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)~