HomeMy WebLinkAboutPermit Building 1992-4-30
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r...eSIDENTIAL .
PERMIT APPLICATION
Inspecllons: 726.3769
Office: 726.3759
SPRINGFIELD
ASSESSORS MAP'
N/A
I~
LOCATION OF PROPOSED WORK: ?zr/
\lD3,;)f) k-S
_ .s
11,I,v'
.- Concrete strineers - Accessorv Valu!l__$ IV
DEMOLISH OTHER M.H. Value $~JeJ~e:; ,
CON ST.
CONTRACTOR'S NAME ADDRESS . CONTRACTOR'
GENERA' . Ernie & Son's 87922 LaPorte Dr.. EUl!. 41497
PLUMBINn. Harrison Construction 1441 N. Hwv. 99 20-236PB
Lor
OWNER'
ADDRESS'
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK' Mobile Home set UP
NEW
x
ADDITION
REMODEL
MECHANICAL' , Ernie & Son's
ELECTRICAL:
Heritaee Electric
BLOCK:
STAT'"
OR
JOB NUMBER~
225 Filth Street
Springfield, Oregon 97477
Auf" .
. TAX LOT' N/A DlqW
SUBDIVISION'
Lochaven ;
68'-9"3 ~
97"~.
87922 LaPorte Dr.. EUl!.
855 \~. 74th'
PHONE:
ZIP'
EXPIRES
PHONE
2/2/92
484-6505
689-7762
484-6505
144-]~OO
?O-280C/63117
411197
212/92
- OFFICE USE -
OUAD AREA: \~ ~1O LAND USE: \\~O FLOOD PLAIN: ~ -
. OF BLDGS: \ . OF UNITS' \ ZONING CODE: I \L-
~.-:> CONSTR. TYP'" ----..:::::J
OCCY GROUP: . OF BDRMS'
. OF STORIES: , HEAT SOURCE: f-u SECONDARY HEAT'
WATER HEATER' f../ RANGE: 'P~ SQUARE FOOTAGE:
To request an Inspection, you must cafl 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same ,working day. Inspectlons requested after '7:00 a.m. will be made the following work day.
D Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
~nderslab Plumbing I lectrlcall
9 Mechanical - Prior t cover.
~OUng _ Aller trenches are
l....fVexcavated.
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 UnderUoor PlumblnglMechanlcal
- Prior to Insulation or decking.
D Post and 8eam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
~anltary Sewer - Prior to filling
\ trench.
~torm Sewer - Prlorto 1I111ng
r ~rench.
~'ater line - Prior to filling
r:::tJ :;ench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover. ..
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior 10 cover.
D Wall/Celllng tnsulatlon - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stove - After Installation.
o Insert - After flreplace approval
and Installation of unit.
D Curbcut & Approach - Alter
forms are erected but prior to
placement of concrete.
rWldewalk & Drlvaway - Alter
l :xcavatlon Is complete. forms
and sub.base material In place.
D Fence - When completed.
D Street Trees -;. When all required
trees are planted., .
D Final Plumbing - When all
. plumbing work Is complete.
o Final Electrical - When all
electrical work Is complete..
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
DOthar
MOBILE HOME INSPECTIONS
~B.loCklng and Sat.Up - When all
. \ blocking Is complete.
PPlumblng Connections - When
home has been connected to
water and sewer. .
. -a" Electrical Connection - When
'blocklng, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
r.zjA:lnal - Alter all required
I.~nspectlons are approved. and .
porches, skirting, decks. and
venting have been Installed.
Lot "TYpe . Setbacks
Interior I P.L. HSE GAR ACC I
IN I
Corner
Is I
Panhandle
Iw I
Cul.de.sac
IE I
Lot faces .!'
., ,.
Lot sq. Itg.
Lot coverage
Topography
Total height
.-.
BUILDING PERMIT
ITEM SO. FT.
X S/SO. FT. = ,.'0LUE~,
~ t;:)r t)45 ','
Main
G~rage
Carport
lfl~ (2
d'7/J05-
-4~
.'3()C-\ B
SYSTEMS DEVELOPMENT CHA~.y~}~C)
(BADg. _ ,'-"-
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
FEE
Flxlures
Residential Bath(s) N'
<9S
AS
. f:'E1
Sanitary Sewer
Water
FT.
Storm Sewer
FT.
FT.
Mobile Home
Plumbing Permit
Stale Surcharge
/
'75 t:D
3,15
1/g,fD
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur.t Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryor Vent
Mechanical Per:nlt
Issuance
State Surcharge
Total Permit
o
rP.~S
-'c;. fJS
S .;:F)
ICo{ .00
(D)
MISCEI.LANEOUS PERMITS
Mobile Home
State Issuance
State surc~rg~
Sldawal., LOU It
Curbcut
It
Demolition
State Surch~rge
Total Mlscel,anecus Permits (E)
TOTAL AMOUNT PUE (excluding electrical)
(A, B, C, 0, and E Comblnad)
UL~.?>.C)
I :-~
(
.THE PROPOSED WORK IN T,-iE'
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
'If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
.-
"
"
APPROVED'
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 use 01
buildings, and may be suspended or revoked at sny time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans F:'evlewed By
DalO
Systems Development Charge Is due on all undeveloped
properties wlthl.n the Clly limits which ara. being Improvod.
. ADDITIONAL COMMENTS
By signature, I state and agree. that I have carefully examlnod
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 01 the City of Springfield, and the Lsws
of the State 01 Oregon pertaining to tha 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 street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
on the slta at all tlUdUrln con~!rt!.rCJtl!c.-
Signature _.~-1'f~#i .~ ~
Date
, 4... ~n -Q _1.
"
VALIDATION: A I
RECEIPT NUMBE~ "1~r:cJ:)
DATE PAID ~-h2j).q V
. AMOUNT RECEI0:.oIL-~ j:J ( o. ~??t ')
RECEIVED BY C7'1(LJA J
/- . \
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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
As required by the City of Springfield Development Code, I understand and agree
that vith the approval of the attached permits, one of the follovinjl
manufactured homes vill be placed at '\q\\ 'l[':('v'I'\\JI:::'VI \AUf-.J.
Springfield, Oregon, City Job Number ~I') ~ .
o
Class A Manufactured Home. A manufactured home of not less than 24
feet in vidth and 16% (not less than 2:12) roof pitch, vith exterior
dimensions enclosing a space of at least 960 square feet, vith roofing
and siding materials that are commonly used or compatible vi.th site
built homes.
o
Class B Manufactured Home. A manufactured home of not less than 12
feet in vidth and 16% roof pitch, vith exterior dimensions enclosing a
space of not less than 500 square feet, vith roofing and siding
materials that are commonly used or compatible vith site built homes.
I further state, by my signature belov, that I have been provided vith the
folloving information:
- Mobile home blocking
- Sanitary sever connection
- Yater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
I1.U!Ld
(OrrJ'l;l,L
.L/ 3n-Q d--
Date