HomeMy WebLinkAboutPermit Building 1992-6-24
l; ., ,
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726,3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
N/A
47
ASSESSORS MAP'
LOT:
OWNER'
ADDRESS:
CITY:
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK: Mobile
NEW X REMODEL
Home set up
ADDITION
SPRINGFIELD
BLOCK'
STATF'
OR
JOB NUMBER~ 1
225 Flflh Slreel
Springfield. Oregon 97477
r::. / fJ IV L.I
f2r..( ~-e
N/A n<..cs..csoo
, TAX LOT:
SUBDIVISION'
Lochaven
PHONF'
688-9123
ZIP:
97402
.- r.oncr~~~
~trinRp.rs - Accessorv Value
OTHER M.H. Value $--1$.5fis
$..fliQ..
DEMOLISH
87922 LaPorte Dr.. Euq.
CON ST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERAl' Ernie & Son's 87922 LaPorte Dr.. Euq. 41497
PLUMBING: Harrison Construction 1441 N. Hwv. 99 20-236PB
ELECTRICAl'
Herita2e Electric
MECHANICA" Ernie & Son's
QUAD AREA' \ R.J\JlO
\
~
)
f'..-/
. OF BLDGS:
OCCY GROUP:-P
. OF STORIES:
WATER HEATER:
855 10/. 24th
20-280C/63137
41/,97
EXPIRES 'PHONE
2/2/92 484-6505
689-7762
2/2/92 484-6505
344-1500
- OFFICE USE -
IISl')
1-
LAND USE:
. OF UNITS'
CONSTR. TYP'"
HEAT SOURCE: F- 'l:...
?'---
RANGE:
FLOOD PLAIN'
ZONING CODE: 1....1")12-
~
. OF BDRMS:
SECONDARY HEAr.
SOUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will b
made Ihe same working day, Inspections requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
f\A').lnderslab Plumbln4Eleclrlcal/
~ Mechanical - Prlo~;
rlZI'Footlng - 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 Plumblng/Mechenlcal
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking. .
o Floor Insulation - Prior to
decking.
~Sanltary Sewer - Prior to filling
~ trench.
r9fStorm Sewer - Prior to filling
T trench.
r.;z:r Weter Line - Prior to filling
\ trench.
o Rough PlumbIng - Prior to
cover.
REQUIRED INSPECTIONS
o Roug~ Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
o ElectrIcal Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior 10
cover.
o Drywall - Prior to taping.
D Wood Slove - After Installation.
o Insert - AHer fireplace approval
and Installation of unlt~
o Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
rv1"lsldewalk & ,Driveway - After
L....(;:t'excavatlon Is complete, forms
.and sub.base material In place.
o Fence - When completed.
o Street Trees....; When, all required'
trees are planted.
o Final PlumbIng - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work Is complele..
o Final Mechanical - When all
mechanical work Is complete.
o Flnel Building - When all
required Inspections have been
approved end building's
completed.
OOlher
MOBILE HOME INSPECTIONS
m Blocking and Sel.Up - When all
"f-' blocking Is complete.
1'5CDPlumblng Connections - When
'f-J home has been connected to
water and sewer. .
~Iectrlcal Connection - When
blocking, sel.up, and plumbing
Inspections have been approved
and the home Is connected to
lhe aervlce panel.
Rlnal - Alter all required
. nspectlons are approved and
porches, skirting. decks. and
venting have been Installed.
, "
Lol faces . Lot Type . Selt acks I ., THE PROPOSED WORK IN T~E
Lot sq. Itg. Inlerlor I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER7
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle Iw Coordinator prior to permll Issuance.
Tolal height Cul,de.sac
, IE
APPROVED:
BUILDING PERMIT
ITEM SO. FT.
X $fSO. FT. - YA~n""
':l9~
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permllls granted on the express condition lhat the said
construction shall, In all respects, conform to the Ordinance
adopted by Ihe Clly 01 Springfield, Including the
Development Code. regulallng the construction and use 01
buildings, and may be suspended or revoked at any time
upon violation of any provisions. of said ordln~Jnccs.
/f)4r I Plan Check Fee'
~~.S. Date Paid:
Total Value
Receipt Number'
Building Permit Fee mi Received By:
Slate Surcharge
Total Fee (A) Plans Reviewed By Date
.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) !ft'jCf: ~8>
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N-
Sanitary Sewer
FT.
FT.
FT.
