HomeMy WebLinkAboutPermit Building 1992-3-20
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759 .
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT: _~ 7.
C':ad:f
OWNER'
ADDRESS:
CITY'
Breeden Bros., Inc~
366 East 40th
Euqene
.
BLOCK' .
STATE:
Oreqon
DESCRIBE WORK:
NEW' X REMODEL
c) ~ ~ 0 iJ\r1 Q n0 Q
, ADDITION
CONTRACTOR'S NAME
GENERAl' Breeden Bros.
Absolute Plumbing
PLUMBING'
MECHANICAl' Marshalls
ELECTRICA' .
Thornton
DEMOLISH
15 -57.
. JOB NUMBER -9 (0 (tf:)q
,
225,Fifth Street
Springfield, Oregon 97477
PHON~'
(503) 686-9431
ZIP'
97405'
OTHER
CONST.
CONTRACTOR' EXPIRES PHONE
27 1l/30 686-9431
20-2PB 6/30 345-3055
25790 12/23 747-7445
20-706C 5/31 686-1628
ADDRESS
Euoene
Eugene
Springfield
Eugene
\ ~ \\~lU '- OFFICE USE -
QUAD AREA: LAND USE: \ \ \ \ FLOOD PLAIN:
. OF BLDGS' \ . . OF UNITS: \ ZONING CODE: UlQ
K~"\- W\ \/ (\) ~- ~
OCCY GROUP: CONSTR. TYPE: . OF BDRMS:
. OF STORIES: .Q HEAT SOURCE: ~S SECONDARY HEAT:
WATER HEATER: _9 ___ ,~ RANGF' 'f~ SQUARE FOOTAGE: CJLA ~ L
To request an inspect/on, you must call 726-3769. This Is a 24 hour recording. Alllnspectlons 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
IX] Site Inspection - To. be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrlcall
Mechanical - Prior to cover.
~ Footing - After trenches are
excavated.
o Masonry - Ste~1 location, bond
b'eams, grouting.
~ .
~ ~oundation - After forms are
. erected but prior to,concrete
placement.
~nderground Plumbing - Prior
~to filling trench.
Ri Underlloor PlumbinB/Mechanical
~ - Prior to-insulation or decking.
~ Post and Beam - .Prlor to floor
insulation or decking.
rYrFloor Insulation'7.Prior to
.l;9' decklng!'~ \. '. .' ';. . _.~'
~OU9h Mechanical - Prior to
cover.
~ Rough Electrical - Prior to
cover.
~ Electrical Service - Must be
approved to obtain permanent
electrical power.
0Flreplace - Prior to facing
materials and ~ramlng Insp.
~Framing - Prior to cover.
!0fwall/celling Insulation - Prior to
cover.
~DrYWall -. Prior to taping.
.0 Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
\0Curbcut & Approach - After
. forms are erected but prior to
~S " S P' to 1',II'lng \.' . . pIa. cement of concrete.
~ : ani ary ewer - rlor . .'
trench.
~ Sidewalk & Driveway - After
~ excavation Is complete, forms
and sub-base material In place.
12:SfStorm Sewer - Prior to filling
trench.
~Water Line - Prior to filling
trench.
l"">2T Rough Plumbi~g - Prior to
~ cover.
D Fence ..-: When completed.
r41 Street Trees - When all req'uired
'Gli\trees are planted.
l2Sr:inal Plumbing - When all
plumbing work is complete.
1C7.ff:inal Electrical - When all
~ ~Iectrical work is campl.ete.
~inal Mechanical - When all
mechanical work Is complete.
~inal 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.
D Plumbing Connections - When
home has been connected to
water and sewer.
o Elect~ical Connecti.c?n - W~en
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o
Final - After all required
i nspecti.ons are approved and
porches, skirting, decks, and
venting have been installed,
r::.ii
.
Lot faces ~ Lot Type . Setbacks .THE PROPOSED WORK IN THE
~ V PL. I HSE GAR ACC I HISTORICAL DISTRICT. OR ON
Lot sq. Itg. Interior l4<c/ I THE HISTORICAL REGISTER?
Lot coverage ~ Corner N If yes. this application must be signed
S J..lf { I and approved by the Historical
Topography ~r Panhandle Iw II' I Coordinator prior to permit issuance.
Total height Cul.de.sac IE 7' I
APPROVED:
BUILDING PERMIT
so. FT.
:;1./$3
?fifg
X $/SO. FT.
Y1, 7-tP-
f/j (0
VALUE
mi6<?: tp
6316,80
ITEM
Main
Garage
Carport
Total Value
1';.98(8
if / 'JrGO
. ;10/00
~'l.(pC)_/ ,/ I IV>
(A)TL)::>(. .~.~~
Building Permit Fee
State Surcharge
Total Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
/ 'h..~ (q J.C(<t) (q ) (B) (?il~;I;Z
PLUMBING PERMIT '-
iTEM FEE
Fixtures. I
,
Residential Bath(s) N' 3 /92 . >D
Sanitary Sewer FT.
.
'{:Jater FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit / q:< . C;o
State Surcharge 'l.t3
Total Charge (C) ,2 0.:2. / '?
MECHANICAL PERMIT
Furnace C.c;O
Exhaust H90d 4.>0
Vent Fan N' 4L /;(.60
Wood Stove/lnsertlFireplace Unit /2:).00
Dryer Vent ~ ,eo
Mechanical Permit
L,I:(Q t; 0
/t9 ,00
6l0~ ;e, 73
(D) S3 . en
Issuance
State Surcharge
Total Permit
MISCELLANEOUS PERMI!S
Mobile Home
State Issuance
State Surcharge
Sidewalk 60
;N
It
-.LCJ. f) 0
/1 ,60
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits."
~:l.... bO
(E)
TOTAL AMOUNT DUE (excluding electrical) ~;, C/ S'.
(A. B. C. D. and E Combined)
II.:.
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 vi,ol~tlon of any provisions 'of said ordinances.
p;an'Check Fee: ~:;Z([;7.&CJ '
Date Paid: to 8.\. Cf(
Receipt Number: ~!:J,{)CJ., (if )
Received By: u::JG ./
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties wifhln the City limits which are being improved.
ADDITIONAL COMMENTS
C \ A 1 " lrl"-l rLe .)
"
,
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 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 tlmeOUrlnr"IIz.CtlOn.. J
Slgnatur~ ~ ~ 'dNJOdH ~.f;;c.
Date 6/~ql'-
VALIDATION:
RECEIPT NUMBER ,4f)5~
DATE PAI['I ~. W .q ?--'
~ ~ ro-'/")-.., nAI1 X-7
AMOUNT RECEIVED. ;)- :.~, I
RECEIVED BY I
, , -