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HomeMy WebLinkAboutPermit Building 1991-7-2 "'- ~-, .\ . . SPRINGFIELD JOB N~MBER -9-1 [) 10 g 3 RESIDENTIAL PERMIT APPLICATION 225 Filth Street Springfield, Oregon 97477 Inspections: 726.3769 Orlice: 726.3759 ' Av-e.v-e1T LOCATION OF PROPOSED WORK: <;(/1 ~ f9c..Jt,w.p,v ASSESSORS MAP: N/A V)l1~~1 ,~~ --~ t1vP ~ N/A ()\ qOO . TAX LOT' SUBDIVISION' Lochaven ,-;S BLOCK' LOT: Ii. ~ ~ 688-9123 Lochaven Partners , PHON=' OWNER' 1199 N. Terry St. Eugene ADDRESS: CITY' ZIP' 97402 OR STAT=' '-. Concrete strin<!ers - Accessorv Value $ 1?<Jo~ DESCRIBE WORK' Mobile Home set uo "OTHER M.H. Value $ I/A'; <JIM' - x DEMOLISH ADDITION REMODEL NEW , CON ST. CONTRACTOR' PHONE 484-6505 689-7762 484-6505 344-1.500 EXPtRES 2/2/92 ADDRESS CONTRACTOR'S NAME Ernie & Son's 41497 87922 LaPorte Dr..: Eu"". GENERA' ' 20-236PB 1441 N. Hw". 99 PLUMBING' Harrison Construction 2/2/92 411,97 87922 LaPorte Dr., Eu<!. MECHANICAl' Ernie & Son I s " 20-280C/63137 855 IV. 24th Herita<!e Electric ELECTRICA' ' \R~J\o - OFFICE USE - OUAD AREA: LAND USE: \ \ sn FLOOD PLAIN' . OF BLDGS' \ . OF UNITS: \ ZONING CODE: (DD- OCCY GROUP: ~-<." "?1-\- t\J\ CONSTR, TYPF' . OF BDRMS' J . OF STORIES: \ HEAT SOURCE: ~G SECONDARY HEAT: WATER HEATER: 'l... RANGE: Z/. SOUARE FOOTAGE: To request an Inspection, you must cafi 726.3769, This Is a 24 hour recording. Afi inspecllons requested belore 7:00 a,m. will be made the same working day, Inspections requested alter 7:00 a.m, will be made the following work day. REQUIRED INSPECTIONS o Final Plumbing - When all plumbing work Is complete, o Rough Mechanical - Prior to cover, ' o Temporary Electric o Rough Electrical - Prior to cover. o Final Electrical - When all electrical work Is complete,. o Site Inspection - To be made after excavation. but prior to setting forms. .~nderslab PIU";blng/ lectrlca ~eChanlcal - Prior to cover, o Final Mechanical - When afi mechanical work Is complete. o Electrical Service - Must be approved to obtain permanent electrical power. ~oting - After trenches are excavated. o Final Building - When afi required Inspections have been approved and building is completed. o Fireplace - Prior to facing materials and framing Insp. o Masonry - Steel location, bond beams, grouting. o Framing - Prior to cover. o Other o Foundation - After forms are erected but prior to concrete placement. o Wail/Ceiling Insulation - Prior to cover, o Underground Plumbing - Prior to filling trench, o Drywafl - Prior to taping. MOBILE HOME INSPECTIONS o Underfloor Plumbing/Mechanical _ Prior to Insulation or decking, o Wood Stove - After Installation. , . ~.Iocklng and 'Set.up - When all 9 blocking Is complete, u9PIUmblng connec.lions - When p home has been connected to water and sewer, .' ' , , o Post and Beam - Prior to floor Insulation or decking, D Insert - After fireplace approval and Installation of unit, o Floor Insulatiorr - Prior ,to decking, ~nltary Sewer - Prior to' filling' (/) trench, ~~ Storm Sewer ~ Prior to filling ~ trench, , ,. ~r-A Waler Line - prior to filling ~ trench. . \ . O Rough Plumbing - 'Prior to cover, 1 , . I . o Curbcut & Approach - After forms are erected but prior to placement of concrete, ~ldewalk &.Drlveway - Alter excavation Is complete, forms .and sub.base material In place, ~Electrfcal Connection - When blocking, set.up. and plumbing " inspections have been approved and the home Is connected to the service panel, ~nal - After ali required Lf-1~~_~peCtlOnS are approved and porches, skirting, decks. and venting have been Installed, o Fence - When completed, l77i Street Trees - When all required ~ trees are pla~,ed. . Lot faces Lot Type Lot sq. .ltg: Interior Lot coverage Corner Topography Total height Panhandle Cul.de.sac , I BUILDING PERMIT ITEM sa. FT, . j 7 ~ , . '-... . 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, I P.L. IN Setbacks HSE, GAR ACC I I S W IE Main X $/SO, FT, = VAL! ~ lip Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) ...... SYSTEMS DEVELOPMENT CHAR~jSDCJ. A (B) I I?>:-r-r PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer N' Water FT. FT, FT, . Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhau:1t Hood Vent fan N' Wood Stovellnsert/Flreplace Unit Drycr Vent ' Mechanical Permit Issuance State Surctlarge Total Permit (D) MISCEI.LANEOUS PERMITS Mobile Hume State Issuance State Surcharge Sldewal'( rf:J() It Curbcut (JJ It Demolition State Surchc:-rge Total MlscellaneC'Us Permits (E) TOTAL AMOUNT IDUE (excluding electrical) (A, B, C, D, and E Combined) FEE ,Q:S, a:J AS ~J5~ ~ ~ <is, '1S cD , PA,~ ? S /)5 15& ~~ , , , APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that lt~e-SaJd construction shall, in all respects, conform to the Ordin co adopted by the City 01 Springfield, Includ the Developmcnt Code, regulating the constructlo nd uso 01 buildings, and may be suspended or rcv d at any tlmo upon violation of any provisions of ordinancos, Plan Check Fep' Date Paid: / ,/ ..,..Pf1lns Reviewed By Dato Systems Development Chargc Is due on all undeveloped properties withi.n the City limits which are. being improvod. ADDITIONAL COMMENTS , . "" By slgnat.ura, 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 certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield, and the Laws of the State 01 Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made 01 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 wtll 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 Sltf7" times during construction, Slgnature~LO 1r:(7-, ~~ '7-~-Cj.1 Date '. " VALIDATION: gq /'l A RECEIPT NUMBER :s r'-r DATE PAID ,f I . ~ '4 I AMOUNT RECEIVED~4 ,4tJ RECEIVED BY l 6. ./ " ,...- - ., .~,. .\, ..4_-' \. . . SPRINGFIELD 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 with the approval of the attached ~rm~'ts, 0 of ~h.lt.fo~low~g manufactured homes will be placed at Dr D(lJII11J-fA.J Springfield, Oregon, City Job Number ~/) n ~ . 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 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 Signa~12. ~!fP^ 7-.;;.-9/ Date