HomeMy WebLinkAboutPermit Building 1992-6-24
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP'
N/A
.::10
LOT'
OWNER'
Lochaven Partners
ADDRESS:
CITY'
1199 N. Terry St.
Eugene
DESCRIBE WORK' Mobile Home set UP
NEW
x
REMODEL
ADDITION
-j
~
.- Concrete stringers - Accessory Value $ 1710' .!
DEMOLISH OTHER M.H. Value .$dV, .'13/-
SPRINGFIELD
BLOCI"
STATE:
OR
I
JOB NUMBER -E.l.DJ;3.L ,
225 Flllh Slreet
Springfield, Oregon 97477
r::./ of' IU L/
.
Drwf' ~
N/A ()~~Cf)
TAX LOT:
SUBDIVISION:
Lochaven
PHON'"
688-9123
ZIP'
97402
..
CON ST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERA' ' Ernie & Son's 87922 LaPorte Dr.. EUIl. 41497
PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB
MECHANICAt. Ernie & Son's
ELECTRICAl'
Herita2e Electric
QUAD AREA: \ ~J\\0
. OF BLDGS' \
OCCY GROUP' R2--:,
I
F...
. OF STORIES:
WATER HEATER:
87922 LaPorte Dr.. EUIl.
EXPIRES
2/2/92
PHONE
484-6505
689-7762
484-6505 ~
344-1500
855 \~. 24th
20-280C/63137
411.97
2/2/92
- OF~ICE USE -
LAND USE: \ ~ SO
\
. OF UNIT'"
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
~r
y---
FLOQD PLAIN:
t,l fL.,
-;:0..,
ZONING CODE:
. OF BDRMS:
------
SECONDARY HEA-r.
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769, This Is a 24 hour recording. Atllnspectlons requested before 7:00 a.m. will be
made the same working day, Inspections requested after 7:00 a.m, will be made Ihe following work day,
D Temporary Electric
REQUIRED INSPECTIONS
D Rough Mechanical - Prior 10
cover. .
D Site Inspection - To be made
after excavation, but prior to
setting forms.
~erslab Plumbl~ctrlcal/ .~ Elactrlcal Servlca - Must be
echanlcal - Prl~ approved to obtain permanent
electrical power.
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
D 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.
D Post and Beam - Prior to floor
Insulallon or decking. .
o Floor Insulation - Prior to
decking,
l:A~nltary Sewer - Prior to filling
, ~ench.
. ~orm Sewer - Prior to filling
, trench.
..--Qatar Line - Prior to filling
t:::t'i;~nch.
D Rough Plumbing - Prior \0
cover.
D Rough Electrical - Prior to
cover.
D Flraplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Well/Calling Insulation - Prior \0
cover.
o Drywall - Prior to taping.
D Wood Stove - After Installation.
D Insert - After fireplace approval
and Installallon of unit:
D Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
~tdewalk &.Orlveway - After .
excavation Is complete, forms
.and sub.base material In place.
D Fence - When completed.
D Street Trees ~ When all required
trees are planted. .
~ 1
D Final Plumbing - When all
plumbing work Is complete.
o Final Electrical - When all
electrical work Is complete.'
o Final Mechanical - Whan all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building Is
completed.
D Olhar
MOBILE HOME INSPECTIONS
~IOCklng and 'Sel'UP - When all
blocking Is complete, ,
lumblng Connections - When
home has been connected to
. water and sewer. .
~ectrlcal Connection - When
F~IOcklng. set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
~al - Alter all required
nspectlons Bre approved and
'porches, skirting, decks: and
ventlng have been Installed.
- ,-
Lot faces Lot Type . Setbacks .THE PROPOSED WORK IN THE
Lot sq, fig. Inlerlor I P.L. HSE GAR ACC HISTORICAL DISTRICT, OR ON
IN THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
-L-___ and approved by the Historical
Topography Panhandle Coordinator prior to permit Issuance.
Total height Cul-de.sac W
IE ; APPROVEl'"
BUILDING PERMIT
ITEM SQ, FT,
X S/SQ, FT. ~~A~_l
Main
Garage
Carport
Total Value
6)~
r
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHAR~~qJCb
(B) n
PLUMBING PERMIT
ITEM
FEE
Flxt~res
Residential Bath(s) NO
r)~
6>1:=)
J)~
Sanitary Sewer
Water
FT.
Storm Sewer
FT.
FT.
Mobile Home
Plumbing Permit
~
\~(15
~Kn,s
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaw',l Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryor Venl
Mechanical Per:nl t
Issuance
State Surcharge
Tolal Permit
CTJ
(D)
MISCEl.LANEOUS PERMITS
Mobile Home
~:q~
-=S.~5
\qlD
State Issuance
Slate surcr~r~
Sldewal ( ..lQ.U It
Curbcut
It
"
Demolition
State Surch.,ge
Total Mlscal,anacus Permits (E)
TOTAL AMOUNT PUE (excluding electrical) lnl.lf~.m
(A, B, C, 0, and E Combined)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted 'on the express condllton that tha said
conslructlon shall, In all respects, conform 10 Ihe Ordinance
adopted by the City 01 Springfield, InCluding tha
Developmont Code, regUlating the construcllon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordlnancos.
Plan Check Fee:
Data Paid:
Receipt Number'
Received By:
Plans Ravlewed By
Data
Systems Developmenl Charga Is dua on all undevaloped
,properties within Iha City limits which ara, being Improved.
, ADDITIONAL COMMENTS
By slgnalure, I stale and agree, that I have carefully examlnotl
Ihe completed application and do hereby certify that all
Inlormatlon 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 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 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
Irom 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.
Slgnaturep,,~ ~~tJ;~"~,,,-
Date
VALIDATION:
RECEIPT NUMBER
DATE PAID
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AMOUNT RECEIVED
RECEIVED BY