HomeMy WebLinkAboutPermit Building 1992-1-17
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RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726.3769
Office: 726.3759
.
LOCATION OF PROPOSED WORK:
N/A
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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'
STAT'"
OR
JO~ NUMBER
q IO?(l&)
225 Fifth Street
Springfield. Oregon 97477
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TAX LOT:
SUBDIVISION'
Lochaven
PHONF'
688-9123
ZIP:
97402
$/7<<10
DEMOLISH
strinQers - Accessorv Value
OTHER M.H. Value $ L$~~
/
.- Concrete
CON ST.
CONTRACfOR'S NAME ADDRESS CONTRACfOR .
GENERA' . Ernie & Son's 87922 LaPorte Dr.. EUQ. 41497
PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB
MECHANICA" Ernie & Son I S
ELECfRICAI .
Heritage Electric
QUAD AREA:
\~X\JlCJ
~:s
. OF BLDGS'
OCCY GROUP'
. OF STORIES:
WATER HEATER'
,
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o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
ril?Underslab Plumbln~rlci~
~Mechanical - Prior C::I "'.....0;..
d Footing - After trenches are
L.:fJ 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 Underfioor Plumbing/Mechanical
_ Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking. .
o Floor Insulation - Prior to
decking.
rcJf Sanitary Sewer - Prior to filling
\ trench.
r:tt Storm Sewer - Prl"or to tilling
T trench.
rdwater LIne - Prior to filling
L.tI trench.
D'Rough Plumbing - Prior to
cover.
87922 LaPorte Dr.. EUQ.
a55 \~. 24th
20-280C/63l37
41l.97
EXPIRES PHONE
2/2/92 484-6505
689-7762
2/2/92 484-6505
344-1500
- OFFICE USE -
\lCD
LAND USE:
. OF UNITS: -I
CONSTR. TYPE:
,
HEAT SOURCE: FG
<S-
RANGE:
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 facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - Arter Installation:
o Insert - After fireplace approval
and Installatlon of unit;
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
~ Sldawalk & Driveway - After
excavation Is complete, forms
"and sub.base material In place.
o Fence - When completed.
o Street Trees"": When all required"
trees are planted.
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS:
J
I
1
,
...,
To request an Inspection, you mus' call 726,3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will bO
made the same working day. Inspections requested after 7:00 a.m. will be made the following work day.
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SECONDARY HEAT:
SQUARE FOOTAGE:
o Flna' Plumbing - 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 Flna' BuildIng - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS I
~ . '. I
locking and Set.Up - When all ,
blocking Is complete. ,
Lft"lumblng Connections - When
home has been connected to
water and sewer. .
91.18c.rlc81 Connection - When
blocking, set.up. and plumbing
Inspections have been approved
and the home Is connected \0
the service panel.
..-I2lna, _ After all required
L:B'Tnspectlons are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces ..
Lol Type.
Interior
I P.L,
IN
Setb1cks
HSE GAR ACC
.
Lot sq. 'flg.
Lot coverage
Topography
Corner
Panhandle
~
,W
IE
Total height Cul.de.sac
.
BUILDING PERMIT
ITEM sa. FT. x $IS0, FT. _
VALUE
Main
Garage
Carport
~ F)!),')
J
., 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.
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APPROVEf"
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition thatlhe said
conslructlon shall. In all respecls, 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 ordlnancos.
jrJ4{) Plan Check Fee:
Qg 8~" ~~- Date Paid:
Total Value , _ I r: "_ ".. ""
~ Receipt Number'
Building Permit Fee Received By:
Stale Surcharge
Tolal Fee (A) ,~n.CCE' Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGI; (SDC)
(B) ~.C\'7~
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
rOF>
2~
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
f) f)OD
l~.')S
.QR 'IS
State Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur,t Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Venl
Mechanical Pel':Tllt
Issuance
State Surcharge
Total Permit
o
(D)
MISCE1.LANEOUS PERMITS
Mobile Home
ffl r-9-~
,78. f}~
B.a
J9..JY)
State Issuance
State Surcharge
Sldewal ( ld:1: II
Curbcut
II
Demolition
State Surchc?rge
Total Mlscel.anec.us Permits (E)
TOTAL AMOUNT PUE (excluding eleclrlcal)
(A. B. C, 0, and E Combined)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are. being Improvod.
ADDITIONAL COMMENTS
By signature, I stale and agree, lhatl have carefully examined
the completed application and do hereby certify lhal 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 Stale 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, 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
CU~f~ T~rUi'LlL
Date . / -i 7-Q
VALIDATION: tPtL S .-, d
RECEIPT NUMBER U_~
DATE PAIr> 1---( r;~Lf r....l
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AMOUNT REC~1CD7--- 41- -
RECEIVED BY ~ ,I
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