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HomeMy WebLinkAboutPermit Building 1992-1-17 .- Concrete strinllers - Accessorv Value $ /74:0 DEMOLISH OTHER M.H. Value$~.J/~:" CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERA" Ernie & Son I s 87922 LaPorte Dr.. EUll. 41497 PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB MECHANICAL: Ern~~ ~ ~Qn' ':' f:l7922 LaPorte Dr.. Eua. 41/,97 ELECTRICAl' Heritaae Electric 855 \~. 24th 20-280C/6:lP7 .' ,~' ., , RESIDENTIAL PERMIT APPLICATION . Inspections: 726-3769 Olllce: 726.3759 ASSESSORS MAP' N/A C;;:).. LOT' OWNER' ADDRESS: Lochaven Partners CITY' 1199 N. Terry St. Eugene DESCRIBE WORK' Mobile Home set uo NEW x REMODEL ADDITION SPRINGFIELD BLOCK: STATF' OR JOB NUMBER q \OlOC} 225 Flllh Street Springfield, Oregon 97477 r::./ of' IV LJ Qrj~'f7 N / A {)4!d.f1J TAX LOT: SUBDIVISION' Lochaven PHONF' 688-9123 ZIP' 97402 EXPIRES PHONE 2/2/92 484-6505 689-7762 2/2/92 484-6505 144-1500 \QNLO - OFFICE USE - QUAD AREA: LAND USE: \\ '20 FLOOD PLAIN' ~ . OF BLDGS: \ . OF UNIT'" \ ZONING CODE: tDI2. ~~ :3 ~ OCCY GROUP: CONSTR. TYPF' . OF BDRMS' I . OF STORIES: , HEAT SOURCE: FL SECONDARY HEAl: J WATER HEATER: y:..J RANGF' f., SQUARE FOOTAGE: To requesl an Inspection, you must call 726-3769, This Is a 24 hour recording. All Inspections requested before 7:00 a.m, will b, made the same working day. Inspecllons requested aller 7:00 a,m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric o Site Inspection - To be made aHer excavation, but prior to setting forms. ~nderslab PlumbLi?, ElectrlcaN ~ Mechanical - pr~ cover. ,./ r#Ootlng - 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 Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. . o Floor Insulation - Prior to decking, r\tI?sanltary Sewer - Prior to filling LfJ trench. . ~torm Sewer - Prior to filling LfYtrench. l't'?r::Water line - Prior to filling I..l=:f t-~ench. . o Rough PlumbIng '...., Prior to cover. o Rough 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 lacing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling tnsulallon - Prior to cover. o Drywall - Prior to taping. o Wood Stove - Aller Installallon. o Insert - After flrePla~e approval and Installation of unit: o Curbcut & Approach - Aller forms are erected but prior to placement of concrete. rt7't"kldewalk & -Orlveway - After L.::EJ excavation Is complete. forms .and sub-base material In place. o Fence - When completed. o Street Trees ~ When all required trees are ~Ianted. o FInal 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 Final BUilding - When all required Inspections have been approved and building Is completed. OOthsr MOBILE HOME INSPECTIONS [dB locking and Sst.Up - When all ( blocking Is complete. ~Umblng Connactions - When home has been connected to water and sewer. - ~lectrlcal Conneclfon - When ocklng, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. ~al - Aller all required ~I~~pecllons ars approved and ' porches, skirting, decks, and venting have been Installed. Lot Type . Setb~cks Interior I P.L. HSE GAR ACC I IN I Corner Is I Panhandle Iw Cul.de.sac IE , LOI faces . Lot sq, fig. Lot coverage Topography Total height BUILDING PERMIT ITEM SQ. FT. X $/SQ, FT. a~~ Main Garage Carport 1"14() 8bEr~ ~ , SYSTEMS DEVELOPMENT CHARGEjSDCL ,{ (B) ~1 Total Value Building Permll Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE ' Fixtures' Residential Bath(s) N' Sanitary Sewer FT. FT. A~ 6)5 b}5 Water Storm Sewer FT. Mobile Home Plumbing Permll - ')f)pO 3.'15 f)K,~ State Surcharge 'Total Charge (C) MECHANICAL PERMIT Furnace Exhaur,t Hood Vent Fan N' Wood StovellnsertlFlreplace Unll Dryor Vent Mechanical Per:nlt Issuance State Surcharge -,r VJ SJ/)~ IS, 'lS S.f)S \ q .tXJ Total Permit (D) MISCEl.LANEOUS PERMITS Mobile Hume State Issuance Stale Surchrrge ( Sldewal < ~ ({) II Curbcut II Demolition Slate Surch.rge Total Mlscellanec~s Permits (E) TOTAL AMOUNT l>UE (excluding electrical) (A, B, C. D, and E Combined) -' tv "r". ., 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 permllls granted on the express condition that Ihe said construcllon shall, In all respects, conform to the Ordinance adopted by the City of Springfield, Including the Development Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any time upon violation of any prOVisions of said ordln:mcos. Plan Check Fee' Date Paid: Receipt Numbo,' Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties wllhln the Clly II mil. which are, being Improvod, ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certify 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 Law. 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 th~t only contraclors and employees who are In compliance with OAS 701.055 will be used on this project. I further agree to ensure that all required Inspecllons are requested at the proper time, that each addre.s Is readable from the street, that the permit card Is located at the front of the property, and Ihe approved sel of plans will remain on the site at all time. during construcllon. Signature ;~4lA""""'."".?t-~ ( Lllff I...,J (! f(;Y'v1t-. Date ' 'f~ I 7"'::.'6,%-- .' VALIDATION: "2c' Cit RECEIPT NUMBER ~ '3 \ DATE PAIr> 1-\, -C{'d- AMOUNT RECEI,V~^~' l~~. RECEIVED BY H)~