HomeMy WebLinkAboutPermit Building 1991-7-30
LOCATION OF PROPOSfP ~~ . LlL/~":I
,AS_SES~ORS .MAP: \ '() Un ()f::JC).-1
LOT. 75ABLOCK.
,...
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726,3759
-
.
SPRINGFIELD
IVY"
67_
;.
OWNER:
Capstone Homes, Inc. of Oregon
,
ADDREP~. P.O. Box 22636
CITY' Eugene
STATF. OR
DESCRIBE WORK.
NEW XX REMODEL
;s ~' ..~D\'ctQS\C'~
ADDITION
DEMOLISH
OTHER
.
q/~7S-8
I '
. JOB NUMBER
,,225 Fifth Street
.Sprlngfleld, Oregon 97477
TAX LOT:
SUBDIVISION.
("),ct(y)
Lucerne Meadows
PHONF'
689-5567
.~ "
ZIP'
97402
CONST,
CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES PHONE
, ,
GENERAL' Caostone Homes, Inc. of OR P.O.B. 22636 Euq.,OR 97402 62018 10-18-91 689-5567
.PLUMBING:S-J P1umbina Co. 1147>r Main St.Sofld.OR 97477
MECHANICA' ,Garibal! Heating 4207 W.5th Ave.Euq. ,OR 97402
ELECTRICAl' Rose Coro. 89976 Da~ Lane Euaene. OR 97402
QUAD AREA: ,3t> ~
\
OCCY GROUP: cz.~,::2:rt,~
A
G~
. OF BLDGS:
. OF STORIES:
WATER HEATER:
- OFFICE USE -
\ \\ \
VN
~A.
LAND USE:
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:~
RANGE: L'~ T'"
46664
3-18-92 747-5989
'.
70545 '12-21~91.344-2481
54431
9-30-91 686-0905
. ~ .'
FLOOD PLAIN:
ZONING CODE: G~IL.
. OF BDRMS.
SECONDARY HEAT:
SQUARE FOOTAGE:riGE51)
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.
~TempOrary Electric
D Site Irlspectlon - To be made
after excavation, but prior to
setting forms.
D Underslab.Plumbingl Electrlcal/
Mechanical - Prior to cover.
r;:::::::t Footing - After trenches are
~ excavated.
D Masonry - S~eel location, bond
beams, grouting.
rv('Foundatlon - After forms are
~ erected but prior to concrete
placement.
~nderground Plumbing - Prior
~ \-0 filling trench,
~nderfloor PI;;;:;'j)l~g)Me~~
- Prlo.r to Insulation or- ec Ing.
,
r"><1 tJost and Beam - PrIor to floor
~ Insulation or decking.
1..><1 t-Joor Insulation - PrIor to
~ecking.
~anitary Sewer - Prior to filling
tren.ch.
~.t~rm '~ewer - Prior ~o fil~I~9
~ trench.
~ater LIne - Prior to filling
l2SI ~ench.
~OU9h PIUm~ing - Prior to
cover. ._
REQUIRED INSPECTIONS
~ROU9h Mechanical - PrIor to
cover.
~OU9h Electrical - Prior to"
cover.
~Electrical Service - Must be
1.2SJ ~pproved to obtain permanent
electrical power.
'~FirePlace - Prior to facing
. "materials and framing Insp.
~raming - Prior to cover.
~Wall/Ceiling Insulation - Prior to
cover.
~ryWall - Prior to taping.
~OOd Stove - After Ins't~liatton."+
;z.ii,e f) cLIl M./1~ €
D Insert - After fireplace approval
and Installation of unit. .
~urbcut & Approach - After
forms are erected but prior to
placement of concrete. "
~Sidewalk & Driveway - After
excavation Is complete, forms
and sul?-base material In place:
. D Fence - 'When completed.
W Stre~t Trees.....;. Wher(all 'require"'d
trees are planted. ' .',
..
~:Inal Plumbing - When all
- plumbIng work Is complete.
~~Inal Electrical - When all
- erect~lcal work Is compl~te.
~inal Mechanical - When all
mechanical work Is complete.
~nal Building - When all
required 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 panel.
D Final - After all required
. inspections are approved and
.... porches, skirting, decks, and'
venting have been Installed.
1 Lot TYP~..
f Lot faces r:::. Setbacks
8;140 . ,., I PL
Lot sq, Itg: Interior HSE GAR ACC
Lot coverage ~ Corner IN
Is
Topography _ Panhandle
&1 I' ~CUI-de-sac Iw
Total hei ght IE
BUILDING- PERMIT
ITEM SO. FT. X $/SO. FT. = VALUE
Main
IB/,o'
Y'~o
7/g~?
j;2~ ~
5'9.: >c
-.I '-/. /P
Garage
Carport
?i?L>6/
37&, t90
-f $ .tOo.
~ff?ff.0fl
SYSTEMS .DEVELOPMENT CHARGE (SDCl^Q.
. .. - - -.,. (B) r!J(){ o!),U-.J
Total Val ue
Building Permit Fee
State Surcharge
Total-Fee -
(A)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
.-;
/f:?.c;v
Sanitary Sewer
FT.
FT.
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
11'.:{,'iD
1.G3
;(0;(,13
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
r;,(90
q,>o
1,6)0
I~, 00
?, ,60
Furnace
Exhaust Hood
Vent Fan
N'
~
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
"'3?,{o
(cO,CJD
:2,,3B
q 1,~fi
Issuance
State 'Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk '36
Curbcut ~ 6
It
I .;. <'/0
/ S, C/o
It
Demolition
State Surcharge
Total Miscellaneous Permits (E) .~ '7 lJO
TOTAL AMOUNT DUE (excluding electricarl! 4?'13(, f j'-
(A, B,C, D, and E Combined)
~I
. THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed.
and, approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grante.d on'the expre'ss 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 ordinances.
Plan Check Fee:
2~.~c:>
?~2-9/
Date Paid:
Receipt Number: 7<"" Sl::6
Received By: /2_~
'4K~~::,,'.
+ ~'F'lan'~"Reviewed By - - -:-
_ m~/9(
Systems'Development Ch~Hge Is due.on all undeveloped
properties within t_he City limits w~lch are being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application and do hereby c'ertify 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 OAS 701.055 will be used Ofl 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
!In the site a~ tim..e~ dur~ construction.
:XSignatur~~ (' ~.I ~~
1-30-9/
Date
VALIDATION:
RECEIPT NUMBER
~(1~S I
/ J'M\e1,
;:::n J (), ,+y
/'~
DATE PAIr>
AMOUNT RECEIVED
RECEIVED BY