HomeMy WebLinkAboutPermit Miscellaneous 1992-2-27
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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 "i th the approval of the attached pe:~h,~.n:ff;.r.h~ollO"i.n~ 'L _
manufactured homes "ill be placed at rJ1 ~ t{).l)ll V''\ ')
Springfield, Oregon, City Job Number ~ ~<'~ .
o
Class A Manufactured Home. A manufactured home of not less than 24
feet in "idth and 16% (not less than 2:12) roof pitch, "ith exterior
dimensions enclosing a space of at least 960 square feet, "ith roofing
and siding materials that are commonly used or compatible "i.th site
built homes. ,
o
Class B Manufactured Home. A manufactured home of not less than 12
feet in "idth and 16% roof pitch, "ith exterior dimensions enclosing a
space of not less than 500 square feet, "ith roofing and siding
materials that are commonly used or compatible "ith site built homes.
I further state, by my signature belo", that I have been provided "ith the
follo"ing information:
- Mobile home blocking
- Sanitary se"er connection
- Yater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
1- - 2.:7 -'1 V-
Date
. Lot (aces t' ' Lot Type .
lot sq: flg. Interior I P.l.
IN
Lot coverage Corner Is
Topography Panhandle I.w
Total height Cul.de.sac IE
Wit,..,.
. _ J
THE PROPOSED WORK IN THE'
'HISTORICAL DISTRICT, OR ON '
'THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
HSE GAR ACe
BUILDING PERMIT
ITEM sa. FT.
X $/sa. FT. =~V LlJr., , , , '
",- QA 2
, -- !;JCJ1C..J
Main
Garage
Carport
,
, APPROVEr,'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted 'on the express condition thai the said
construcllon shall,ln all respects, conform to the Ordinance
ado pled by the City of Sprlnglleld, Including the
Development Code, regulallng the construction and uso of
buildings, and may be suspended or rovoked at any lime
upon violation of any provisions of said ordlnnnccs.
~ Plan Check Fee:
~(o. .' - . Dale Paid:
Total Value
Receipt Number'
Building Permit Fee l.<t~ Received By:
State Surcharge PJ)q
Tolal Fee (A) Plans Reviewed By Dato
SYSTEMS DEVELOPMENT CHARG~~,SCt ,)
(B) ~~
PLUMBING PERMIT
ITEM
FEE
r
Fixtures
Residential Bath(s)
Sanitary Sewer
N'
FT.
A~
~
Water
FT.
FT.
Slorm Sewer
Mobile Home
Plumbing Permll
State Surcharge
f) 5.00
3,'lS
'1 X,15
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur,1 Hood
Vent fan
N'
Wood Stove/lnsert/Flreplace Unll
Dryor Vent
"'''echanlcal Pel':nlt
Issuance
State Surcharge
Total Permit
(D)
Jb-
MISCEI.LANEOUS PERMITS
Mobile Home
m.$
I S!?S
:s.~
rin.rGS
State Issuance
"
State Surcharge
Sldewal ( --2.1::1t
Curbcut
It
Demollllon
State SurchClrge
,.
Total Mlscel,anec-us Permits. (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C, 0, and E Combined)
('-n..'-'3q>ifJrl)
Systems Development Charge I.s due on all undeveloped
properties withl.n the City limits which are, being Improvod.
ADDITIONAL COMMENTS
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By signature, I state and agree, that I have carefully examlnod
the c,ompleted application and do hereby certify that all
Informatlon hereon Is true and correct, and I fu~ther cerlify
that any and all work performed shall be done In accordance
wllh the Ordinances of the City of Springfield, and the laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made 01 any
structure without permission of lhe Building Safety Division.
I further certify that only contraclors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree 10 ensure thai all required Inspecllons 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 properly, and the epproved sel of plans will remain
:V Slt~ at all times dur,lng construcllo,n. '
l~rec:;k dJ)r ~
Date . 2-- 2--1 -11.-- ..
-,
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VALIDATION: "'2.0'.,AI')
RECEIPT NUMBER UCL"'-t'L5'
DATE PAI(1 rD .r:!-J ) .l1W
AMOUNTRECEI~' q l'f q~
RECEIVED BY ~) l~
"
lOCATION OF PROPOSED WORK: ~'
ASSESSORS MAP' N/A \--'D.~'l r~
_J .,-
~l.\JI
"
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
lOT'
OWNER'
Lochaven Partners
ADDRESS'
CITY'
1199 N. Terry St.
Eugene
DESCRIBE WORt<. Mobile Home set up
NEW
x
REMODEL
ADDITION
CONTRACTOR'S NAME
Ernie & Son's
GENERJ" .
