HomeMy WebLinkAboutPermit Building 1992-6-8
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~~~SIDENTIAL ..
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
N/A
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ASSESSORS MAP'
LOT'
OWNER'
ADDRESS:
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK: Mobile Home set UD
NEW
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ADDITION
REMODEL
SPRINGFIELD
BLOCK'
STATF' OR
JOB NUMBER
Cf/012.<z(
225 Fifth Slreet
Springfield, Oregon 97477
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. TAX LOT: N/A
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SUBDIVISION'
Lochaven
PHON='
688-9123 J
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ZIP: 97402 ~\
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Accessorv Value .$ rNo
Value .$ ~O ty::l~
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DEMOLISH
.- Concrete stringers -
OTHER M.H.
. ~ , . CON ST.
CONTRACTOR'S NAME ADDRESS' \ ': . CONTRACTOR'
GENERA' . Ernie & Son's 87922 LaPorte Dr.. Eug. 41497
PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB
MECHANICAl' Ernie & Son's
ELECTRICAL: 'Herita~lectrir.
87922 LaPorte Dr.. Eug.
85'U1. ~at:h',
EXPIRES
2/2/92
PHONE
484-6505
689-7762
484-6.505
344-1500
70-280C/63137
411,97
2/2/92
\R \0\.0 - OFFIC~
QUAD AREA: LAND USE: \ ~ FLOOD PLAIN' - -
. OF BLDGS: \ . OF UNITS: - 'v t\/ ZONING CODE: li)~
OCCY GROUP: R"a CONSTR. TYPE: . OF BDRMS' .3
. OF STORIES: \ HEAT SOURCE: \-f~' SECONDARY HEAl:
. 7 ) 'C-- \W{)
WATER HEATER: ~- RANGE: SQUARE FOOTAGE:
To requesl an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requesled belore 7:00 a.m. will be
made the same working day. Inspections reQu.ested after 7:00 a.m. will be made the following work day. .
REQUIRED INSPECTIONS
o Temporary Electric
."
o Site Inspection - To be made
after excavation, but prior to
setting forms.
~nderSlab Plumbln.4ectrlc~1
Mechantcal - Prlo~~oeve1."'"
-Footing -After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms Bre
erected but prior to concrete
placemen t.
o Underground Plumbing - Prior
to filling Irench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or deckIng.
o Floor Insulation - Prior to
decking.
,~anltary Sewer - Prior to IIlIlng
~ ~rench.
~torm Sew~r - Prlorto filling
trench.
.
r7'0-valer Line - Prior to filling
\' trench.
o Rough P.luniblng - Prior to .
cover. I, .
o Rough Mechanical - Prior to
cover. .
o Rough Electrical - Prior to
cover.
o Eleclrlcal Service - Must be
approved '0 obtain permanent
eleclrlcal power.
o Fireplace - Prior 10 lacing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Calling Insulation - Prior to
cover.
o Drywall - Prior to laplng.
o Wood Stove - After Installation.
Insett - After fireplace approval
and Inslallatlon of unit.
Curbcut & Approach - AHer
forms are erected but prior to
placement of concrete.
~Sldewalk &.Drlveway - AHer
excavation Is complete, forms
and sub.base material In place.
o Fence - When completed.
o Street Trees ~.When alJ required
trees are planted. .'
o Final Plumbing -' When all
. plumbing work Is complete.
o Final Electrical - When all
electrical work Is complele.
o Final Machanlcal - 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 - Wh'en 01/
9" hl-ocklng Is complete.
~IUmblng Connections - When
~ ~,ome has been connected to
water and sewer. .
, ~lectrlc81 Connection - When
blocking, sel.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panal.
~Inal - Alter all required
Inspections are approved and.
porches, skirting, deCks" and
venting have been Installed.
, Lot .faces
.' ,..
, Lot sq. Itg:
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Total Value
Building Perml! Fee
State Surcharge
Total Fee
Lot Type ..
Interior
Corner
Panhandle
Cul.de.sac
,
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.., PROPOSED WORK IN r.tie.
. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
'If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance,
I P.L,
IN
Setbacks
HSE GAR Ace I
S
W
IE
X S/SO. FT. &qt!Rg
/0<:1 0_
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(A)
SYSTEMS DEVELOPMENT CHARGEJSDC\ _
~1~-:S
PLUMBING PERMIT
ITEM
Fixtures.
" .
Residential Bath(s)
Sanitary Sewer
Water' '.
Storm Sewer
Mobile Home
Plumbing Perml!
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhau,..t Hood
Vent Fan
(B)
N'
FT.
FT.
FT.
(C)
Dryer Vent
Wood Stove/lnserl/Flreplace Unit
N'
Mechanical Per",1t
Issuance
State Surcharge
Total Permit
Mobile HfJme
MISCEI.LANEOUS P~RMITS
(D)
State Issuance
State Surcharge
\ ^r-'/
Sldewal'( ~ It
Curbcut
It
Demolition
State SUrChi:'fge
,
Total Mlscel,anecus Permits (E)
/ FEE' ..
A~
JJ~
.R.:s
fl~.OO
3,15
I)K '75
o
KJ/J.c;
_1'$. (15
Q.A~
{}~fjfj
TOTAL AMOUNT /DUE (excluding electrical)
(A, B, Co D, and E Combined)
'5114-}
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APPROVEf"
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
adopted by the City of Springfield. Including the
Development Code, regulating the construction and usa of
buildings, and may be suspended or revoked at any time
upon vlolallon of any provisions of said ordinances,
Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge I.s due on all undeveloped
properties wlthl.n the City limits which are. baing Improvod.
. ADDITIONAL C9MMENTS
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By signature, I state and agree, that I have carefully examined
the completed appllcallon and do hereby certify 'that all
Information hereon is true and correct, and I further cerllfy
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 Safely 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 Inspecllons are
requested at the proper time. that each address Is readable
from the sireet, that the permit card Is located at the front
of the property, and'the approved set of plans will remaIn
on t~e site at .all times during construcllon.
Signature ~i~'" - ""'", .-
Date . c-'-~-"l_)'/ ~
VALIDATION: .L1.{]
RECEIPT NUMBE7 1~\1~
DATE PAID f} 'R ,Cf [;)..-J
. AMOUNT RECEIVED~' ~:4lp,-
RECEIVED BY , (/Hl '>
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DEVELOPMENT SERVICES
PUBUC 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
that with the approval of the attached permits, one of the following
manufactured homes will be placed at 5()'l, L~ 'V\().,\)~,\'\ \~\)l--
Springfield, Oregon, City Job Number QI07;;;>~
and agree
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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 wlth site
bull t homes. /
o
Class B Manufactured Home. A manufactured home of not less than 12
~eet 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
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Date