HomeMy WebLinkAboutPermit Building 1991-10-4
,8Et5IDENTIAL .
. PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759'
LOCATION OF PROPOSED WORK:
N/A
ASSESSORS MAP'
I~
LOT:
OWNER'
ADDRESS'
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE, WORK' Mobile Home set UP
NEW
x
ADDITION
REMODEL
SPRINGFIELD
BLOCK'
STAT'"
OR
JOB NUMBER
qlOJil
225 Flflh Street
Springfield, Oregon 97477
Au~.
N/A
QLclnt1J
TAX LOT:
SUBDIVISION'
Lochaven
ZIP'
PHONE:
688-9123
DEMOLISH
.- Concrete strin~ers - Accessorv Value $/~-
OTHER M.H. Value $H.(O');-
,
CONST.
CONTRACTOR'S NAME ADDRESS . CONTRACTOR'
GENERA' . Ernie & Son I s 87922 LaPorte Dr.. Eu~. 41497
PLUMBING: Harrison Construction 1441 N. Hwv. 99 20-236PB
MECHANICAl' Ernie & Son I s 87922 LaPorte Dr.. Eu~. 411.97
/
Heritaee Electric
ELECTRICA' .
OUAD AREA:J Q ~ ll.")
. OF BLDGS:_'
OCCY GROUP: -f _ ~
I
. OF STORIES:
WATER HEATER;_r'
, ----
855 W. 24th
EXPIRES
2/2/92
PHONE
484-6505
689-7762
484-6505
344-1500
20-280C/63137
2/2/92
- OFFICE USE -
LAND USE: _1 { f)f>
. OF UNITS: . {
CONSTR. TYPE:
HEAT SOURCE: _Fe...
RANGE:
f.-.
FLOOD PLAIN'
ZONING CODE: -WP --,
. OF BDRMS' -3
SECONDARY HEA-r.
SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will be
made the same working day. Inspections requested after 7:00 a.m. will be made the ~olJowlng work day.
REQUIRED INSPECTIONS
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
~satllng forms. _~
, Underslab P, lumblng ectrlcall
Mechanical - Prior 0 cove
~Ung - After trenches are
excavated. I
D Masonry - Steel location, bond
beams, grouting. ~
D Foundation, - After forms are
erected but prior to concrete
placemen t.
D Undergroun'd Plumbing - Prior
to filling trench.
D Underlloor Plumblng/Machanlcal
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
~SBnllary Sewer - Prior to filling
~ trench.
. ~Iorm Sewer - ~rlor to filling'
\ ~rench.
~ater LI~e - Prior to filling .
F t-renCh.
D Rough Plumbing - Prior to
cover.:
D Rough Machanlcal - Prior to
cover. .
D Rough Electrical - Prior to
cover.
o Electrical Servlca - Must 'be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior 10 cover.
D Wail/Ceiling InsuleUon - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stova - After Installation.
D Insert - After fireplace approval
and Inslallallon of unit.
D Curbcut & Approach - Aller
forms are erected but prior to
placement of concrete.
~Idewalk &.Drlvaway - After
excavation Is complete. forms
.and sub.base material In place.
D Fence - When completed.
D Straat Treas ~ 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 sll
required Inspections have been
approved and building Is
completed.
D Other
MOBILE HOME INSPECTIONS
. i'7"i2locklng and .Sat.up - Whan all
r:r:=::r blocking Is complete.
~Umblng Connections - When
home has been connected to
water and sewer. .
FE'eclrlesl Connection - When
blocking, sat.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
~Inal - Afler all required
.Inspectlons ere approved and.
porches, skirting, decks. and
venting have been Installed.
~
.
,..-~.
. THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON'~" ,.
THE HISTORICAL REGISTER?
.If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
. Lot faces Lot Type ~ Setbacks
I P.L. HSE GAR ACC
Lot sq. Itg.. Interior
Lot coverage Corne r N
Topography Panhandlo S
Iw I
Total height Cul.de.sac
, IE I
,. ., ,
BUILDING PERMIT
ITEM SO. FT.
X S/SO. FT. - \~~
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, con'orm to the Ordinance
adopted by the City of Sprlnglleld, 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 ordin~Jncos.
.1!.llil Plan Check Fee:
& A~~~ Date Paid:
Total Value
/ . fJ:) Receipt Number'
Building Permit Fee 1-- Received By:
State Surcharge ~r\',C1 ~
Total Fee (A) Plans Reviewed By oalO
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) ~\~ ,to2
PLUMBING PERMIT
ITEM
FEE
"
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
FT.
15
QIS
4:5
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
1'5.00
3/l3
!)K/b
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur.t Hood
Vent Fan
N'
Wood Stove/lnsertlFlreplace Unit
Dryor Vent
Mechanical per:nl t
Issuance
State Surcharge
Total Permit
_/'
(j)
.~
0,$...':"
~
(D)
MISCEI.LANEOUS PERMITS
Moblla Home
State Issuance
State Surcharge
Sldewal( l DC)' It
Curbcut
It
Demolition
State Surchi:orge
Total Mlsceloanecus Permits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C, 0, and E Combined)
<~t;)rJ.Jp{p
Systems Development Charge Is due on all undeveloped
properties wlthl,n the City limits which are, being Improved.
. ADDITIONAL COMMENTS
/. I
,. .
.,'.
By signature, I state and agree, that I have carefully examlno<.J
the completed application and do hereby certl'y that all
Information hereon Is true and correct, and I further certify
that any and all work perlormed shsll be done In accordance
with tha Ordinances of the City of Springfield, and the Laws
of the State of.Oreg<?n pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
struclure without permission of the Building Safely Division.
I further certify that only contractors 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, thst each address Is readable
from the sireet, that the permit card Is located at the front
of the properly, and the approved sel of plans will remain
on the site at all times during construction.
Signature >>A,. ;;:tt~~ ./
Date
~
VALIDATION: f\' I c:.?\ A
RECEIPT NUMBER .'r:J.. \. '6)~'
DATE PAID UJ ~.q ('
AMOUNT RECEIVE~^ .F)~\O.I'L\
. RECEIVED BY ( -0 ~ ~
- -
.,
c:........
.
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 with the approval of the attached permits, one of the following
manufactured homes will be placed at loS ~ L~nQ \11=:n AD F.,
Springfield, Oregon, Ci ty Job Number C{ 10 I r.r.J.,
o
Class A Manufactured Home. A manufactured home of not less than 24
feet 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
and siding materials that are commonly used or compatible with site
buil t homes.
o
Class B Manufactured Home. A manufactured home of not less than 12
feet 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
\J.~LIN~
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