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Home My WebLink AboutPermit Building 1991-8-7 \ .'-'"~.. ! 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 ~~'6.?;/1- . 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 \ (\ ~~ )/';;0_:" _ ..,_ / \utgnature .! /7 /9/ Date ,