HomeMy WebLinkAboutPermit Building 1992-6-8
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".'i ~-~~.ESIDENTIAL ..
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759'
ASSESSORS MAP: N/A
LOT: /4- BLOCK:
OWNER' Lochaven Partners
ADDRESS' 1199 N. Terry St.
CITY' Eugene
DESCRIBE WORK' Mobile Home set UP
NEW X REMODEL ADDITION
SPRINGFIELD
--2-
STATE:
OR
JOB NUMBER -3ln~
225 Fifth Street
Springfield, Oregon 97477
Avf" .
. TAX LOT: N/A t)f_ JDt'l
SUBDIVISION'
Lochaven
PHONE:
"" .
688-9123 ~
ZIP' 9740~t~
DEMOLISH
.- Concrete stringers - Accessorv Value
OTHER M.H. Value $t1DCfl.5
/
$ 17 t.Jo.-
87922 LaPorte Dr.. Eug.
CON ST.
CONTRACTOR'S NAME AODRESS ,CONTRACTOR'
GENERA' . Ernie & Son's 87922 LaPorte Dr.. EUll. 41497
PLUMBING: Harrison Construction 1441 N. Hwv. 99 20-236PB
ELECTRICAl'
Heritage Electric
MECHANICAl' Ernie & Son's
OUAD AREA'
\ Rt\) 0
. OF BLOGS:
\
~~
,
OCCY GROUP'
. OF STORIES:
WATER HEATER: _7 ./
855 I,. 24th
41..
20-280Cf631'J7
411.97
EXPIRES PHONE
2/2/92 484-6505
689-7762
2/2/92 484-6505
344-1500
- OFFICE USE -
HoD
\
LAND USE:
. OF UNITf"
CONSTR. TYPF'
HEAT SOURCE:
~'(.,
tf/
FLOOD PLAIN'
ZONING COOE:-lDl2-
. OF BDRMS: :-=--.
SECONDARY HEAT'
SQUARE 'FOOTAGE: ~
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.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
arter excavation, but prior to
setting forms.
mJ!V,derslab Plumbl I lectrlcal
~echanical - Prt r .
~FOOtlng - After trenches are
~ excavated.
D Masonry - Steel location, bond
beams, grouting.
D Foundation, - After forms are
erected but prior to concrete
placemen t.
D Underground Plumbing - Prior
to filling lrench.
o Underfloor Plumblng/Mechanlcal
- Prior to Insulation or decking.
D Post end Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
~ Sanitary Sewer - Prior to filling -
~ trench.
. rf) Storm Sewer - Prior to filling
~... trench.
~ \-
Waler Una -::- Prior to filling
trench. .... _.
\. -" ;'.
D Rough Plumbing - Prior to
cover.: ". ..,
. \ '\.
\
RANGE:
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover. .
D Rough Electrical - Prior to
cover.
o Electrical Servlca - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
D FramIng - Prior to cover.
D Wail/Ceiling Inaulellon - Prior to
cover.
o Orywall - Prior to taping.
o Wood Stove - After Installation.
D Insett - After fireplace approval
and Installation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
r:n'lSldewalk &.Orlveway - After
LV excavation Is complete, forms
.and sub-base material In place.
o Fence - When completed.
,-
o Street Trees -; When all required
trees are planted.. . .
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 BuildIng - When all
required Inspections have been
approved and building Is
completed.
D Other
MOBILE HOME INSPECTIONS
. r'I{ Blocking and .sat.up - Wh'en all
~ blocking Is complete.
~ PlumbIng Connections - When
home has been connected to
water and sewer. .
. ~Iectrlcal Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
~Inal - After all required
.Inspecllons ara approved and.
porches, skirting, decks; and
venting have been Installed.
Lot faces Lot Type ..
, I P.L.
Lot sq. Itg. Interior IN
Lot coverage Corner Is
Topography Panhandlo Iw
Total height Cul.de.sac IE
.. PROPOSED WORK IN 'f.-o;,,:'
.HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
.11 yes, this application must be signed
and approved by tha Historical
Coordinator prior to permit Issuance.
Setbacks
HSE GAR ACC
BUILDING PERMIT
ITEM SO. FT.
X S/SO. FT.
_,)^A~,..,..
~IU::O
Main
Garage
Carport
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 Clly of Sprlnglteld, Including the
Development Code, regulating the construction and use 01
buildings, and may be suspended or revoked at any time
upon violation of any prOVisions of said ordln~nccs.
~I Plan Check Fee:
~. Date Paid:
Tolal Value
Recel pi N umb~u'
Building Permit Fee
\ :4~ Received By:
State Surcharge
Total Fee (A) ?fJ.9::b Plans Reviewed By Dato
SYSTEMS DEVELOPMENT CHARGEJSDCl _
'8J-'1.~~ !
(B)
PLUMBING PERMIT
ITEM
FEE-
Fixtures
I I
Resldentl~r Bath(s)
N'
AS
as
.AS
Sanitary Sewer
Water,
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
'1 S pu
3,')5
f) '6 . f)S
Stale Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhau::.t Hood
Vent Fan
N'
Wood Stove/lnsertlFlreplace Unit
Dryor Vent
Mechanical Pel':T1Jt
Issuance
State Surctjarge
(7
Tolal Permit
(D)
MISCEl.LANEOUS PERMITS
Mobile Hume
./
BJ./jS
'1 S .'l")
545
IQ.t6
State Issuance
State Surcharge
Sldewal< ~ It
Curbcut
It
Demolition
State Surch2rge
Total Mlscel,anec'Js Parmlls (E)
TOTAL AMOUNT VUE (excluding electrical)
(A, B, C, 0, and E Combined)
,5wlo~20
Systems Development Charge Is due on all undeveloped
properties wlt~ln the City limits which are, being Improved.
. ADDITIONAL COMMENTS
f i
. ,
By signature, I state and agree, that I have carefully examlnou
the completed application and do hereby certify that all
)nforl'flatlon hereon Is true and correct. and I furth~r certify
that any and all work performed shall be done In accordance
with the Ordlnances.of the City of Springfield, and the Laws
of the State of Oregon pertaining to tha work described
herein, and thai NO OCCUPANCY will be made 01 any
structure without permission of the Bufldlng 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 slle at all times during construction.
Slgnatur~ Ju.AJo...." ~ ~~. - "'-----'
~L::-/h---n<2-o1-.
Oat.... . - -- F-- c:. 'I
VALIDATION:
RECEIPT NUM~ER
DATE PAID l 0 . ~ '
AMOUNT RECEI~ "8.
RECEIVED BY ('7)~
I
,(3
..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 attache9 permits, one of the folloving.--
manufactured homes vill be placed at 'lollS- L(')()ry,,,/c.Y\ )'41Jl:::..
Springfield, Oregon, City Job Number ~
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 vlth 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
- Vater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
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'~ifna ture -
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Date