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HomeMy WebLinkAboutPermit Building 1991-8-11 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORt<. ASSESSORS ,MAl;" .74A. '. LOT' . SPRINGFIELD 4421 Ivy Street . JOB NUMBER '7//c:? 27' 225 Fifth Street Springfield, Oregon 97477 \) 0:2 Springfield, OR 97477 OC; ':)} ~ ~.. BLOCK' OWNER' ADDRESS: 'Capstone Homes, Inc_ of Oregon P.O. Box 22636 CITY. Euge[je, OR STATF. DESCRIBE WORK' NEW XX ,Single Family Home REMODEL ADDITION DEMOLISH - , OTHER "TAX LOT:~~~OO SUBDIVISION' Lucerne Meadows, PHON~' 689-5567 - , ZIP' 97402 CONTRACTOR'S NAME GENERAl' Capstone Homes, , ADDRESS Inc. of OR .P.O.B. CONST. CONTRACTOR # 22636 Eug.,OR 97402 EXPIRES PHONE 62018 10-18-91 689-556i' .pLUMBING: S-J P1umbinq Co. 1147~ Main St.Svfld.OR .97477 MECHANICA" Garibau Heatina 4207 W_ 5th Ave.. Eua:,OR 97402 ELECTRICAL' Rose Corp. 89976 Day Lane Eugene, OR. 97402 QUAD AREA: 2., R'<.., (' , . OF BLDGS: I OCCY G~OUP: ~ 't # OF STORIES: ~ f~ ;VI WATER HEATER' - OFFICE USE - LAND USE:" ULJ I vl\l ~f~ 9./ 46664 3-18-92 12:"21-91 9-30-91 747-598S' # OF UNITS' CONSTR. TYPE: HEAT SOURCE: RANGE: 70.045. 54431 344 -24 81 686-0905 FLOOD PLAIN' ZONING CODE: ~D.12 # OF BDR~S' .~ .- SECONDARY HEAT: ~'r SQUARE FOOTAGE: I S<l1.t2..- 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. Inspectlons requested after 7:00 a.m. will be made the following work day. B Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. ~ Undersl~lumbin~Electricall ~ Mechanical - r-'r1or to cover. ~ Footing - After trenches are ~xcavated. D Masonry - Steel location, bond beams, grouting. M Foundation -' After forms are erected but prior to concrete . placement. ~ Underground Plumbing - Prior ~ to filling trench. ~,"Ullatrfloo(plumbln.fitMechani;Jl )6...l - Prior to 10SUl1:l.tlOll or Ut;H.,....lll~. ~ P~~t and Beam - prior to floor Insulation' or decking. "'T'"5tI. Floor Insulation - Prior to ~ecklng. , ~ Sanitary Sewer - Prior to fIlling trench. f":A Storm Sewer - Prior to filling ~trench. , . ~ Water Line - 'Prlor to "filling ~trench_ .... ~ Rough Plum~~ng - Prior to. ~cover. :- ~ REQUIRED INSPECTIONS ~ Rough Mechanical - Prio'r to ~cover. .~ Rough Electrical,- Prior .to ~cover. ~ Electrical Service - Must be ~ approved to obtain permanent electrical power. . D Fireplac'e - Prior to facing materials and framing Insp. 'gf Framing - Prior to cover. ~ Wall/Ceiling Insulation -'- Prior to ~cover. ' ~ Drywall - Prior to taping.. 18 Wood Stove - Aft~r l~staii~t1on. ~ ~ ,F.,o, D Insert - After fireplace approval and Installation of unit. K7f Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. 1VI' Sidewalk & Driveway - After ~xcavation is complete, forms and-sub.base material in place. D Fence -':".When completed.- (i.:2.l)treet Trees - When"all requlrea ~. j rees are planted. . _ ,_' , -. .~ ~ Final Plumbing - When all plumbing work Is complete. I':A' Final Electrical - When all ~ electrical work is complete. ~ Final Mechanical - When all ~ mechanical work Is complete. IV'f Final Building - When all ~requlred Inspections 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 ~an.el. ',' D Final - After all required Inspections are approved and ..- porches, skirting, decks, and venting have been Installed. Lot faces Lot Type. Setbacks _S THE PROPOSED WORK IN THE Lot sq. ltg, Interior I PL HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography &f Panhandle "Iw" I . . Coordinator prior to permit issuance. Total height Cul.de.sac IE I APPROVED. ~/?>C;,<, ,3/9tJO /'595" . 331 <J 5- 'SYSTEMS DEVELOPMENT CHARGE (SDC). .. . , - '- . - /1tP11.4. (B) ,._~.__ PLUMBING PERMIT BUILDING PERMIT 11~ 40v X $/SQ. FT. 38.7 -1-,410 ITEM Main Garage Carport Total Val ue Building Permit Fee .. . State Surcharge - Total Fee (A) VALUE 6"(02-/5 V~O ITEM FEE Fixtures Residential Bath(s) NO 'Z, /92- ~'f) Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home ,- I Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Fu mace Exhaust Hood Vent Fan NO 7_ Wood Stove/lns~ePlace~ Dryer Vent 6'AS L/l )f: Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk :2.,s. ~(., It It Curbcut Demolition State Surcharge 'PLA-A) A'8W6tJ . Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) , ' (A, B, C, D, and E Combined) ", /<1? .~ 9.(P! '202..1'3 ~ (!hi:? 4,6"0 (;"0 l~tHJ -'1 do .-2. 6-0 3C~.5"D -' n,cYO 2.33 4A,e.3 J5,;)S :lq'/<:>-J3,q{) . ~oO H:l./ S $1'1,7-0 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 said ord~ces, Plan Check'Fee:~. ~ 2D '!<> = 1'0 ()O Date Paid: Receipt Number' R#~~ Pla-ris Reviewed 'By - '.~1~/ Systems Develop'ment Charge is due' on all undeveloped .properties within the City limit,S which are being improved. ADDITIONAL COMMENTS c':'. A-'Nvt2Ao;ll qhk <SAme ~ /I? '?, 5 ,<;. 45' 71r 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 certffy 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 i~rcadable f.rom 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 time^ ~i~9 construction. Slgnaturp LJ~ , Date %/d:t/ . , '...:~, ~;,. <\ ..... VALIDATION: RECEIPT NUMBER "'2 / Lf6? /it1-/~ /' DATE PAl" AMOUNT RECEIVED 77"39_-9<:;;' ~~ - - / _/--- RECEIVED BY