HomeMy WebLinkAboutPermit Building 1991-8-7
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RESIDENTIAL .
PERMIT APPLICATION
SPRINGFIELD
C\\nt1!t2
JOB NUMBER
Inspections: 726.3769
Office: 726.3759
225 Fifth Street
Springfield, Oregon 97477
Aut" .
LOCATION OF PROPOSED WORK:
N/A
I
'-
fJlrxv
. TAX LOT: N/A
ASSESSORS MAP'
Lochaven
LOT'
BLOCK'
SUBDIVISION'
~
Lochaven Partners
1199 N. Terry St.
Eugene
688-9123
OWNER'
ADDRESS:
CITY'
PHONE:
OR
ZIP' 97402
STATF'
DESCRIBE WORK: Mobile Home set UD
.- Concrete strin~ers - Accessorv Value $/7~
DEMOLISH OTHER M.H. Value $ ':;;~?cI7-
x
NEW
REMODEL
ADDITION
CON ST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERA' . Ernie 1\ Son's 87922 LaPorte Dr.. EUIl. 41497
PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB
EXPIRES PHONE
2/2/92 484-6505
689-7762
2/2/92 484-6505
144-1500
Ernie & Son's
Heritalle Electric
87922 LaPorte Dr.. EUIl.
411.97
MECHANICA' .
ELECTRICAl'
855 W. 24th
20-280C/63137
\ 'QS~)uJ - OFFIl\~ -
OUAD AREA: LAND USE: 0 FLOOD PLAIN'
. OF BLDGS: \ . OF UNITS' I ZONING CODE: L\)~
OCCY GROUP: ~~ CONSTR. TYP~' . OF BDRMS: '2..,
. OF STORIES: \ HEAT SOURCE: FY., SECONDARY HEAl:
WATER HEATER: 9.J RANGE: 9_ 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.
REQUIRED INSPECTIONS
D Tempor~ry Electric
D Rough Machanlcal - Prior to
cover. .
D Final Plumbing - When all
. plumbing work Is complete.
D Site Inspection - To be made
after excavation, but prior to
setting forms.
~ Underslab PIUmblng/~
LQ Mechanical - Prior t~
D Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work Is complete..
o Final Mechanical - When all
mechanical work Is complete.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
rf1 Fooling - After trenches are
UJe1 excavated.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
D Flraplsca - Prior to facing
malerlals and framing Insp.
D Masonry - Steel location, bond
beams, grouting.
D Framing - Prior to cover.
D Other
D Foundation - After forms are
erected but prior to concrete
placement.
D Wail/Ceiling hisulatlon - Prior to
cover.
D Underground Plumbing - Prior
to filling trench.
D Drywall - Prior ti:> taping.
MOBILE HOME INSPECTIONS
D Undarfloor Plumblng/Mechanlcal
- Prior to Insulation or decking.
D Wood Stova - After Installation.
r:ff1 Blocking and Sat.Up - When all
I blocking Is complete.
D Post and Baam - Prior to floor
Insulation or deckIng.
D Insert - After fireplace approval
and Installallon of unit.
cp Plumbing Connections - When
home has been connected to
water and sewer. .
D Floor Insulation - Prior to
decking.
~ Sanitary Sewer - Prior to filling
~ trench.
D Curbcut & Approach - Afler
forms are erected but prior to
placement of concrete.
. r5@ Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the servlca panel.
f\1'i) Sldawalk & .Orlvaway - After
~ excavation Is complete, forms
.and sub-base material In place.
rfl Storm Sewer - Prior to filling
~ trench.
rr1'7 WalerLlna - Prior to filling
~ trench.
D Fence - When completed.
f"11 Final - After all required
~.lnspecUons are approved and.
porches, sklrtlng, decks""and
venUng have been Installed.
D Rough Plumbing - Prior to
cover.
D Street Trees -..: When all required
trees are planted. .
t 'r7
.THE PROPOSED WORK IN THE" .
. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
'If yes, this application must be signed
and approved by tha Historical
Coordinator prior to permit Issuance.
lot faces Lot Type . Setbacks
1p.L. , ACC I
Lot sq. Itg. Interior HSE GAR
IN I
Lot coverage Corner
Is
Topography Panhandle --
Iw
Total height Cul.de.sac
. , IE 1('
L'
BUILDING PERMIT
ITEM SO. FT.
X S/SO. FT.
Mal.n
Garage
Carport
Tolal Value
Building Permit Fee
State Surcharge
Total Fee
- ~totR
'""~U
(A)
~f)..q 0
d' 64, L1
'q.rg:)
1.45
;:30 q~
SYSTEMS DEVELOPMENT CHARG~~DC)I\.-1
(B) :"Jf>5 d1
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s)
N'
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur.t Hood
Vent Fan
N'
Wood Slovellnsert/Flreplace Unit
Dryer Vent
Mechanical Per:nl t
Issuance
State Surcharge
Total Permit
(0)
MISCEl.LANEOUS PERMITS
Moblla HIJme
Slate Issuance
State Surcharge
Sldewal< \ ~I It
Curbcut
It
Demolition
State Surcherge
Total Mlscel,aneC<JS Permits (El
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C, 0, aod E Combined)
FEE
~C)
~c:,
&C)
'Is 00
~.')S
fJ<(', tJS
rfi
-~:~
\S.fP
.~3.ID
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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 of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordln~ncos.
Plan Check Fee:
Date Paid:
Receipt Numbe'"
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within tha City limits which are. belnu Improved.
. ADDITIONAL COMMENTS
By signature, I state and agree, that I have carerully examined
the completed application and do hereby certify thaI 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 of the City of Springfield, and Ihe Laws
of the State of Oregon perlalnlng to tha work described
herein, and thaI NO OCCUPANCY will be made of any
structura without permission of the Building Safety Division.
I further certify that only contraclors and employees who
are In compliance with OAS 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 raadable
from the sireet, that"the permit card Is located at the front
of the property, and the approved set of plans will remain
on the site at .all times during construction.
Signature M~_.L- -;f!.~~~~
,
Date
VALIDATION:
RECEIPT NUMBER 6)cJ1 ~ GI
DATE PAIP AI. 1),. '\ \ C\. C\ 1
. AMOUNT RECE~ Q!3S\n. ~'l
RECEIVED BY 'J'l LfY1 )
"'"J' ..
.
SPA_FIELD
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN 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 folloving
manufactured homes vill be placed at!nljlo L/,'(.Y\(\ \JCY\ \kV~.
Springfield, Oregon, Ci ty Job Number Li, 0 =r:J'0 .
D
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 vith site
bull t homes.
D
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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