HomeMy WebLinkAboutPermit Building 1991-7-2
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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 ,~~
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N/A ()\ qOO
. TAX LOT'
SUBDIVISION'
Lochaven
,-;S
BLOCK'
LOT:
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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
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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,
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j
7
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. 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,
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AS
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PA,~
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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
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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
'.
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VALIDATION: gq /'l A
RECEIPT NUMBER :s r'-r
DATE PAID ,f I . ~ '4 I
AMOUNT RECEIVED~4 ,4tJ
RECEIVED BY l 6. ./
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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 ~ .
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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