HomeMy WebLinkAboutPermit Building 1991-5-31 (2)
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769 :.
Office: 726.3759 '
LOCATION OF PROPOSED WORK'
N/A
ASSESSORS MAP:
tf
LOT:
OWNER'
ADDRESS:
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK' Mobile Home set UP
NEW
x
REMODEL
ADDITION
.
SPRINGFIELD
4i.1e -
BLOCK'
,':;'
STAT~:
OR
. ' ./
JOB NUMBER ~()6213
225 Fifth Street
Springfield. Oregon 97477
, TAX LOT'
SUBDIVISION'
N/A ()) I ()(j
Lochaven
PHONE:
688-9123
~
\
ZIP' 97402
.- Coricr~te' stringers - Accessorv Value $ /3/[;./p
DEMOLISH" 'OTHER M.H. Value $ 3'),8/7.1("
. ,
_, ,\ I
'\ " CONST,
. CONTRACTOR'
EXPIRES
2/2/92
PHON'E
484-6505
689-7762
484-6505
344-1500
CONTRACTOR'S NAME ADDRESS
GENERA' . Ernie' & Son's 87922 LaPorte Dr..
PLUMBING: Harrison Construction 1441 N. HI<v. ,99
MECHANICA" Ernie & Son's
ELECTRICAl'
Heritage Electric
Eug. . 41497
I 20-236PB
87922 LaPorte Dr.. Eug.
855 \1. 24th
, . 20-280C/63137
411,97
2/2/92
- OFFICE USE -
QUAD AREA: \ "RI\J IN LAND USE: \ 1~6 FLOOD PLAIN'
. OF BLDGS' I . OF UNITS' \ ZONING 'CODE: 'L.Df<.
OCCY GROUP' ":K~ CONSTR. TYP~' . OF BDRMS' -:<:,
. OF STORIES: 1 HEAT SOURCE: \F~ SECONDARY HEAl:
WATER HEATER: _c;.. RANGF' p- SOUARE 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 Tempor~ry Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcal/
Mechanical - ~rlor to cover.
~ Footing - After trenches are
r- excavated.
D Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground P1':lmblng - Prior
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam ,- Prior to floor
Insulation or decking.
D Floor Insulation: - Prior to
decking,
~ Sanitary Sewer.;.... Prior to fIIllng
trench.
~ Storm Sewer -' Prior to filling
trench.
,
~ater Line - P~lor to IIl11n.g ,
trench. . .
. w' ~ .
o Rough Piumblng -' Prior to
cover.
REQUIRED INSPECTIONS
)
D Rough Mechanical... prior to
cover. .
\ .-
D Rough Electrical - Prior to
cover. '
o 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 Wail/Ceiling Insuletlon - Prior to
cover.
D Drywell - Prior to lap!~g" .
\ \
D Wood Slave - After Installa~on.
\
- \ '
D Insert - After flreplac~ approvel
and Installation of un.!t.
D Curbcul & Approach - After
forms are erected but prioi-:to .~.
placement of concrete. . '-. .
. .
, '\ .
~Idewalk & Drlvewey - After
excavation. is complete. forms
.and sub-base material in place.
D Fence - When completed.
o Street Trees"": When all required
trees are planted. . .
o Flnel 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.
D Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
0Blocklng end Set.Up - When all
blocking Is complete.
0Plumblng Connections - When
home has been connected to
water and sewer. [ t' .
~ Electrical ConnecU;;'.; - When
blocking, set.up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
IDFlnal - After all required
,Inspections ara epproved and,
porches, skirting, decks, and
venting have been Installed.
Lot faces
Lot sq, fig.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM SO, FT,
Main
Garage
~
Total Value
Building Permit Fee
State Surcharge
Total Fee
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhau,;t Hood
Vent Fan
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical ~er:nJt
Issuance
State Surcharge
Total Permit
Lot Type.
. THE PROPOSED WORK IN T:E' '.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER.
II yes, this application m st signed
and approved by the Historical
Coordinator prior to permit Issuance,
_ Interior
5:f! Corner
Panhandle
Setbacks
I P.L. HSE GAR ACC
IN
Cul.de.sac
W
~---
E
X $/SO, FT. = VALUE
3~<2lC1
)
(A)
FEE
FT.
FT.
,!J~
~ oS DO
oS .DO
LR I c:)
)
.3fl) lo?!L..
,~I.ro
(. fi.~
?A .5E5
SYSTEMS DEVELOPMENT CHARGE (SDCk
(B) !5l 04:-ru
(C)
'/S ,oU
:3 .'J-S
r)'~. (IS
N'
(D)
JJJi)
81. ,.Qe:;
1S,~
~5. c515
.qC)
_ 3,'10
Mobile Home
MISCEI.LANEOUS PERMITS
State Issuance
State Surcharge
Sldewal'( l ~/ ft
Curbcut ~ ft
Demolition
State Surch"rge
Total Mlscelianecus Permits (E)
......
~~J9~
TOTAL AMOUNT CUE (excluding electrical)
(A. B, C, 0, and E Combined)
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 Ordinan
adopted by the City of Sprlnglield, Includln the
Development Code, regulating the construct/on USQ of
buildings, and may be suspended or revoke at any lime
upon violation of any provisions of said din:H1ccs,
Plan Check Fee: ~
Date Paid: V
Receip,t Number'
ReC7
I/~ns Reviewed By Dato
Systems Development Charge is due on all undeveloped
properties within the City limits which are, being Improved,
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I further certlfy
that any and all work performed shall be done In accordance
with the Ordinances olthe City of Springfield. and the Laws
of the State of Oreg(;m pertaining to the work described
herein, and thai NO OCCUPANCY will be made of any
structure without permission of the Building 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 en5:ure 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 t e s te at all times dur~orSlrU~t10n.
Slgnat e Z~ ~m.lA b':"'A A "'-
VALIDATION:
RECEIPT NUMBER c90A Q
DATE PAin I \ ~ J).1- ,~
RECEIVED BY ~ .
-'-", --
SPRAIELD
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
that with the approval of the attached
manufactured homes will be placed at
Springfield, Oregon, City Job Number
Development Code, I understand
permits, on:c9f the'followipg
f"t,"::J. ~.h CA...Lk/\/
CtJ 1"6.~, Q
and agree
gr
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 wi,th. si te
built 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
- Vater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
Y)~dl/lAAj?M~~
Signa ture '
C)"/3//9/
Date