation - Prior to
cover.
MDrYWall - Prior to t~~Plng.
.0 Wood Stove --After l~siallation.
o Insert - After fireplace approval
and Installation of unit.
~urbcut & Approach - After
~ forms are erected but prior to
placement of concrete.
NSidewalk & Driveway -- After
excavation is complete, forms
and sub-base material in place.
o Fence -' When completed.
~treet Trees - 'When all req.uired
~trees are planted. .
, . ;' .'. ~.... '.
. -. ,~
.\.':
ADDRESS
Euqene
Eugene
Springfield
Eugene
"- OFFICE USE -
\ \ \ \
. OF UNITS' . \
CONSTR. TYPE: ~ f\)
PE..-
r...
LAND USE:
HEAT SOURCE:
RANG~'
FLOOD PLAIN'
ZONING CODE:
U j\L.
~
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: ~ Lfl:\_
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.
REQUIRED INSPECTIONS
~ Temporary ,Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover,
~ Footing - After trenches are
excavated.
D Masonry - Ste~1 location, bond
b'eams, grouting.
~ Foundation - After forms are
~ erected but prior to concrete
placement.
~ndergrOUnd Plumbing - Prior
to filling trench.
K'7IUnderlloor ~91MACha~
~ =- Prior to Insulation or decking.
f:::/t Post and Beam - ,Prior to Iloor
~ Insulation or decking.
l'::7fFloor Insulation - Prior to
~ decking.
rcn. Sanitary Sewer - Prior to filling
~ trench.
'Kf Storm Sewer - Prior to filling
trench.
~Water Line - Prior to 1IIIIng
~trench. .
18;j Rough Plumbing ~ .Prior to
cover. '.'
'Vi Final Plumbing - When all
~ plumbing work Is complete.
~ Final Electrical - When all
~ electrical work Is compl_ete.
~ Final Mechanical - When all
~ mechanical work Is complete.
~ Final Building - When all
required 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 Connection - When
blocking, set-up, ana plumbing
Inspections have been approved
and the home is connected to
the service panel.
o Final - After all required
inspections are approved and
. porches', sklr'ting, decks, and
venting have been installed.
...
, . tTHE PROPOSED WORK IN THE
Lot faces ~ Lot Type Setbacks
€> 1'1' } I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
Lot sq. ftg. -;]j Interior IN 6'/ I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is 7/ I and approved by the Historical
Topography dJ.' 7,panhandre Iw z.~' I Coordinator prIor to permit issuance.
Total height '_ Cul-de-sac
IE ,W, I APPROVED:
BUILDING PERMIT
so. FT.
---'-" (00
5"%L
X $/SO. FT.
?Cf."'[5!;.
. V
..L4.Y:
VALUE
fo6l~ :2.,-
76err-6t.
ITEM
Main
Garage
Carport
Total Value
_73'SJG~y
'} {;5: CO
(7.77
372,~
Building Permit Fee
State Surcharge
Total Fee
(A)
. S. YSTEMS DEVELO~MENT CHARGE (SDC)
/.5% (7J<fN. ~O) (B) 1/(71,93
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N' '~
<!"
Sanitary Sewer FT.
'.
Water FT.
Storm Sewer FT.
Mobile Home
FEE
I'll -~o
PltJ..mblng Permit
State Surcharge
I,?;(/ie
'/,63
~OJ./ J
Total Charge
(C)
MECHANICAL PERMIT
fo. 67 cJ
q. .>0
/2. CC?
1C;.(20
'3 J)O
Furnace
Exhaust Hood
Vent Fan
N'
~
Wood Stove/lnsertl Fireplace Unit
Dryer Vent
Mechanical Permit
q(9. ~ 0
/ (f) ,(90
:(,~3
5 2?.~3
Issuance
State Surc.harge
Total Permit
(0)
MISCELLANEOUS PERMI:rS
Mobile Home
State Issuance.
State Surcharge
Sldewalk.315'
Curbcut ;( '-I
It
/ C:. 70
I '3./;0
ft
Demolition
State Surcharge
0< r. 30
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (e~Cludlng electrica~'fl761.7f' ~
(A. B, C, 0, and E Combined) ! 7U. '2.fJ
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
upo~ violation of any provisions of said ordinances.
Plan Check Fee: :3.~OrZfj:
Date Paid: if) .(;) I .q L
Receipt Number:~n4;0
Received By: ~ ,;)
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
. ,
4-
(\ ~ I 5\ h~\ ri Q' ),
By signature, I state and agree, that I have carefully examined
ttie 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 wI/I 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 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 tlme"urln :-coJi:;uctlon. '\
Slgnatur ~ .~ll..s.er?RI-I~)
Date
VALIDATION:
-;) / c" 75
DATE PAID I ~!~2..;
AMOUNT RECEIVED '?:/ (7,<)'.40
#~
RECEIPT NUMBER
RECEIVED BY