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Home My WebLink AboutPermit Building 1991-12-16 ...,J' t. , RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 -- SPRINGFIELD ~~ . JOB NUMBER q \ D1() ?r) 225 Filth Street Springfield, Oregon 97477 Q/~~ LOCATION OF PROPOSED WORK: r~ S, (fl'[T ASSESSORS MAP: N/A \f)D~-\8.f\ 'r\.4 ' LOT: ;;L. ) BLOCK: 5" OWNER: Lochaven Partners ADDRESS: CITY' 1199 N. Terry St. Eugene DESCRIBE WORK' Mobile Home set uo NEW x REMODEL ADDITION STAT~' OR N/A (')l::).,o..f)[j , TAX LOT: SUBDIVISION' Lochaven PHON~' 688-9123 ZIP: 97402 .- Concrete strinl(ers - Accessorv Value S; /140- DEMOLISH OTHER M.H. Value S; ~>G>- ~ 'I, 'I/O CON ST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAL' Ernie & Son's 87922 LaPorte Dr'.. Eu';!:. 41497 PLUMBING' Harrison Construction 1441 N. Hw". 99 20-236PB MECHANICAl' Ernie & Son's ELECTRICAl' Heritaee Electric QUAD AREA: \ Q.,\\.jlO . OF BLDGS: \ OCCY GROUP:~~ . OF STORIES:_\ WATER HEATER: _T ./ 87922 LaPorte Dr.. Eue. 855 IL 24th 20-280CI6;lll7 41/197 EXPIRES PHONE 2/2/92 484-6505 689-7"762 2/2/92 484-6505 344-1500 - OFFICE USE - LAND USE: \ \ q) . OF UNITS' , CONSTR. TYPE:--"'Lf\l HEAT SOURCE: ~F ~ ~/ RANGE: FLOOD PLAIN: ZONING CODE: l' ~J {L.. .~ . OF BDRMS: SECONDARY HEAT: 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 alter 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, ~lng - 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 PlumbIng/Mechanical _ Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. ~anitary Sewer - Prior to filling L:::J t;.'ench. ~orm Sewer - Prior to tilling ~renh. ater Line - Prior to filling trench. . o Rough Plumblng'-;Prlor to cover. . REQUIRED INSPECTIONS 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 facing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior 10 taping, o Wood Slove - Aller Installation. o Insert - Alter fireplace approval and Installation of unit. o Curbcut & Approach - Alter forms are erected but prior to placement of concrete. ~ewalk & Driveway - Alter excavation Is complete, forms ,and sub-base material In place, D Fence - When compl~ted. rA Street Trees -.When all required b2\I trees are planted. _ . . 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. o Other MOBILE HOME INSPECTIONS ~ocklng and Set.Up - When all blocking Is complete, UPIUmblng Connections - When home has been connected to water and sewer. ~ctrlcal Connection - When blocking. set.up. and plumbing Inspections have been approvod and the home Is connected to the service panel. ~al - Alter all required ,Inspectlon.s are approved and porches. skirting. decks. and venting have been Installed, Lot face~ Lot sq. ftg. Lot coverage Topography Total height BUILDING PERMIT ITEM SO. FT, Main Garage Carport Total Value Building Permit Fcc Slate Surcharge Total Fee Lol TY. Interior Corner Panhandle Cul.de.sac X $/SO, FT, = (AI I P.L. IN Setbacks HSE GAR ACC ~ .' . '. S W IE VALUE 2t!:L70 ~() Z~2IC rY4.50 /. 4_8' 3D, Cf:Z SYSTEMS DEVELOPMENT CHARGEj~DC) ,. ~, (B) ?LiJ-?./"5 : PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhau:H Hood Vent Fan N' FT, FT. FT. (C) Dryer Vent Wood Stove/lnsertl Fireplace Unit N' Mechanical Perml t Issuance State Surcharge Total Permit (D) MISCEl.LANEOUS PERMITS Mobile Home State Issuance State surchargo Sldewal'( ljI , ft Curbcut f75 It Demolition State Surcherge Total Miscellaneous ",ermlts (E) TOTAL AMOUNT CUE (excluding electrical) (A, B, C, 0, and E Combined) FEE ~ /0-_~ [Jf=PO 3,'15 ~K'lS V) FRfD J5.'25 ,~.