HomeMy WebLinkAboutPermit Building 1991-9-27
'.
-
.':' -- .....RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
N/A
I",
ASSESSORS MAP:
LOT'
OWNER'
ADDRESS'
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
SPRINGFIELD
BLOCI"
STAT'"
OR
JOB NUMBER.3JDJ 6~
225 Filth Street
Springfield, Oregon 97477
Aut".
,TAX LOT: N/A () I~
SUBDIVISION:
Lochaven
PHONE:
688-9123
ZIP:
97402
NEW
x
REMODEL
DESCRIBE WORK' Mobile Home set UD
DEMOLISH,
strinl!ers - Accessorv Value $ nl.{o-
OTHER H.H. Value $ ~
CONTRACTOR'S NAME
Ernie & Son's
GENERA' .
PLUMBING: Harrison Construction
MECHANICAL' ,Ernie & Son's
ELECTRICAl'
Herital!e Electric
QUAD AREA: \ Q ffi~O
\
OCCY GROUP' ~ ~
,
. OF BLDGS:
.- Concrete
ADDITION
ADDRESS
CON ST.
. CONTRACTOR .
41497
EXPIRES PHONE
2/2/92 484-6505
689-7762
2/2/92 484-6505
144-I~OO
87922 LaPorte Dr.. EU2.
1441 N. Hwv. 99
20-236PB
87922 LaPorte Dr..
855 W. 24th \,
EU2. 411.97
\, '
20-280C/63137
o Rough Mechanical - Prior to
cover. .
o Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Inoulallon - Prior to
cover.
o Drywall - Prior to .taplng.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
~Sldewalk &.Drlveway - After
excavation Is complete. forms
.and sub-base material In place.
o Fence - When completed.
o 51reet Trees....: When ~II required
trees are plantojd. ~....
FLOOD PLAIN'
l))~
(3
- OFFICE USE -
\\60
\
LAND USE:
. OF UNITS'
CONSTR, TYP'"
HEAT SOURCE: ~-
o
RANGF'
ZONING CODE:
. OF BDRMS'
SECONDARY HEAl'
SQUARE FOOTAGE:
To request an Inspection, you must cafl 726.3769, This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will be
made the same working day, Inspecllons requested after 7:00 a.m, will be made the following work day.
REQUIRED INSPECTIONS
o Temporary ,Electric
o Silo Inspection - To be made
after excavation, but prior to
setting forms.
~nderslab Plumbln 'Electrlcai/
( Mechanical - Prior
fL]..FooUng - After trenches are
L-=f excavated.:
o Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms Bre
erected but prior to concrete
placemen t
D Underground PlumbIng - Prior
to filling Irench,
o Underlloo. Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
Imanltary Sewer - Prior to filling
( trench.
~torm Sewer - Prior to filling
trench.
, '
,
~ Water Line - Prior to filling
\ trench.
o Rough PlumbIng..... Prior to
cover. I .
o 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 Is
completed,
o Other
MOBILE HOME INSPECTIONS
~IDCklng and Set.Up - When all
f blocking Is complete.
~IUmblng Connections - When
home has been connected 10
water and sewer. .
, ? Electrical Connection - When
blocking, set-up. and plumbing
Inspections have been approved
and Ihe home Is connecled 10
Ihe service panel.
mOFIna' - After all required
~ .inspectlons are approved and
porches, sklrUng, decks".and
venllng have been Inslalled.
,
Lot f~ces'
Lot Type
-
..
~ '
1/,. ...
IS THE PROPOSED WORK IN THE'
"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
Lot sq, Itg.
Interior
Setbacks
I P.L. HSE GAR ACC I
I N I
Lot coverage
Corner
Cul.de.sac
-L-___
W
IE
Topography
Total height
. .'
Panhandle
BUILDING PERMIT
ITEM sa. FT.
X $/SO, FT. , - ,~ALU.s.
...~ )
~ lYQ:z,
Main
"" <G~,~.~, ~ T{
Carport
L.
APPROVEf'I'
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 01 Springfield, Including the
Development Code, regulating the construction and uso of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordin~ncos.
\ f') 4( ') Plan Check Fee'
zJ'5,Id1~ Date Paid:
Total Value
c{)4 SO Receipt Number'
Building Permit Fee
~ Received By:
Stale Surcharge
Total Fee IA) Plans Reviewed By Dato
SYSTEMS DEVELOPMENT CHARGE (SDC)
2'/\ r:..-2'
(B) ::4.: i:1..~
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
6)5
-QS:.
"&S
Sanitary Sewer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Cha'ge
'75.00
tl.?O
rJK'1S
(e)
MECHANICAL PERMIT
Furnace
Exhau::,t Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryor Vent
Mechanical Per:nlt
Issuance
State Surcharge
Kif
Total Permit
(D)
MISCEI.LANEOUS PERMITS
Mobile Hume
~
S,~
\q.CO
State Issuance
,
State Surch/J.r~1 ,
Sldewal( ill) II
Curbcut
II
Demolition
State Surch2rge
~
Total Mlsceloanec"s Permits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C. D, end E Combined)
JSCf,. 'SjQ..\
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 Oreg,?n pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
slructure 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 Inspections are
requested at the proper time, that each address Is readable
from lhe sireet. 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 ~~ :J1.b~ ~
Datp.
,
.
"
VALIDATION: A \4::2n
RECEIPT NUMBER ~ '" c .J I
DATE PAID q. ;Q (} . cr I
AMOUNT RECEIVEIjl .P>f 0 \ ,toliJ
" RECEI~ED BY t:!)) ...o~
.
.
Ji",~ \.'
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, one of the following
manufactured homes will be placed at -=)-;::)0 .7 rY: XlO Vt--;V\ ~ VI-; .
Springfield, Oregon, City Job Number Lll(YI/Yl .
IT]
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. ,
D
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
- Yater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for
permanent steps
\{ (2~L/;nAw-1JX;M
~nature o' - _"0 ,.. ,
12;>7-9/
Date