HomeMy WebLinkAboutPermit Building 1992-2-11
'-
, .
, .. RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP'
LOT:
t;q
OWNER:
Breeden Bros., Inc.
ADDRESS'
366 East 40th
CITY:
EUQene
.
STATF'
Oreaon
.
/5- 5i
ct \ O~
JOB NUMBER
225 Fifth Street 11.3
Springfield, Oregon 97477
PHONF'
(503) 686-9431
ZIP:
97405
OESCRIBE WORK' C; /-K. 1..12-
NEW' X REMODEL
'P7v'l11.Jr' f4y, -;OR Tr,~:IRbI.
CONTRACTOR'S NAME
GENERA" Breeden Bros.
Absolute Plumbing
MECHANICA" Marshalls
PLUMBING'
ELECTRICAl'
Thornton
QUAD AREA: \ \( \\ 1..0
# OF BLDGS: \ _
OCCY GROUP: Ro-tJv\
# OF STORIES:--t!)
WATER HEATER: '~------
OTHER
CONST.
CONTRACTOR # EXPIRES PHONE '
27 1l/30 686-9431
20-2PB 6/30 345-3055
25790 12/23 747-7445
20-706C 5/31 686-1628
AODITION
DEMOLISH
FLOOD PLAIN:
ZONING CODE:
U'L't.L
-~ .
ADDRESS
EuQene
Eugene
Springfield
Eugene
- OFFICE USE -
LAND USE: \ \ \ \
# OF UNITS' \
Vf\J
CONSTR, TYPE: -r=' -
HEAT SOURCE: r E..--
'T.-/
RANGF'
# OF BDRMS'
SECONDARY HEAT:
SOUARE FOOTAGE: /)l.9~
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day. Inspections requested after 7:00 a.m. will be made the following work day.
[Xl Temporary Electric
00 Site Inspection - To be made
after excavation, but prior to
setting forms.
[Z]
~
o
Underslab Plumbing I Electrlcall
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
b"eams, grouting.
rx7l Foundation - After forms are
ltl'LJ erected but prior to concrete
placement.
~
[J
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
o
Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
[]J
00
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench. \
00 Waler Line - Prior to filling
trench.
rVl Rough Plumbing - Prior to
utJ cover.
REQUIRED INSPECTIONS
r\ll Rough MechanIcal - Prior to
L,L.:J cover.
~ Rough Electrical - Prior to
~ cover.
r;?l Electrical Service - Must be
~ approved to obtain permanent
electrical power.
o
Fireplace - Prior to facing
materials and framing Insp.
OJ
Framing - Prior to cover.
[X] Wail/Ceiling Insulation - Prior to
cover.
[MJ Drywall - Prior to taping.
D Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
rvl Curbcut & Approach - After
lp..J forms are erected but prior to
placement of concrete.
fl7l Sidewalk & Driveway - After
L.4-J excavation is complete, forms
and sub-base material in place.
D Fence - When completed.
[5J Street Trees - When all required
trees are planted.
[Xl Final Plumbing - When all
plumbing work is complete.
r7l Final Electrical - When all
LA.! electrical work Is complete.
~
Final Mechanical - When all
mechanical work is complete.
IX]
Final Building - When all
required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete,
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
bloCking, set-up, and plumbing
inspections have been approved
. and the home is connected 10
the service panel.
o Final - After all required
inspections are approved and
porches, skirting, deCkS, and
venting have been Installed.
. ~ .,.
'THE PROPOSED WORK IN TH~ i~' .
Lot faces ~ Lot Type Setbacks I
Lot sq, ftg, ':) ~&D ~terlor I P.L. HSE GAR ACC I HISTORICAL DISTRICT. OR ON
IN Ib~? I THE HISTORICAL REGISTER?
Lot coverage 'J.L If yes, this application must be signed
_ Corner Is lOt f/ I
i!J- f, if and approved by the Historical
Topography Panhandle Iw ita' I Coordinator prior to permit issuance.
Mf
Total height Cul.de.sac IE i I
.t<f APPROVED'
BUILDING PERMIT
ITEM SQ, FT.,
X $/SO, FT.
31.70
/4,/0
Main
IC(34_
4a0
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
VALUE
7677t'iD
9,40,-
<;r:;). 4/'1, S o'
'? 5':2, c.o
/<1, /0
4/'1/, /0
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
/,;( Jt:. ~r
PLUMBING PERMIT
ITEM
Fixtures
, N' J
Residential Bath{s)
Sanitary Sewer FT,
Water FT,
Storm Sewer FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
t.f
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
Stale Surcharge
Total Permit
(D)
MISCELLANEOUS PERMJ:TS
Mobile Home
State Issuance
State Surcharge
Sidewalk /7 S It
Curbcut ;;( r:; It
Demolition
State Surcharge
FEE
-LrJ .>D
I q;(. 70
Q.0)
,RO::?(5
~.on
0. ~C)
12,00
"",<90
':l >.>0
/<9,00
/.7<(
') 7.cU3
:3 ([; .?-S
/ J. tit)
50, rc;
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrlcal1 / ':i;JE. ?)
(A, B, C, D, and E Combined) "7'" '
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thaI the said
construction shall, in all respects, 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 ordinances.
Plan Check Fee: . ~ff, '30 i
Date Paid Lo 't3 . y ~
Receipt Number:-B_I::X::/I-~_
Receiv y: - ~~
::?~,/- 9-/
Date
,
Systems Development Charge Is due on all undeveloped
properties within the City limits whIch are being Improved.
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 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 that only contractors and employees who
are in compliance with ORS 701.055 wJll 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, 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
DatE"
VALIDATION: Q ,/1 /'I /
RECEIPT NUMBER c:/)~
DATE PAID ":).1). II . QIA
AMOUNT REC~
RECEIVED BY( ~ /)M _ )