,.!J"'"'l
6i~
~A5
Waler
Storm Sewer
Mobile Home
Plumbing Permit
f)'5~
\.~. fl~
'IX. 15
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur,t Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Pel':nlt
Issuance
State Surcharge
Total Permit
(D)
0)
MISCEl.LANEOUS PERMITS
Mobile Home
ACf .(:)s
'IS. 05
- .5. /J5
rq.N:)
State Issuance
Stale surcp~~
Sldewal,!JA) It
Curbcut
It
Demolition
State Surcho:orge
Total Mlscel,enecus Permits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, Co 0, and E Combined)
~J.J~.3.~ "
~. :J
Systems Development Charge Is due on all undeveloped
properties wllhln Ihe Clly limits which ere, being Improved.
ADDITIONAL COMMENTS
By signature: I state and agree, thai I have carefully examined
the completed application and do hereby certify 'hat all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
wllh the Ordlnances'of the Clly of Springfield, and the Laws
of the State 0' Oregon pertaining to the work described
herein, and thai NO OCCUPANCY will be made of any
structure wllhout permission of the Building Safely Division.
I further cerUfy that only contractors and employees who
are In compliance with ORS 701.055 will be used on 'his
project
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from the sireet, 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 times during construction.
Signature /)J;LU1~ _~.jl~<7>...-.o
Date
VALIDATION:
L _L)2~
- -
DATE PAID 6'-2!/ -7~
AMOUNT RECEIVED . ~. 9' /. '9/'
~~,...
RECEIPT NUMBER
RECEIVED BY
, /7
,
Metropolitan
Wa.stewater .
Ma.na.gernent
Commission
.
c.':.:: :~-:'. ',':: ~~~
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rlF'iH ;'.i'~D A SiP-EElS - ~;::r:.::<GF:::LD CiTY !-;;'.LL - ~;:R;;..;Gr:ELD. Cr:,EGC!J ::7.:.77 lELEr':-:C:,E i:C::) i.:.7.":::i
l'.','JJ,C COKNECTION CHJl.RGE
Building Address: 54-2 SCO-\\s Q..(f/tv(\ .::D.,..\vS
.....
Refere;gumber: l'lc .3 L. '1/ 3 Tax Lot Number: () 5500
O\lner: D0Jl0J) P f\ _ i. /~n A~fX1if-:S
Address: \\C\C\ .\\ '\~>0f\ ~A Phone Number: lo~<6-q\23
City: fA ')r~ 0 fLL State: (Qi& 1'>Of1Y\ Zip: q '\4(Yl--
~ ~ 0-
~ Residential Fee ($222.00)
$r0~~ ~
___ Commercial Fee (new non-residential development/
remodel)
Total fixture unit charge (see reverse of this form) $
SUBTOTAL $
Credi t Due (see reverse of this form) <$ cf)1) . ~~>
TOTAL JJ,V~C CHARGE
$
/q4 ,55
Receipt Number:
"""l'2 '-:> ~
Building Job
/:?~,...
- '/
Number: q , 0 '102-
Date Received:
?: -"2 tI-q:z.......
Received By:
.
.
ri:<ture Unit CalculatiO:1 Table: ::,-,~,t'ir d r,e'.' fi:.:tures J:',ultiplied by tl:lit
equivalents. NOTE: For rH,od~ls, calCJ,~te c,nl; the ::ET acditional fi;.:t~:res.
Fixture Type
of Un it
F xtures Equivalents
ri:nure
L'ni ts
3a t h tub. . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . .
Drinking foun tain. . . . . . . . . . . . . .. . . . . . . .. . .
Floor drain.................,. .'.......,...
Interceptors for grease/oil/solics/etc..,.
Interceptors for sand/auto ,ash/e:c.......
Laundry tub/clothes washer................
Clothes ,asher (3 or more)... .............
Mobile home park trap' (1 pEr K.~.)......,.
Receptor for rEfrig/',ater static::/HC.....
Receptor for COE~er sink/dish~sh=:Etc.....
Shover, single stall......................
Sho~er, gang (per head).. ...... .,.........
Sink, bar, com~erc~al... ..................
Sink, commercial/industrial/etc...........
Urnial, stall/~all........................
vash basin/lavatory, si~gle.......,.......
Vater closet, public installatic~.........
Vater closet, private... ..................
Xiscellaneous: ..........
2
1
2
3
6
. .2
6
6
1
o
...
2
1
2
3
2
1
6'
4
..........
..........
Total Units:
Total fixture units
x 513.25 each = Total Charge: $
Credit Calculation Table: 3ased O~ total value of property at time of permit
application.
Year 'J..nr.e~:,,:i
.to the city
Credit per $1,000
~ssessed value
, \ ':' 104-
1979
1980
1981
1982
1983
19c4
1985
19B6
1987
1988
1989
1990
$2.66
$2.64'
$2.53
$2.41
$2.19
$2.04
$1. 69
$1. 35
$1.15
$0.92
$0.59
$0.23
Credit
.. S to} 32..D
= s
Rate
r.ssessed Value
Total Credit