HomeMy WebLinkAboutPermit Building 1991-7-10
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RESIDENTIAL
PERMIT APPLICATION
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y
Inspections: 726.3769
Office: 726-3759
SPRINGFIELD
LOCATION OF PROPOSED WORK: ~O~
-..
ASSESSORS MAP: N/A 1!) rJR,!J I) 1...."-:)
7/ BLOCK' - ~
LOT'
OWNER'
Lochaven Partners
ADORE''''''
1199 N. Terry St.
Eugene
CITY'
DESCRIBE WORK: Mobile Home set UP
NEW
x
REMODEL
ADDITION
CONTRACTOR'S NAME
Ernie & Son's
GENERA' .
PLUMBINC'" Harrison Construction
MECHANICAL: Erni~ & Son's
ELECTRICA' '
Herita~e Electric
QUAD AREA:' R \\ ~~U
\
0'-::;>'"
OCCY GROUP: """" /
. OF STORIES: - ,
p./
. OF BLDGS:
WATER HEATER:
-
JOB NUMBER q \ ~ I
225 Fifth Street
Springfield, Oregon 97477
r::./~/lIO
,
Orwf
N/A LD!)DC)
TAX LOT:
SUBDIVISION'
Lochaven
PHONF'
688-9123
':":'0"::' ""0"" - ':::"'::'::'0" ""', ~
DEMOLISH OTHER M.H. Value $ ..2CJ hdf-
,
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to lacing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insett - After fireplace approval
and Installation of unit;
o Curbcut & Approach - After
forms Bre erected but prior to
placement of concrete.
~dewalk &'Drlveway - After
excavation Is complete, forms
.and sub.base material In place.
o Fence - When c.ompleted.
r.;a Slreet nees ,...; When all required'
7::::;J trees are planted.
855 \~. 24th
20-280C/63137
41/,97
-
EXPIRES 'PHONE
212/92 484-6505
689-7762
2/2/92 484-6505
344-l500 ,
-
87922 LaPorte Dr., EU2,
41497
CONST,
CONTRACTOR'
ADDRESS
1441 N. Hwv. 99
20-236PB
87922 LaPorte Dr.. Euq.
- OFFIC:.yS'"
LAND USE: \ \~ )
. OF UNITS: (
.
CONSTR, TYPF'
HEAT SOURCE: ~~
RANGE:_7,
FLOOD PLAIN:
ZONING CODE:..l-U IL-,
C~
. OF BDRMS:
SECONDARY HEA'r.
SQUARE 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 aller 7:00 a,m. will be made the loll owing work day.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms. ___, ')
rWnderslab PIUmblng/~~
~Chanlcal - Prior t~ "__<..
Footing - After Irenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o FoundalJon - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumblng/Mechsnlcal
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking. 0
o Floor Insulation - Prior to
decking,
~anltary Sewer - Prior to filling
~ trench.
o ~orm Sewer _ Prior to filling
~ jrench.
..----t":'l'ater Line - Prior to filling
~ench. 0
o Rough Plumbing - Prior to
cover.
o Final Plumbing - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work Is complete.'
o Final Mechsnlcsl - When sll
mechanical work Is complete.
o Final Building - When all
required Inspections have been
spproved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
r.:a,ocklng and Set.Up - When alii
'"'\' ~IOCklng Is complete,
~IUmblng Connections - When
LfJ ~ome has been connected to
water and sewer.
~eclrlcal Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service psnel.
rr7l':1lnal - Alter all required
,~,Inspecllons are approved snd ,
, porches, skirting, decks, and
venting have been Instslled.
Lot Type . Setbacks
Interior I P.L, HSE GAR ACC
IN
Corner
Is
Panhandle
Iw
Cul.de.sac
IE
Lot laces
Lot sq. IIg.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM SQ. FT.
Main
G srage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
X S/SQ, FT, ~)A~
J!11tl
(A)
d~~A
~
3f) ,q ?;
SYSTEMS DEVELOPMENT CHARGE is DC)
(B) \":~:35~
PLUMBING PERMIT
ITEM
Fixtures
I
Resldenllal Bath(s) N'
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaul',t Hood
Vent Fan
FEE
FT.
cQS
as
dQ
FT.
FT.
(C)
') S.OO
3,~S
00. 'lS
N'
Wood Stove/lnsertlFlreplace Unit
Dryor Vent
Mechanical Per:nlt
Issuance
State Surcharge
Total Permit
(D)
(0
MISCEl.LANEOUS PERMITS
Mobile Hume
Slate Issuance
Stale Surcharge
Sldewal ( ~
II
II
Curbcut
Demollllon
State SurchC'rge
Bq.cQS
l~.15
n.ACS
D ,,-~n
Totsl Mlscel,anecus Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. 0, and E Combined)
m~ nd-.
- . ",,'1
; , '1-
.THE PROPOSED WORK IN THE""
'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this appllcsllon must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
.' APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condillo at the said
construction shall, In all respects, conform the Ordinance
,adopted by the City of Sprlngll ,Including the
Development Code, regulating the c structlon and usa of
buildings, and may be suspend or revoked at any time
upon violation of any provlsl s of said ordln::Jncos.
Plan Check Fee:
Date Paid:
/'
/pians Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the Clly limits which are, being Improved.
ADDITIONAL COMMENTS
. I
,
By signature, I state snd agree, thai I have carefully examlnod
the completed application and do hereby certify that all
Informallon hereon Is true and correct, and 1 further cerllfy
thai any and all work performed shall be done In accordance
with the Ordinances of the Clly of Springfield, and the Laws
01 the Slate of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
struclure without permission of the Building Safety Division.
I further certify th~t 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, thst each sddress Is readsble
from the sireet, thai the permit card Is localed at the front
of the property, and the approved set of plans will remain
on the s te at all times during construction.
SlgnaueLA., .~.'_A~_ /
Date
::~:::::MBER c{i){Qc90
DATE PAIr> r;?) -, G('J
AMOUNT REC~,q P>j/. f:)rj
RECEIVED BY\.::Jr(.fY'? )