HomeMy WebLinkAboutPermit Miscellaneous 1991-11-14 (2)
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RESIDENTIAL
PERMIT APPLICATION
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Inspections: 726,3769
Office: 726'3759
G; I ~~
SPRINGFIELD
LOCATION OF PROPOSED WORK:
N/A
41
ASSESSORS MAP:
LOT:
OWNER:
ADDRESS:
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK' Mobile Home set UP
NEW
x
REMODEL
ADDITION
BLOCK'
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STATF' OR
.
q IOlo<6~
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
. TAX LOT:
SUBDIVISION'
N/A CDIrrt
Lochaven
, PHON~'
688-9123
b.
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~
ZIP: 97402
,- Concrete strin~ers - Accessorv Value $ II If;-
DEMOLISH
. OTHER M.H. Value $ -----r- ..2'-1/83
EXPIRES
2/2/92
PHONE
484-6505
689-'7762
484-6505
344-1500
, CONST,
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERA" Ernie 1\ Son' s 87922 LaPorte Dr.. Eu~. 41497
PLUMBING' Harrison Construction 1441 N. H,,-'. 99 20-236PB
MECHANICAl'
ELECTRICAl'
Ernie & Son's 87922 LaPorte Dr..
Herital!e Electric 855 IL 24th' ,
Eu\! _ 41/.97
: 20:'280C/63137
2/2/92
OUAD AREA: lR.~ )\ 0 - OFFICE USE -
LAND USE: \\~ FLOOD PLAIN'
. OF BLDGS' \ . OF UNITS' \ ZONING CODE: tl)~
OCCY GROUP: k>'2... CONSTR. TYPF' . OF BDRMS' - -?.,
- \='? ...
. OF STORIES: \cp.,/ HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: 1'", SOUARE FOOTAGE:
To request an Inspection, you must call 726,3769, This Is a 24 hour recording. All Inspections requested belore'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,
o Temporary Electric
D Slto Inspection - To be made
after excavation, but prior to
settlng forms.
'rf79 Underslab PIUmbing/E~
~ Mechanical - Prior to
tr-IO Footing - After trenches are
~ excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
_ Prior to Insulation or decking,
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
deckl ng.
~ Sanitary Sewer - Prior to tilling
~ trench.
o c-zI? Storm Sewer _ Prior to filling
If-J_ trench.
id Water Line _ Prior to filling
LP trench. >
"
o Rougli ,Plumbln'g - Prior to
cover.
REQUIRED INSPECTIONS
. ,
o Rough Mechanical - Prl~r to
cover.
D Rough Electrical - Prior to
cover.
o Elecrrlcal Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior 10 tap~ng.
o Wood Stove - After Installation.
,
., '
o Insert - Alter fireplace approval
and Installation of unit. '
o Curbcut & Appr.9ach -;- Atter
forms are erected 'but pilar to
placement of conc'rete.
ASldewalk & Driveway - After
~ excavation Is complete, forms
.and sub.base material In place.
o Fence - When completed.
rtl Street Trees,;", Whery a!1 r~qul,,;d
~ trees are planted.,. ;.!. ~'.
1. ...
D Final Plumbfng - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work Is complete..
o Final Mechanical - When all
mechanical work Is complete.
o Final BUilding - When all
required Inspections have been
approved and building Is
completed.
o Orher
MOBILE HOME INSPECTIONS
~. locking and Set,UP - When all
I blocking Is complete.
r1'VPlumblng Connections - When
~ home has been connected to
. water and sewer. \ .
~'ectrlcal Connecllon - When
~ ~IOCklng. set,up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
~'nal - Alter all required
.Inspectlons ere approved and
porches, skirting, decks. and
venting have been Installed,
Lot faces
. "
Lot sq, ltg,
Lot Type.
Interior
Lot coverage
Topography
Corner
Panhandle
Total height
Cul,de,sac
~, \
'.S THE PROPOSEO 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.
Setbacks'
I P.l::.' 'HSEiGAR' ACC I
IN I
Is
Iw
IE
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, = VALUF
flLl ( )
~;;rfV~{
- @:<l
(-::>[) q '6
SYSTEMS DEVELOPMENT CHAR~; (SDCli
'3ZSg, ~5
Main
Garage
Carport
'.
Total Value
Building Permi t Foe
State Surcharge
Total Fee
(A)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
N'
Storm Sewer
FT.
FT.
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhau,;t Hood
Vent Fan
N'
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surctlarge
Total Permll
(D)
MISCEl.LANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sldewal~{ .o.,fJ It
Curbcut
It
Demolition
State Surch.rge
Total MlsceHanec<Js Permits (E)
TOTAL AMOUNT IOUE (excluding electrical)
(A, B, C, D, and E Combined)
.'
~~/$"3.
'FEE
:-J,'1
&~
~5
/)
'7.5.CU
'}~:~
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(1)
512.5
'5 :15
5.7_~
1.5.r95
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APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condltl that the said
struction shall, In all respects, conform t he Ordinance
ado d by the City of Sprlnglleld Including the
Develop nt Code, regulating the co ructlon and uso of
buildings, a may be suspended revoked at any time
upon violation any provision ( said ordinances.
Plan Check Fee:
Date Paid:
~
./ ~
.~
~ans Reviewed By
Dato ""'C.
Systems Development Charge I.s due on all undeveloped
properties within the City limits which arc. being improved.
ADDITIONAL COMMENTS
..
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By signature, I state and agree, that I have carefully cX8f!'11ncd
the completed application and do hereby certify that all
Information hereon is true and correct, and I further certHy
that any and all work perlormed shall be done in accordance
with the Ordinances of the City of Sprlnglleld, and the Laws
01 the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made 01 any
structure without permiSSion of the Building Salely 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
01 the property, and the approved set of plans will remain
on the site CC,~~es during c~tructlon.
Signature rlJ A (~r~Of( "Ct7 /
Date . //.../(.] Jf{/ -
,
,
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VALIDATION:
RECEIPT NUMBER '?;.I 0 '1\
DATE PAIP \ \._ \~\_C.\ \
AMOUNT'RECEIVED . r ':"{l. l D~
RECEIVE; BY C\.~ ~---..)
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