HomeMy WebLinkAboutPermit Miscellaneous 1991-8-7
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SpAFIELD .,,, ..1.
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 vith the approval of the attached permits, one of the folloving
manufactured homes vill be placed at I'U./LI MfT 14 I/T:",h CT.
Springfield, Oregon, Ci ty Job Number q \ (')'/ .'2., ()
o
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 vi.th si te
built homes. ,
o
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
- Yater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
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S'gnature
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f/7/11
Date
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
tlf4040F ImttLAfr\' u'D:)Vv
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LEGAL DES~P':\ION
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~:~:~!.:.~~ '~'i<<
if york is not started v~na~~o days
of issuance or if ~ork is suspended for
.180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaoe Elect
Address 855 West 24th Avenue
Ci ty
Euaene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
Constr Contr. Number 53137
Expiration Date
12/27/
Signature of Supervising Electrician
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O~ners N~' e ' n f(J 1 JiLf\.J
. ILL
Ci ty Jl no AI 0 Phone IIJRK.
01INER :QsTALLATION -
Address
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~;~~--~-----~-1;1-
RECElt'f 11: Xj!JI -
RECEIVED BY: ( '/! Y1 .
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COMPLETE FEE SCHEDULE BELOII *
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included: y
3.
A,
1000 sq.ft. or less
Each.additional500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items
Cost
Sum
$ 85.00
$ 15,00
-1l $ 40.00 Jl)
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Ne~, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2,00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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.. RESIDENTIAL .
PERMIT APPLICATION
Inspeclions: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
N/A
:20
ASSESSORS MAP'
LOl:
OWNER:
Lochaven Partners
ADDRESS:
CITY'
1199 N. Terry St.
Eugene
DESCRIBE WORK' Mobile Home set UP
NEW
x
REMODEL
ADDITION
SPRINGFIELD
BLOCK'
STAT'"
OR
JOB NUMBER
q'DJ~l)
225 Fifth Street
Springfield, Oregon 97477
( /J((J? T
. TAX LOT: N/A
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DI Ckc:.a.J
SUBDIVISION'
Lochaven
PHONE"
~
97402 ~
688-9123
ZIP'
.- Concrete stringers - Accessorv Value $ 17~-.
DEMOLISH 'OTHER M.H. Value $ -;;1.(' S.Ji,-
o Rough Mechanical - Prior to
cover. .
D Rough Electrical - Prior 10
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cove:r.
D Wail/Ceiling Insulation - Prior to'
cover.
D Drywall - Prior 10 taping.
o Wood Stove - After Installation.
D Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - Afler
forms are erected but prior to
placement of concrete.
~Idewalk &.Drlveway - After
~xcavatlon Is complete, forms
.and sub-base material In place.
o Fence - When completed.
o Street Trees"": When all required'
trees are planted.
CON ST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERA' . Ernie & Son's 87922 LaPorte Dr.. Eug, 41497
PLUMBING: Harrison Construction 1441 N. Hwv, 99 20-236PB
EXPIRES
2/2/92
PHONE
484-6505
689-7762
484-6505
344-1500
MECHANICA' .
Ernie & Son's 87922 LaPorte Dr.. EUQ. 41497
Heritage Electric 855 IL 24th, . 20-280C/63137
2/2/92
ELECTRICA' .
\ 'Q\\)\O - OFFICE USE -
OUAD AREA: LAND USE: \\SO FLOOD PLAIN'
. OF BLDGS: ~~ . OF UNITS' ZONING CODE: m ~
OCCY GROUP: CONSTR. TYP'" . OF BDRMS:--....."">
. OF STORIES' \ ,./ HEAT SOURCE: Pc-. SECONDARY HEAl:
WATER HEATER: 9/ RANG'" ~/ 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 requesled afler 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
D Site Inspectlon - To be made
after excavation, but prior to
selling forms. ~
~nderslab Plumbing/ eclrlc
l Mechanical - Prior to c er.
D Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underlloor Plumblng/Mechanlcal
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
deckl ng.
rcJOsanltary Sewer - Prior to filling
\ trench.
r:-tStorm Sewer - Prl'or to filling
, trench.
~ater Line - Prior to filling
,trenCh.
o Rough Plumbl';-g - Prior to
cover.
o Final Plumbtng - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work Is complete.'
D 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
~ocklng and Set.Up - When all
----c- blocking Is complete.
~Iumblng Connections - When
~ ~ome has been connected to
water and sewer. .
~Iectrlcal Connection - When
blockIng, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
~Inal - After all required
,Inspections are approved and.
porches, skirting. dacks:"and .
venllng have been Installed.
,Lot (ace!,-' LOI Type.
, I P.L.
Lot 'sq. fig. Interior IN
Lot coverage Corner Is
Topography Panhandle Iw
Total height Cul.de.sac IE
BUILDING PERMIT
ITEM sa, FT.
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. THE PROPOSED WORK IN THE
'HISTORICAL DISTRICT, OR ON .'
.THE HISTORICAL REGISTER?
