HomeMy WebLinkAboutPermit Building 1991-8-28
~
,
"
1,--
..'..,
i~RESIDENTIAL .
'PERMIT APPLICATION
Inspections: 726.3769
Ollice: 726.3759
LOCATION OF PROPOSED WORK:
N/A
/9
ASSESSORS MAP'
LOT'
OWNER'
Lochaven Partners
1199 N. Terry St.
ADDRESS:
CITY'
EURene
DESCRIBE WORK: Mobile Home set UD
NEW
x
ADDITION
REMODEL
.- Concrete stringers - Accessory Value $ J7Y-O
DEf;'IOLlSH "OTHER M.H. Value $ t.~, :;."7; ~-
. - l;;icl~I::':~,
EXPIRES PHONE
2/2/92 484-6505
689-7762
484-6505
144-1500
SPRINGFIELD
BLOCK'
STATF'
OR
JOB NUMBER!lJ ()1L c:;
225 Filth Street
Springfield, Oregon 97477
Aut" .
N/A
mlro
, TAX LOT'
SUBDIVISION'
Lochaven
PHONE:
688-9123 ~
." 97402 ~.
CONST,
CONTRACTOR'S NAME ADDRESS , CONTRACTOR'
GENERA' . Ernie & Son's 87922 LaPorte Dr.. Eug. 41497
PLUMBIN\-' Harrison Construction 1441 N. HI<v. 99 20-236PB
MECHANICAl'
Ernie & Son's
Heritage Electric
ELECTRICAl'
QUAD AREA:
\ R. r\)\ il
. \
p~
. OF BLDGS:
OCCV GROUP:
· OF STORIES:' t-
WATER HEATER: _ _
87922 LaPorte Dr.. Eug.
855 W. 24th
20-2ROr./63117
411.97
2/2/92
- OFFICE USE -
\ \~(j
I
LAND USE:
. OF UNIT~'
CONSTR. TYP~'
HEAT SOURCE'
RANGF'
~L
f' --"'"
FLOOD PLAIN'
ZONING CODE: -We..
. OF BDRMS' 3 '
SECONDARY HEAl:
SQUARE FOOTAGE:
To request an Inspection, you must call 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. '
D TemporaryEleclrlc
..'if).
D Site Inspection - To be made
after excavation, but prior to
setting forms. _____
.0':?derslab Plumbing Electrlcal/
~:chanlcal - Prior
nr<!2oling - Aller trenches are
LfI ~;cavated.
D Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
,uP] Sanitary Sewer - Prior to filling
.\ trench. "
c::ti' Storm Sewer - Prior to filling
t; trench.
~ Water LIne - Prior ;0 filling
cP trench: ' .'
\ ,
D Rough P'umblng - Prior to
cove~ \
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover. .
D Rough Electrical - Prior '0
cover.
o Electrical Service - 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 Insulalion - Prior to
cover.
D Drywall - Prior to taping,
D Wood Slove - After Installation,
D Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete_~
~ SIdewalk &.Drlveway - After
~ excavation Is complete, forms
and sub-base material In place.
D Fence - When c~mpleted.
. D Street Trees ~-When all required
trees are planted, '.
'v.
->~ ,.,
D 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 Bufldlng - When all
required Inspections have been
approved and building Is
completed.
D Other
MOBILE HOME INSPECTIONS
ritJ),ocklng and Set.up - When al/
{ blockIng Is complete.
PiPlumblng Connections - When
home has been connected to
water and sewer. .
fElectr,cal Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
FSnal - After all required
.Inspections are approvec;f and.
porches. skirting, decks, and
venting have been Installed.
Lot faces
Lot Type ,
Lot sq, fig,
Interior
Lot coverage
Topography
Corner
Panhandlo
Total height
.
Cul.de.sac
BUILDING PERMIT
ITEM SQ. FT.
X $/SQ, FT,
Main
Garage
Carport
---
Tolal Value
Building Permit Fee
State Surcharge
Total Fee
(A)
I
, I'
I
I
;
.THE PROPOSED WORK IN TH;;;
.HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
.11 yes, this application musl be signed
and approved by the Historical
Coordinator prior to permit Issuance.
)."
""'llIIl
I P.L.
Setbacks
HSE GAR ACC I
N
S
Iw
IE
- f _V^qUA ,....
11, .:D
I
\'1-40
. '9,13.5-
~Cf ,c:5)
L .4<t:
?JO~~
SYSTEMS DEVELOPMENT CHARGE ~DC)
(B) ~cj&. O.y
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s)
N'
Sanitary Sewer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur,t Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Oryor Vent
Mechanical Per:nlt
Issuance
State Surcharge
Total Permit
(D)
MISCEl.LANEOUS PERMITS
Mobile Hume
State Issuance
State Surcharge
Sldewal( ~ fI
Curbcut
fI
Demollllon
State Surchi?rge
Total Mlscel.anecu9 Permits
(E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C. D. a~d E Combined)
FEE
~.~
.qS
.2-5
1\ ?; pO
P>/IS
1)'6/)5
(Jf
m,[D
I 5.'\5
1=:)4'5
I C\ .cD
5:{~.0I'
. f'
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condlllon 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 violation of any provisions of said ordInances.
Plan Check Fee'
Dale Paid:
Recelpl Number'
Received By:
Plans Reviewed By
Data
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 examlnor.!
the completed application and do hereby certify that all
Information hereon Is true and correcl, and I further certify
that any and all work perlormed shall be done In accordance
with the Ordinances 01 the City of Sprlnglleld, and the Laws
of the State 01 Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
slructure without permission of the Building Safely Division.
I furlher certlly thaI 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 street, that 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 );7z.v~". ~;J2.,,;.~___~
Date
"
VALIDATION:
DATE PAl
-,
.
.
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
manufacture? homes will be 'placed at <::)i"!->. 11")(."'0 \J F:V\ >A-vE.
Springf i eld, Oregon, Ci ty Job Number L1I]")7/"S .
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 wlth site
bull 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
"'~ -,.1"
jLA~-!.A_~_ _,4rJLU<-~-,
,1 nature
Date
~ ., s