PLUMBING' Harrison Construction
MECHANICAl' Ernie & Son's
ELECTRICAl'
Herita2e Electric
SPRINGFIELD
BLOCK:
s
JOB NUMBER
q ID-'~
STAT'"
OR
225 Fifth Street
Springfield, Oregon 97477
(1Jq,r? T
TAX LOT: ~/ A ()l.aJOO
SUBDIVISION'
Lochaven
_ PHON'"
~~
(
ii7JfL
P
9~~~
ZIP'
.- Concrete strin2ers - Accessorv Value $11~
-~ '*'!!1-
DEMOLISH OTHER M.H. Value $ 1~ -
o Rough Mechanical - ~rlor to
cover.
D Rough Electrical - Prior to
cover.
D Electrical Servlcs -' Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wall 1 Ceiling Insulation - Prior to'
cover.
D Drywall - Prlor"to taping.
o Wood Stove - After Installation.
D Insett - After 'Irapiace approval
and Installation of unit.
D Curbcut.& Approach-,- Alter
forms Bre erected but prior to
placement of concrete.
fT'"11j\dewalk"&'Orlveway - Alter
~ excavaUon Is complete, forms
".and sub.base material In place.
o Fence - When completed.
o Strest T'ees '.,.;, ~hen .all required
trees are planted.. .
ADDRESS
eON ST.
eONTRACTOR .
41497
EXPIRES
2/2/92
PHONE
484-6505
689-7762
484-6505
344-1500
855 \~. 24th,
20-280C/63137
411,97
2/2/92
87922 LaPorte Dr., Eue.
\ ~t\)W ' - OFFICE USE -
QUAD AREA: lAND USE: \\~D FLOOD PLAIN'
. OF BLDGS: ., II OF UNITc.-. \ ZONING CODE: ~~
\:..'=-")
oecy GROUP' CONSTR. TYPF' . OF BDRM'"
. OF STORIES: , HEAT SOURCE: \!'- y ..? SECONDARY HEAT:
WATER HEATER: ?..J RANGE: f'.-/, saUARE FOOTAGE:
87922 LaPorte Dr.. Eug.
1441 N. Hwv. 99
20-236PB
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requesled before 7:00 a.m. will be
made the same workl~g day, Inspections requesled afler 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
D Site Inspecllon - To be made
aller excavation, but prior to
setting 'orms.
rVf:Yhderslab Plumbln
'"C'Mechanlcal - Prior
rlP'ootlng - After trenches are
\ excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms Bre
erected but prior to concrete
placement.
o Underground Plumbing - Prior
, to filling trench.
D Underfloor Plumblng/Mechanlcal
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
!':Panltary Sewer - Prior to 'filling
l trench. '
. ~ Storm Sewer - Prl'or to filling
\ trench.
ctPwater line - Prior to filling
T trench. .
,
D Rough Plumblng'- Prior to
cover.
o Final Plumbing - 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.
D Other
MOBILE HOME INSPECTIONS
!:ZPB,loCklng and Set.Up - When all
--c- blocking Is complete.
~IUmblng Connections - When
home has been connected to
water and sewer. .
, ~Iectrlcal Connection - When
blocking, set.up, end plumbing
Inspections have been approved
and the home Is connected to
the service panel.
fFlnal - After all required
,Inspections are approved and.
porches, skirting, decks, and
venting have been Installed.
.
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Fixture Unit Calculation
equivalents. NOTE: For
Table: ::"c,t~r d "'E'.' u;.:tures r,lJlti"j)l!ed by tl:lit
rE;;;:od~ls~ caleJ!2.te (only the ;:ET aedi tiorlal fi:.;t~:res.
Fhture Type
of Unit
F xtures Equi~alEl'ts
Fi:-: t'Jre
l'ni IS
3a t h tub. . . . . , . . . . . . , . . . . , . . . . . . . . . . . : . . . . .
Drinking fountain.........................
Floor drain........,......................
Interceptors for grease/oil/solics/elc....
Inteiceptors for sand/auto ~ash/e:c.......
Laundry tub/clothes \'Bsher................
Clothes vasher (3 or more).,..............
Mobile home park tiap' (1 per ~.~.)........
?eceptor for refrig/".:ater static::/~tc.....
Receptor for Co~~er si~k/dish~sh::etc.....
Shover, single stall......................
Shover, gang (per head)... ..... ......,. ...
Sink, bar, com:T:erc:lal.....................
Sink, commercial/industrial/etc...........
Urnial, s tall/l.'all. ... . . .. . . .. . . .... .. . . . .
Vash basin/lavatory, si~gle..,............
Vater closet, public installatic~.........
Vater closet, private,.. .,.... .,.........,
Miscellaneous: ..........
2
1
2
3
6
, .2
6
6
1
3
2
1
2
3
2
1
6'
4
..........
..........
Total Units:
Total fixture units
x S13.25 each = Total Charge: $
Credit Calculation Table: 3ased C~ total ,alue of property at tirr,e of permit
application.
