HomeMy WebLinkAboutPermit Building 1992-2-14
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RESIDENTIAL
P'ERMIT APPLICATION
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Inspections: 726.3769
Office: 726.3759
LOT:
OWNER'
ADDRESS'
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK' Mobile Home set UD
NEW
x
ADDITION
REMODEL
~1..
97402 <~~
W
.- Concrete stringers - Accessorv Value $ I~O~
, OTHER M.H. Value $ ~p,9.rJ,CO
SPRINGFIELD
BLOCK:
"
STATE:
OR
JOB NUMBER-9tD727
225 Fifth Slreet
Springfield, Oregon 97477
Av(" .
TAX LOT: N/A n\ ~rD
SUBDIVISION'
Lochaven
DEMOLISH
,1
PHON'"
688-9123
ZIP:
" CON ST.
CONTRACTOR'S NAME ADDRESS ,CONTRACTOR'
GENERA' . Ernie & Son IS 87922 LaPorte Dr.. EUIl. 41497
PLUMBIN~' Harrison Construction 1441 N. Hwv. 99 20-236PB
MECHANICAl'
Ernie & Son's
Heritage Electric
ELECTRICAl '
QUAD AREA: \ Q "- ')\()
. OF BLDGS: ~,
OCCY GROUP' \<.- ':::)
\
. OF STORIES:
WATER HEATER: _~ ./
87922 LaPorte Dr.. EUQ.
855 W. 24th
EXPIRES
2/2/92
PHONE
484-6505
689-7762
484-6505
144-1500
20-280C/63137
41/197
2/2/92
- OFFICE USE -
II '?r)
\
HEAT SOURCE: -t:'G
7__
LAND USE:
. OF UNITS'
CONSTR. TYP'"
RANGE:
FLOOD PLAIN'
ZONING CODE: ~ ~
. OF BDRMS: ~
SECONDARY HEAr.
SQUARE FOOTAGE:
To request an Inspection, you musl 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.
REQUIRED INSPECTIONS
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
selling forms.
FA'1Jhderslab Plumbing/ ElPe't'fr';alC)
~echanlcal - Prior tc(covP.r
\r---7fI Footing - After trenches are
T.LJ excavated.
D Masonry - Steel location, bond
beams, grouting.
o Foundation - Arter forms are
erected but, prior to concrete
placement. .
D Underground Plumbing - Prior
to filling trench,
D Underftoor ~Iumblng/Mechanlcal
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
~anltary Sewer - Prior to filling
~ trench.
dStorm Sewer - Prior to filling
~ trench.
~Waler ll~e ~, pr;or to ~llIIng
l trench." ' \
o Rough Plumbing - Prior to
cover. . _. 1. .
D Rough Mechanical - Prior to
cover. .
D Rough Electrlca' - Prior 10
cover.
D Electrical Servfce - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping,
D Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
D CurbcuI & Approach - After
forms are erected but prior to
placement of concrete.
~ldew8lk &.Drlveway - After
~ :xcavatlon Is. complete, forms
and sub.base material In place.
D Fence - When completed.
D Street Trees - When all required
trees are pla,nt,ad..' f ,
D Final Plumbing - When all
. plumbing work Is complete,
D Final Electrical - When all
electrical work Is complete.'
D Final Mechanical - When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building la
completed.
DOther
MOBILE HOME INSPECTIONS
n9B.loCklng and Set.Up - When all
~ blocking Is complete.
r;:zDPlumblng Connections - When
\ home has been connected to
water and sewer. '
. r Electrical Connection - When
blocking, set.up, end plumbing
, Inspections have been approved
and the home Is connected to
the service panel,
~'Flnal - After all required
,Inspections are approvec:l and,
porches, skirting, decks, and
venting have been Installed.
Setbacks
HSE GAR'ACCI
I
Lot faces
,
Lot Type .
Interior
I P.L.
IN
Is
Iw
IE
\ tot sq: flg.
Lot coverage
Corner
Topography
Total height.
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM SO. FT. X S/SO. FT, a VAlJJE
Main .~pao
Garage
Carport
1!l-4{)
Total Value ~(oO
Building Permit Fee "q)
State Surcharge /.4t3
Total Fee (A) 3(),qpy
SYSTEMS DEVELOPMENT CHARG~ (SDg
(B) 3 '74~V
PLUMBING PERMIT
ITEM
" FEE
, I
Fixtures .)
Residential Bath(s)
N'
.
Sanitary Sewer
FT.
FT.
FT,
~e)
Q:-i
QS
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
f)'f).OO
3,~S
'1'b/6
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur.t Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Per:nl t
Issuance
State Surcharge
""'-
o
Total Permit
(D)
MISCEl.LANEOUS PERMITS
Mobile Home
B1.~
~5,1S
5,~CS
(q .DO
State Issuance
"
State Surcharge
Sldewal., lo()/ II
Curbcut
II
r
Demolition
State Surch2rge
Total Mlsceloanecus Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, 0, and E Combined)
tJz./ ,~,a.p.,
'.THE PROPOSED WORK IN THE'
HISTORICAL DISTRICT, OR ON .'
THE HISTORICAL REGISTER?
.11 yes, this appllcallon must be signed
and approved by the Historical
Coordinator prior to permit Issuance,
....,
I
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition at the said
construction shall,ln all respects, conform t he Ordinance
adopted by the City of Sprlngflel . Including Ihe
Development Code, regulallng the c structlon and use 01
buildings, and may.be suspende or revoked al any time
upon violation of any p vi 0 of said ordln03ncQs.
Plan Check Fee' '\ \ .J
Date Paid: 0X
/Pians Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are, being Improved.
, ADDITIONAL COMMENTS
r.
By signature, I state and agree, that I have carefully examlnou
the completed application and do hereby certify that all
Infor'11atlon hereon Is true and correct, and I fUrther certify
t.hat any and all work perlormed 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 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
from the sireet, thai the permit card Is located at the fronl
of the property, and the approved set of plans will remain
on the site at .all times during construction.
Signature ~ A ~..... . ~~~. -.
~'h4-ec.-<::'. T7~v
Oat6 .
~
VALIDATION: I.:J,../l /1
RECEIPT NUM" U (,---r-r
DATE PAID _ - t1' :Gf () .
AMOUNT RECEI,~S 3 \ , 4::3
RECEIVED BY (.7\ wq ,/ )
~..-- 'a
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DEVELOPMENT SERVICES
PUBUC WORKS
METROPOUTAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.3753
MANUFACTURED HOME SET-UP AGREEMENT
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As required by the Ci ty of Springfield Development Code, I understand and agree
that with the approval of the attached permits, one of the following
manufactured homes will be placed at 91 () I f',(Y\() uFx\ ,(:!" \)F"
Springfield, Oregon, City Job Number U 10 7/)'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
and siding materials that are commonly used or compatible wi,th si te
bu il 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 s~ate, 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
~Yt.~L k7\D~
Signa ture' , -
:1-/4 - 9;r
Date