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HomeMy WebLinkAboutPermit Building 1992-4-30 to- \. \ -. 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 /- . \ . 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