HomeMy WebLinkAboutPermit Building 1991-8-16
'~~ESIDENTIAL .
PERMIT APPLICATION
Inspeelions: 726.3769
Office: 726-3759
SPRINGFIELD
ASSESSORS MAP:
LO-r.
OWNER'
Lochaven Partners
ADDRFC:C:'
1199 N. Terry St.
Eugene
CITY'
DESCRIBE WORK: Mobile Home set UP
NEW X REMODEL ADDITION
CONTRACTOR'S NAME
Ernie & Son's
GENERA' .
BLOCK'
-;L
STATF'
OR
...
JOB NUMBER
C\\0141
225 Fifth Street
Springfield, Oregon 97477
AI/~,
, TAX LOT'
SUBDIVISION:
N/A Ollt')(')
Lochaven
PHONE:
A
:~:-'1::402~
DEMOLISH ,\
.-,Concrete strin~ers - Accessorv Value $ 17~-
OTHER M.H. Value $.
,
ADDRESS
CONST,
CONTRACTOR .
41497
EXPIRES
2/2/92
PHONE
484-6505
689-7762
484-6.50.5
144-1.500
87922 LaPorte,Dr.. EU2.
PLUMBING:
MECHANICAl'
ELECTRICAl'
Harrison Construction 1441 N. HI<v.99
Ernie & Son's 87922 LaPorte Dr..
20-236PB
Eue. 411.97
20-280C/63137
2/2/92
Heritaee Electric
QUAD AREA: \ Q '(\ ')lO
~,~
\
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER: _f' .)
855 W. 24th
- OFFICE USE -
LAND USE:
\\50
t
I
FLOOD PLAIN'
ZONING CODE: .::.L~ ) (L
. OF BDRMS' ~
SECONDARY HEAl'
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, Inspecllons requested aller 7:00 a,m, will be made the lollowlng work day.
o Temporary ElectrIc
o SlIe Inspection - To be made
after excavation, but prior to
setting forms.
~derslab Plumbl~ectrl~
-rv,OChanlcal - Prior to cover.
~Oollng - .Aller lrenches are
T excavated.
o Masonry - Steel location, bond
beams, grouting.
D Foundallon - After forms are
erected but prior to concrete
placemen l.
o Underground Plumbing - Prior
to IIIl1ng 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,
anllary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Waler Line '- Prior to filling
tre~ch.
o RO)lgh Plum'1lng ..,. Prior to
coye~. I
. OF UNITS:
CONSTR, TYP'"
HEAT SOURCE:
~,b
f'../
RANGE:
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover. .
o Rough Electrical - 'Prlor to
cover.
o Electrical Service - Musl be
approved to obtain permanent
electrical power.
o Fireplace - Prior to lacing
malerlals and Iramlng Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulallon - Prior to
cover.
o Drywall - Prior to laplng,
o Wood Stove - Aft~r Installation.
o Insert - After flreplace approval
and Installation of unit.
o Curbcut & Approa~h .- Aller
forms are erected but prior to
placement of concrete.
~Idewalk &'Drlveway -- Aller
excavation Is complete, forms
.and sub-base material In place.
o Fence - When completed.
o Street Trees"": When all required
trees are pJant~d.' .
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
~BIOCklng and Set.Up - When all
blocking Is complete.
J'
~IUmblng Connecllons - When
home has been connected to
water and sewer. .
, ~'ectrfcal Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service paner.
f79Flnal - Alter all required
F .~nspecllons ora approved and
porches, skirting, decks, and
venllng have been Installed.
~ Lot, races
Lot sq,lIg, '
Lot Type .
Interior
Lot coverage
Corner
Topography
Panhandle
Total height
Cul.de.sac
BUILDING PERMIT
'THE PROPOSED WORK IN ;~'-;t --- ..
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
Ii yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
l
'I
,
,
Setbacks
I P,L. HSE GAR ACC I
IN
S
W
IE
ITEM
SQ, FT,
X $/SQ, FT, . ,~LUB/)'.
,q. g ",
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPM~ CHARGE, ~D~
634-. (B) ~I :', '
PLUMBING PERMIT
ITEM
Fixtures,
"
Resldenllal Bath(s) N'
Sanitary Sewer
FT,
Water
FT,
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhau:~.' Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryor Vent
Mechanical Per:nlt
Issuance
Slate Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Hume
.
State Issuance
State Surch,.~
Sldewal'( lCL) II
Curbcut
II
~-
Demolition
State Surch.nge
Total Mlscel,anee"s Permits (El
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C, 0, and E Combined)
,~ FEE
L:,lS
~ c::.;
~--5
'1SPU
~~ I)S
f Jk.1S
-r
'0
.
gq.~
'1~.'lS
8.m
\q,CO
--- .-~.-
I
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on Ihe express condition that Ihe said
construction shall, In all respects. conform to the Ordinance
adopted by the City 01 Sprlnglleld, Including the
Development Code, regulating the construction and use or
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee'
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Oato
Systems Development Charge Is due on all undeveloped
properties within the City limits which are, being Improved,
, ADDITIONAL COfl1MENTS
,.
By signature, I state and agree, that I have carefullyexamlnod
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 Sprlnglield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made 01 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 will be used on this
project.
I further agree to ensure that all required Inspections Bre
requested at the proper time, that each address Is readable
from the sireet, that the permit card Is located et the Iront
of the property, and the approved set of plans will remain
on the site at ,all times durIng constru,ctlon. .
Signature );;1.-. J h _./ ~U; - '- ., --.n--.....
Dale
,
VALIDATION: c511/Vl A
RECEIPT NU~1R (VOC ,
DATE PAlrC ~ J.{I (3 J (ar:Lc(~
,AMOUNT RECEIV~,7"')2fQ~
RECEIVED BY r::--f)f]..':)a /. ,
-
..-- --'
.
SPR.FIELD
DEVELOPMENT SERVICES
PUBUC WORKS
METROPOUTAN 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~~; of the following
manufactured homes will be placed at ~n.9_ U..x}Y1 fir-V) KlJLl~-,
Springfield, Oregon, City Job Number c.} 1()7LJ I .
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
arid siding materials that are commonly used or compatible with 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
- Vater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
)~ -;#~
Signature
J 1/fe,/91
Date