HomeMy WebLinkAboutPermit Building 1991-8-28
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RESIDENTIAL .
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
N/A
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ASSESSORS MAP'
LOT:
OWNER'
Lochaven Partners
ADDRF"'"
1199 N. Terry St.
CITY'
Eugene
DESCRIBE WORK: Mobile Home set up
NEW
x
REMODEL
.
97402 M
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.- Concrete strinl!ers - Accessorv Value $ 1'~
DI!~L1SH . OTHER 'M.H. Value tit~~-
, ,- . . .. /1 J')<tC.;
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SPRINGFIELD
BLOCK'
STATF'
OR
JOB NUMBERg{()11/)
225 Fifth Street
Springfield, Oregon 97477
Auf" .
. TAX LOT: N/A A\9:.tiJ!
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ADDITION
SUBDIVISION'
Lochaven
PHON~'
688-9123
ZIP:
CON ST. .
CONTRACTOR'S NAME ADDRESS . CONTRACTOR'
GENERAL: Ernie & Son's 87922 LaPorte Dr.. EUll. 41497
PLUMBING: Harrison Construction 1441 N. Hwv. 99. 20-236PB
MECHANICAl' Ernie & Son's 87922 LaPorte Dr.. EUl!. 411,97
ELECTRICAl'
Heritaee Electric
OUAD AREA: H2 f\ 1\)) .
. OF BLDGS: \
OCCY GROUP' t:- ~
. OF STORIES: \
WATER HEATER: _f' )
855 W. 24th
EXPIRES PHONE
2/2/92 484-6505
689-7762
2/2/92 484-6505
344-1500
20-280r./fi11.37
- OFFICE USE -
LAND USE: \ I(~
. OF UNIT~' \ - -
CONSTR. TYP~'
HEAT SOURCE: ~ f___
tf-.-/
RANGF'
FLOOD PLAIN'
ZONING CODE: -lJ)~
. OF BDRMS' -..2:>
SECONDARY HEAl:
SOUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. AIII.nspectlons reQuested before 7:00 3.m. will be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
D Site Inspection - To be made
aHer excavation, but prior to
setting forms.
!\1?Inderslab Plumbl..61Electrl~
~Mechanical - Prlo;~
1Z];A"00tlng - After trenches are
~ excavated;
D Masonry ~ Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placemen t.
D Underground Plumbing - Prior
to filling trench.
D Underlloor Plumblng/Mechanlcal
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
manltary Sewer - Prior to filling
\ trench.
rT7'O!::.torm Sewer - Prior to filling
u.t:::f !;-ench. .
cpwater Line - Prior to;f11l1ng
trench. ,
,
D Rough Plum.blng - Prior to
cover. '
-
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover. ..
D Rough Electrical - Prior 10
cover.
D 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 Wall I Calling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stova - After Installation.
D Insert - After fireplace approval
and Installation of unit.
D Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
rrzpSldewalk &,Drlveway - After
~ excavation Is. complete, forms
.and sub.base material In place.
D Fence - When completed.
D Straat Traes - When all required
trees are planted. r
D Final Plumbing - When all
plumbing work Is. complete.
D Final Electrical - When all
electrIcal work Is complete..
D Final Machan leal - When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building Is
completed.
D Othar
MOBILE HOME INSPECTIONS
CZOllOCkln9 and Set.up - Whan all
T ~Iocklng Is complete.
~'Umblng Connections - When
home has been connected to
water and sewer. .
. ~jectrfcSI Connection - When
blocking, set.up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
Rlnal - After all required
.Inspecllons are approved and,
porches, sklrllng, decks:.and
venting have been Installed.
.Lot faces
,
Lot sq. fig.
.
Lot Type
Interior
Lot coverage
Corner
Topography
Total height
"
I .
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Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM SO. FT.
X S/SO. FT. -
Main
Garage
Carport
I
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"HE PROPOSED WORK IN TH:
.HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
.If yes, this application must ba signed
and approved by the Historical
Coordinator prior to permit Issuance.
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Setbacks
HSE GAR ACC
SYSTEMS DEVELOPMENT CHARG~.lS9C,L
c:081.11 (B) ,~CJ,~
PLUMBING PERMIT
ITEM FEE
( ,
I P.L.
IN
Is
Iw
IE
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\lD\S
A5
AS
AS
'l~pO
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f)~, rJS
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pq ,75
15.'lS
5.2.:)
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APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permllls granted on the exprass condition thai the said
construction shall,ln all respects, conform to the Ordinance
adopted by the Clly of 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~lOcos.
I f\.:j () Plan Check Fee'
\8165 ~h~)J:J Date Paid:
To.tal V~lue Receipt Number'
Building Permit Fee I ~~ Received By:
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State Surcharge 30APJ
Total Fee (A) Plans Reviewed By Oato
Systems Development Charge Is due on all undeveloped
properties wlthl_n the City limits which are. being Improvod.
. ADDITIONAL COMMENTS
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By signature, I state and agree, that I have carefully examlnot.l
the completed application and do hereby certl ty that all
Intorl"Datlon hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
wllh the Ordinances of the Clly of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safely Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
projact.
I further agree to ensure that all required InspecUons are
requested at the proper time, that each address Is readable
from the sireet, that the permit card Is located at the front
of the property, and the approved set at plans will remain
on the site at all times during construction.
Signature ~ , "?1~
v
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Oat.,
VALIDATION: :f61.4..~ ~
RECEIPT NUM~_' t,' gj
DATE PAID l'?' . -[./
- 7}., --..... .
. AMOUNT RECEIV~, I/.u ..
RECEIVED BY ( lb. ,
- - ----
"
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permll
State Surcharge
Tolal Charge (C)
MECHANICAL PERMIT
Furnace
Exhaur.t Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unll
DrYln Vent
Mechanical Per:nll
Issuance
State Surcharge
Tolal Permit
(D)
MISCEl.LANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sldewal'( ~ ft
Curbcut
It
Demolition
State Surch.Hge
Total Mlscal,anec-us Permits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, Co 0, aod E Combined)
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SP.lFIELD
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 'l () \9_ liy JV\nl/t==:: VI ~~ \ ; K ,
Springfield, Oregon, Ci ty Job Number <-( If) I J (') -
o
Class A Manufactured Home. A manufactured home of not less than 24
~eet 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
a~d siding materials that are commonly used or compatible with site
bull t homes. /
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Class B Manufactured Home. A manufactured home of not less than 12
~eet 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
h~2JJ~~-,^-
Signature
Date
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