,
If yes, this application must ba slgn~d
and approved by the Historical
,
Coordinator prior to permit IssuancC;'.
Setbacks
HSE GAR ACC
X S/SO. FT. ~~834
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
a-~o
~
, ~n.cr?;
SYSTEMS DEVELOPMENT CHAR~(S)J<;),
(B) -,;;q \ q .':2\.[)
PLUMBING PERMIT
ITEM
Fixtures
Residential 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 Slove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Pe..:nlt
Issuance
State Surcharge
Total Permit
(D)
MISCEl.LANEOUS PERMITS
Mobile Hume
State Issuance
State Surch~~
Sldewal ( ~ It
Curbcut
It
Demolition
State Surcherge
-FEE
tJs
c9S
tJ5
f)~ CO
~~ 'IS
'7R. r;s
C?5
pf1 ,!l5
I~.'}:S
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\3.;l')
Total Mlscel,anecus Permits (E)
TOTAL AMOUNT DUE (excluding electrical) L..or{J-I~
(A, B, C, 0, aod E Combined)
,I .1
APPROVED-
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT I
This permit Is granted on the express condlllon that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield. Including t'he
Development Code, regulating the construction and usel of
buildings, and may be suspended or revoked at any tlmo
upon vlolatlonl of any provisions of said ordlnnncQs.
Plan Check Fee'
Date Paid:
Receipt Number.
Received By:
Plans Reviewed By Dala
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Systems Development Charge Is due on all undeveloped
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properties wlthl.n the City limits which Bre being Improved.
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. ADDITIONAL COMMENTS I
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By signature, I state and agree, that I have carefully examln,otl
the completed application and do hereby certify that 'all
,
Information he'reon Is true and correct, and I further certify
. I
that any and all work performed shall be done In accordance
I
with the Ordinances 01 the City of Springfield, and the La,ws
of the State of Oregon pertaining to the work described
herein, and that NO' OCCUPANCY will be made of Any
I
structure wltha:ut permission of the Building Safety Division.
I further certify that only contractors and employees vJho
are In complla1nce with OAS 701.055 will be used on this
project. .1
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I further agree to ensure that all required Ins pee lions Bre
reQuested at the proper time, that each address Is readable
from the street, that the permit card Is located at the Irdnt
I
of the properly. and lhe approved set of plans will remain
on the site at all times durIng construction. I
JJuAA )1. (};u ~~
Signature
Oat"
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VALIDATION: ~'::::ir-1 ;
RECEIPT NU~l~ Q{ y( ~ 1l .J :
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AMOUNT REC E _ ::=)~4
RECEIVEDB . _ . _~) !
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SpaF'E~D
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD. OR 97477
(503) 726,3753
September 9, 1991
CERTIFIED LETTER
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Lochaven Partners
1199 N. Terry Street
Eugene, Oregon 97402
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RE: Temporary Occupancy
Dear Marna:
On August 30, 1991, a Temporary Occupancy vas granted to you to occupy the
manufactured home located at 1944 McTavish, Springfield, Oregon. As a condition
, of the Temporary Occupancy, you are required to complete the folloving items no
later than September 30, 1991.
1. Storm drains need .to be installed and inspected,
2, The.required storage structure as noted on your plot plan needs to be
installed.
3. The street trees as noted on your plot plan need to be planted,
4. The required skirting and vents need to be installed.
An inspection vill be conducted on October 1, 1991 to ensure compliance, If the
items are not completed by that date, the Temporary Occupancy vill expire.
If you have any questions; please, phone me at 726-3790.
fi~cerelY ,
~Dcx)
Lisa,Hopper
Building Services Representative
~
SENDER:
. Complete items 1 end/or 2 for additionsl servicss.
. Complete items 3. end 40 & b.
. Print your name and address on the feverse of this form 80 that we can
return this card to you.
. Attach this form to the front of the rneilpiecD, or on the back if space
doos not permit.
. Write "Roturn Receipt Requested" on the rnailpiece below the article number
. The Return Receipt Fee will provide you the signature of the person delJverec
to end the date of delivery.
3. Article Addressed to:
I also wish to receive the
following services ffor an extra
fee):
1.XlK] Addressee's Address
Lochaven Partners
1199 N. Terry Street
Eugene, Oregon 97402
2. 0 Restricted Delivery
Consult Dostmaster for fee.
148. Article Number
P760404526
4b. Service Type
o Registered 0 Insured
)@ Certified ~- 0 COD
o Express Mt4 " b Return Receipt for
~ I Merchandise
7. Date of Delivery
9-/Z_9( _
8. Addressee's Address (Only if requested
and fee is paid)
af/1YlG ~ t:i;>
(Rf':) 1944 ikTavi s~ /'
'L_____~ ~~~__L:.._
~ sr~nature (Addresseej-
6. Signature (Agent)
PS Form 3811. November t990 .U.S. GPO~ DOMESTIC RETURN R:EIPT
UNITED STATES POSTAL SERVICE
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Official Business
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PENAL TV FOR PRIV ATE
USE. $300
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Print your name. address and ZIP Code here
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