~5 1.9 /.V " j 2q; ~ 6:?ZJ:2 . IS 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 permit Is granted on the express condition that t construction shall, In all respects, conform to the Dr nancc adopted by the City of Springfield, In mng the Development Code, regulating the constr on and use of buildings, and may be suspended or voked al any time upon violation of any provisions said ordin:lI'\ccs. Plan Check Fee: /' Date Paid: /Plans Reviewed By Data Systems Development Charge Is due on all undeveloped properties within the City limits which are being improvod. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certi fy 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 01 the City of Springfield, and the Laws of the State of Dreg!:?n pertaining to the work described herein, and thaI NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further certify that only contractors and employees who are In compliance with OAS 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 street, thaI the permit card Is located at the fronl of the property, and the approved set of plans will remain on the site at.~ ., 'I' '",'"' 'Ok::;;;' Signature _( ~ ,d Ilk; / ~ '--' ( , '-J "" Date' 12- 110-'1. " VALIDATION: RECEIPT NUMBER ?3z 7" DATE PA'ID / .2, y(/{.-:;?/ AMOUNT RECEIVED.7:? '1?fi?' ~- RECEIVED BY ....- ~ - - v .. ,~ /Vletropolitan Wastewater Managernent Commission . . C01!.r.~ISSI01': !,~E'.~6(I:.S R~~ 8~:1:;{::-[u;er,t Co:.m~iI;l~r~::' Sttl'r D:J~:)'-fu~eile La,' ;:;f;fr~f!i:i:i.-e Seon EncsHom-S;:tirj;lieid la,' Rep;e~er,:2.:i',e C:1ris lGfson-S;Jfin~lield CC1:':llc;l,ers(;, Chris tl,ii:son-L:N Cl:ur.:y u;' ~t;>'f'5!:-::l:h': Jerry Rust-liane COUrlt)' CO:TI::"li~sio:lel h~a:" WesllinQ-Eucene La]' Re;..;e~(-n\a:i'''e FIFTH AND A STREETS - SPR::',GFIELD CITY !-O,o,LL - SFR!i,GFiELD, OREGOIJ 97477 TELEP!-OO:,E (503) 747-"5:1 11\1l1C CO!\~iECTION CHARGE Building Address: . ( t? ?~ L1 ~S tott~ (i ~ ) "f'''"~7\1'C' 10(),~(J'1Il-4 T.. Lo< N'"b,cctJ3q(XJ O.'ner: D(T J7/) j.f!Jl) Address: "agq /I TQ.~/_ Phone Number: b8:&.QJZ3 City: S"'QQ%\.O, State: fJf..;J Zip: t( f}4~ o - ~sidential Fee ($222.00) $/;J!]/J ,cO Commercial Fee (nev non-residential development/ remodel) Total fixture unit charge (see reverse of this form) $ SUBTOTAL $ <$ ~f).4.~> Credit Due (see reverse of this form) TOTAL 11\1MC CHARGE $ ,Q4,55 Da te Received: /.2. r/6 --? /' Receipt Number: .?>~ Received By: ~~, Building Job N~~er:31nroR /'} . . .. " ;... . < Fixture Unit Calculation Table: Number of new fixtures multiplied by unit equivalents. NOTE: For remodels, calculate only the NET additional fixtures. fi:,ture Type # of Fixtures Unit Equivalents Fixture Units 3a th tub. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drinking foun tain. . . . . . . . . . . . . . . . . . . . . . . . . Floor drain...,........................... Interceptors for grease/oil/solids/etc.... Interceptors for sand/auto wash/etc. ...... Laundry tub/clothes vasher................ Clothes washer (3 or more)................ Mobile home park trap (1 per M.H.)... ..... Receptor for refrig/vater station/etc..... Receptor for Commer sink/dish.shr/etc. .... Shover, single stall.... ...... ... ..... .... Shover, gang (per head)................... Sink, bar, commercial.......... ...... ..... Sink, commercial/industrial/etc........ ... Urnial, s tallh.'all. , . . . . . . . . . . . . . .. . . , . . . . Vash basin/lavatory, single... .......,.... Vater closet, public installation......... Vater closet, private.... .... '" ....... ... Miscellaneous: '" ....... 2 1 2 3 6 2 6 6 1 3 2 1 2 3 2 1 6 4 Total Units: Total fixture units x $13.25 each Total Charge: $ Credit Calculation Table:' Based o~ total value of property .t time of permit application. Year -Jl.nne>:ed to the Cit'! Credit per $1,000 assessed value , '9GA- . . 1979 1980 1981 1982 1983 1984 1985 1986 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 Rate x S l())~~c> r.ssessed Value s Credit Total Credit