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HomeMy WebLinkAboutPermit Building 1991-4-10 L f , RESID.ENTlAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: .;to 70 Dn ,v /!.Ie L { l' ASSESSORS MAP' N/A I (}(}d~'7 f:-\ 3/ BLOCK' ..3_ LOT' OWNER' Lochaven Partners ADDRE"'" 1199 N. Terry St. EURene CITY: DESCRIBE WORt<' Mobile Home set UP NEW x REMODEL ADDITION CONTRACTOR'S NAME Ernie 1\ Son's GENERA' ' PLUMBING: Harrison Construction MECHANICAL: ~r.nJ~ & Son' '" ELECTRiCAL' Herita2e Electric QUAD AREA' \ R ~\0 \ \(~ -\- ~ \ \IN . OF BLDGS' OCCY GROUP' . OF STORIES: WATER HEATER:_f./ STAT~' OR ~OB NUMBER' q I [)IJ ~ 225 Filth Street Springfield. Oregon 97477' ' IJ r~lIe TAX LOT: ---1!/ A (T) ~ 4NJ SUBDIVISION' Lochaven PHON~' 688-9123 ZIP' 97402 ,- Concrete strin'lers - Accessorv Value ~HI ('(Y). 'r DEMOLISH ,OTHER M.H. Value $4S/.oooeQ. . D Rough Mechanical - Prior to cover. ['"""Q Rough Eloctrlcal - Prior to. ~ cover, qCV\~ D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to racing materials and framing Insp. 00 Framing - Prior to cover. o...ClA~ D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to laplng, D Wood Stove - Alter Installation, D Insert - Alter fireplace approval and Installation of unit, o Curbcut & Approach - Alter forms are erectedlbut prior to placement or concrete, Q1 Sidewalk &'Drrveway - Alter lp" excavation Is complete. forms ,and sub.base malerlal In place, o Fence - When completed. EQJ Street Trees ~ When all required trees are planted, , ' ' "J:j ," , ADDRESS 87922 LaPorte Dr..' CONST, CONTRACTOR' Eu\!. 41497 20-236PB EXPIRES 2/2/92 PHONE 484-6505 689-1762 484-65Qi... 344-1 2QlL 855 \~. 24th 20-280Cf63137 411.97 2/2/92 ~7922 LaPorte Dr., 'Euo. - OFFICE USE - LAND USE: \ \t() \ . OF UNITS' CONSTR" TYPE: r'E.. e.... 1441 N. Hwv.,99 HEAT SOURCE: RANGE: FLOOD PLAIN: IJ)~ '3 ZONING CODE: . 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 after 7:00 a,m, will be made the following work day, REQUIRED INSPECTIONS D Temporary Electric D Sito Inspection - To be made . after excavation, but prior to setting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. rn Footing - After Irenches are excavated, ~I;\<i, ~CAA. 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 1I00r Insulation or decking, o Floor Insulation - Prior to decking, ~ Sanitary Sewer - Prior to filling trench. ["""";l Storm Sewer - Prior to filling ~ trench. IS9 Water Line - Prior to IIl11ng trench, ' o Rough Plumbing - Prior to cover. D Final Plumbing - When all plumbing work Is complete, "....,4 Final Electrical - When all ~,electr,lcal ~~rk~CJJ..p~ o Final Mechanical - When all mechanical work Is complete. , 0 Flnel Building - When all required Inspections have baen approved and building Is , completed, D Other MOBILE HOME INSPECTIONS , ", .. f" : I,.., D ~,Iocklng and Set.Up -,' When all lOCking Is complete," " 5a Plumbing Connections - When home has been connected to ' water and sewer., . [SZJ Electrical Connection - When blocking, set-up, and plumbing Inspections ,have been approved end the home Is connected to the service pa~el, ~ FInal - Alter all required .Inspections are approved and porches, skirting, decks, and venting have been Installed, Lot faces Lot sq, ltg, Lot coverage Topography Total height BUILDING PERMIT ITEM SO, FT, Mal n ....A\\ \--\ Garage Dt..o\!;\l'Q)J,. Carport Total Value LOI.e Interior Corner Panhandle Cul.de.sac Setbacks HSE GAR Accl I I P.L, IN Is Iw IE X $/SO, FT, = VALUE .Qj,OrxJ,cV w)rh oC) State Surcharge \(....,~,= Building PermIt Fee ,'-"-'-' Total Fee (Al ~fY)O PO,5) 4.03 PA fS3 SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 3.1 5.00 PLUMBING PERMIT ITEM Fixtures Residenllal Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Chuge MECHANICAL PERMIT Furnace Exhau:it Hood Vent Fan N' FT, FT, FT, (C)' DrYln Vent WOC'G Stove/lnsert/Flreplace Unit N' M'Jchanical Perml t 13suance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Ho,ne State Issuance State Surcharge Sldewalf: loR' ft Curbcu~ It Demolition State f,urcharge Total Miscellaneous Permits (E) TOTAL AMOllNT CUE (excluding electrical) (A, B. C. 0, and E Combined) FEE ~5.00 !l ~,OO R500 1l5.CXJ , 3.15 r") '8', '/5 f\loJ ~l~ ( 5/15 ..=525 c9D,(JO I cQ()P-,. rr~ .' ) , IS THE PROPOSED WORK'IN TBt '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 the said construction shall, In all respects, conform to the Ordinance adopled ,by the City 01 Sprlnglleld, Including the Development Code, regulating the construction and usa of buildings, and may be suspended or revoked at any time upon violation of any provlslons.of. said ordin.:lncos. Plan Check Fee: .... Date Paid: . \'tJ ./ Receipt Number: , 01 Received By: /" Plans Reviewed By Date Systems Development Charge Is due on all undeveloped , properties within lhe City limits whl,ch are being Improved, .' .' , ADDITIONAL COMMENTS .',' i, Ii' By signature, I state and agree, thai I have carefUlly ex ami nod the completed application and do hereby certify Ihal all Information hereon Is true and correct, and I further certHy that any and all work perlormed,shall be done In accordance with the Ordinances of the City of Sprlnglleld, and Ihe Laws of the State of Oregon pertaining to the work described herein. and that NO OCCUPANCY will be made of any structure without permission 01 the Building Safety Division, I further certify that only contractors'and employees who are In compliance with ORS 701,055 will be used on this project, , " .,.1.. . I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from the Slre"t, that the permit card Is located at the front of the property, and Ihe approved sel of plans will remain on the site at "t"es during construction, ," Slgnatuh- I /./.-ov! ~K~i'-Cl ~ , '" ' ,u Datp f .' VALIDATION: f(} () /V7 RECEIPT NUMBER I~' l ( rl DATE PAl" 4,- U )- L\ \. " AMOUNT REC~~' \ ~\ '2> . ~3 RECEIVED Bi'/\/L'(AI ) ......--'.."-.. . . ~~RIN.LD DEVELOPMENT SERVICES PUBLIC WORKS METROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726.3753 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that with the approval of the attached permits~, on of the'f~~owing manufactured homes will be placed at ,,'"J()G _ 0 J/V J. ,_ Springfield, Oregon, City Job Number ~\() rJ . ( o Class A Manufactured Home. A manufactured home of not less than 24 feet in width and 16% (not less than 2:12) roof pitch, with exterior dimensions enclosing a space of at least 960 square feet, with roofing and siding materials that ,are commonly used or compatible wi,th site buil t homes. , o Class B Manufactured Home. A manufactured home of not less than 12 feet in width and 16% roof pitch, with exterior dimensions enclosing a space of not less than 500 square feet, with roofing and siding materials that are commonly used or compatible with site built homes. I further state, by my signature below, that I have been provided with the following information: - Mobile home blocking - Sanitary sewer' connection - Water line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps \f/7 ~,k-( A-}..:,?~ ~n~~e' \j v - lo-czf Date