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<:;;'
~~ -
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RECEIVED BY