HomeMy WebLinkAboutPermit Building 1991-9-16
('
_- :R'ESIDENTIAL ..
PERMIT APPLICATION
SPRINGFIELD
JOB NUMBER--9lO10~
225 Fifth Street
Springfield, Oregon 97477
Inspections: 726.3769
Office: 726.3759
AUf7.
TAX LOT' N/A D((oOO
N/A
,")
ASSESSORS MAP:
Lochaven
LOT:
BLOCI<'
SUBDIVISION:
Lochaven Partners
Ate
688-9123
OWNER'
ADDRESS'
CITY'
PHONE:
1199 N. Terry St.
Eugene
OR
ZIP: 97402
STAT'"
DESCRIBE WORI<' Mobile Home set UD
.- Concrete strinl!ers - Accessorv Value $ /1'tO
OTHERM.H. Value $ 1 'X.s,,9S-
x
NEW
REMODEL
ADDITION
DEMOLISH
CON ST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
Ernie & Son's 87922 LaPorte Dr.. EU2. 41497
PLUMBINn. Harrison Construction 1441 N. Hwv. 99 20-236PB
EXPIRES PHONE
2/2192 484-6505
689-7762
2/2/92 484-6505
344-1500
GENERA' .
Ernie & Son's
Herita2e Electric
87922 LaPorte Dr.. EU2.
41/,97
MECHANICA' '
855 W. 24th
20-280r./631 :n
ELECTRICA' '
- OFFICE USE -
LAND USE: \\~
. OF UNITS:
QUAD AREA: \ Q \\)lD
. OF BLDGS: . n\--:L
OCCY GROUP: 't'-<,. - }
. OF STORIES' I
WATER HEATER: _C(l ./
FLOOD PLAIN'
ZONING CODE: 1. ~ {2...
. OF BDRMS' -3
CONSTR. TYPF'
HEAT SOURCE:
t=:''E:..
y/
SECONDARY HEAl'
SQUARE FOOTAGE:
RANGE:
To request an Inspection, you must call 726.3769, This Is a 24 hour recording, All Inspecllons requested before 7:00 a,m. will be
made the same working day, IQspectlons requested aller 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
I
o Temporary Electric ----..rJ~.
'.
o Rough Mechanical - Prior to
cover. .
o Final Plumbing - When all
. plumbing work Is complete.
D Site Inspection - To be made
after excavation. but prior to
setting forms.
Ia711nderslab Plumbing
~ Mechanical - Prior'
r;-XFootlng .:... Aller trenches are
u..r excavated.
D Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work Is complete..
o Flnel Mechanlcel - When all
mechanical work Is complete.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Fireplace - Prior to facing
materials and framing Insp.
D Masonry - Steel location, bond
beams, woutlng.
o Framing - Prior to cover.
D Other
D Foundation - After forms are
erected but prior to concrete
placemen t.
D Wail/Ceiling Insulation - Prior 10
cover.
o Underground Plumbing - Prior
to filling trench,
D Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Underlloor Plumblng/Mechenlcal
- Prior to Insulation or decking.
D Wood Stove - After Installation.
rL::ti.locklng end Set.u~ - When all
\ blocking Is complete.
D Post and Beam - Prior to floor
Insulation or decking.
o Insett - After fireplace approval
and Installallon of unit.
o Floor Insulation - Prior to
deckl ng. '
LPanllary Sewer - Prior to filling
\" trench.
riIl?Slorm Sewer - Prior to filling
~ trench.
riP? Water Line.,.. prl'o; 10:lIll1ng
~ trench.
~'Umblng Connections - When
home has been connected 10
water and sewer. .
D Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
rt'ilSldewalk & Driveway - After
~ excavation Is complete. forms
.and sub.base material In place.
. ~'ectrlcal Connection - When
blocking. set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D Fence - When completed.
I ~nal - After all required
'-(' ,~~spectlons are approveel and .
porches, skirting, decks, and
venting have been Installed.
D Rough Plumbing - Prior to
cover. ,
D Street Trees ...;, When all required
trees are planted. .
Lot Type .. Setbacks
Interior I P.L HSE GAR ACC
Corner N
Panhandle S
Iw
Cul.de.sac
IE
"
Lot, faces
Lot sq. fig,
Lot coverage
Topography
Total height
p- '.
BUILDING PERMIT
ITEM sa, FT.
X $/SO. FT. a \ i~
Main
Garage
Carport
"ROPOSED WORK IN T~~-~:'~'
. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this appllcallon must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
"
,
APPROVEf"
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall,ln all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Development Code. regulating the construction and use 0'
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordln:lncQs.
\ '14 U Plan Check Fee'
[)(J~05 Date Paid:
Total Value
)JG1 ,~ Receipt Number'
Building Permit Fee ~ Received By:
State Surcharge
Total Fee (A) ?/J,q ~ Plans Reviewed By Dalo
SYSTEMS DEVELOPMENT CHAR~ .lSD~
(B) ("){)~.
PLUMBING PERMIT
ITEM
,. FEE
Fixtures
Resldenllal Bath(s) N'
/LC:)
lJ:=;
as
Sanitary Sewer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
'I Spa
3, 'IS
o R. 1S
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhau::.t Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryor Vent
r'lIechanlcal Pel':nlt
Issuance
State Surcharge
Tolal Permit
f')
(D)
MISCEI.LANEOUS PERMITS
Mobile Hl,me
B1.[)5
I s J1S
b.8.S
lCi\,m
State Issuance
State Surcharge
Sldewal, ~ II
Curbcut
II
Demolition
State Surch~rge
Total Mlscel,anecus Permlls (E)
TOTAL AMOUNT l>UE (excluding electrical)
(A, B, C. D, and E Combined)
~4nl
Systems Development Charge Is due on all undeveloped
properties within the City limits which ere. being Improved,
, ADDITIONAL COMMENTS
I
,
By signature, I state and agree, that I have carefully examlnod
the completed application and do hereby certlly that all
Information hereon Is true and correct, and I further cerlHy
lhat any and all work perlormed shall be done In accordance
with the Ordinances of the City of Springfield, and the Laws
of Ihe Slate of.Oreg<?n 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 cerllfy that only conlractors and employaes who
are In 90mpllance 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, that the permit card Is located at the Iront
of the property, and the approved set of plans will remain
on the site at all times during conptructlon.
Signature '~A-<'~_ .-;t.~~. .
~
Date
VALIDATION:
RECEIPT NUMBE~ ,~:Y~~~
-~,UQ ,q \ .
AMOUNT RECEIVEr" if; \ a . [)lo
RECEIVED BY ~r... D~ ~
DATE PAID
-
.
..
.~
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, one of the following
manufactured homes will be placed at s7L1 I J"/2..Y\('}.. \JF,V\ V\, U~_
Springfield, Oregon, City Job Number ~1[)"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, wi th roofing
and siding materials that are commonly used or compatible wlth site
built 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
- Yater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
"
)ka.."t<.,,- /Jt~~
Sfgnature
Date