Year ']..:"'Hie:-:e.d
to the Cit.v
Credit per $1,000
,?ssessed va1ue
l~64-
1979
1980
1981
1982
1983
1924
1985
1986
1987
1988
1989
1990
$2.66
$2.64'
$2.53
$2.41
$2.19
$2.04
$1.69
$1.35
$1.15
$0.92
$0.59
$0.23
r:ate
.. s t-o}3LO
r.ssEssed Val t:e
= S
Credit
Total Credit
Metropolitan .
Wastewater
Managernent
Commission
c.':':'~~ ':.'. ':; .'::.: ~
.
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~.:f'.r v_.,..-ft;t~f ~;.: =.'::!!:"".,".f
5::. ~:;!:';7.-:::' '.;',t.: ~f. =t:':::";:.~
C',':; ~i.'~:..-~;';';'~~': .~:~.: :~'::-.
t:.'.! ..~~:!:.-:-l:.: C!.:::.:~ :':1 :,t:":!~"i:.f
!'~i;t\~~~~:~.l;.t; ~.; t~.~~C~::' ~~:~~ il ;"~~.~;
Fi:=i'H A;.~D A STREEi'S - S;:r:,::-~G.F:~LD CJTY J-;;'.LL - ~;:R;;....Gr:ELD, Cr:,EGC!J S7:.7? TELEr-':-:G:,=: lEe::) 7':7.":::1
IWMC CO!<NECTION CHARGE
Building Address: / '1 ?~( fV1 f' ~ ~ U {(') [1. CI'J--(L\/'-+
Refere;\~umber: /70:3 ~ 7/....'5 . Tax, Lot Number:. /')(0/60
O':ner:\~_ D0JlO))p {\ ., i/~(tAf>l1,O R_~) (1
Address: \ \ C\ C\ \\ -:'\~,~ \: _ Phone Number: l OY-.r; - ,,\23
City: fA ')0'60 fUL ,State: COllY .D~BY\ Zip: q f\4ry2--
~ Residential Fee ($222.00)
$r0Q~ ~
___ Commercial Fee (new non-residential development/
remodel)
Total fixture unit charge (see reverse of this form)
$
SUBTOTAL
$
<$ r00 4::) >
Credit Due (see reverse of this form)
Receipt Number:
c!JfJ1;7c9-
S<6Lf-D
Received
$ \q4 ,~5
"1 ~
By:~mJ
TOTAL H~HC CHARGE
'Date Received:
Building Job Number:
9' / () '7 3 rJ'"
I'
,
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1'\" <;fl"'oO: ~
\\(!li\r:-~ocUS ~ .... ~
225 FlITH STREET 'we ~~9~~~~ VO,...A. _ c, jU:l("CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747-t9,a ...r:-9 ~'-' k-j?" n \Dn'~ CJ
INSPEcrION REQUEST: 726::'3769 1-~'~ \Y ~ City Job Number '-'\ 0 ~
OFFICE: 726-3759 ~~_^~~e~
1. J.~0Jll. OF ~Aw~~:2~\~~ ',"" 3. COMPLETE FEE SCHEDULE BELOII *",
lLi l\~ \ \ \\'" \( \ A ) ~ \~) A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION 010 I AA. Service Included:
--1..:L() ~ "I) YfJ...3 LA...) Items Cos t
:';:;::~:~~~f'~~i" :1;:,11:1;;;::::1:; : :::::
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work ,is suspended for Modular D"elling
180 days. Service or Feeder
2. CONTRAcrOR INSTALLATION ONLY
Electrical Contractor
Heritaoe Elect
Address 855 West 24th Avenue
City
Euoene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
S.-'IINGFIELD
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
Sum
A
$ 40.00 P:fj
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number 63137
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
12/27/
Signature of Supervising Electrician
~u W. ~'-' qcf S-5
. i' .'
Owners Name
Address
City Phone
O\INER INSTALLATION
The installation is being made on E.
property I o"n which is not intended
for sale, lease or rent.
Ovners Signature:
:~~::-~~--~~-~~~ 5.
RECEIVED BY: , _ J)lffi;.,
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
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation,
Sign/Outline Lightin2
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
~
J
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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.
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING, SAFETY DIVISION
225 No~th Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
I q B If VV\r 1~"vi5~ (jf-
*
~. . ~ .~
f' "!l '
Assessors Map #: l,tD'?JZ,7 J~ Tax Lot #: C(pIOO
O"ner: P:L~V'~ ~-&. pll,vYeJl C\011~~
Address: I q M~Aj)~~.if Phone it:-:J-t./lo -1.9fi)
City: ~'" State:!Jf- Zip: q7Lf77
Value of Fence: ~~~ ~
Fence Permit is $5.00
Contractor/Installer: ~/)VLeA/
",V.-
Address:
Phone it:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permit/application~ I agree to call for 8n inspection once my
fence has been constructe~ (726-3769). I also stated that all informati6ri on
this application/permit is co~rect and that I "as provided with the Springfield
Development code requirements for fence standards.
.l't w-J I} CrrhlY '(It.- .
~r~CLVCJU H>>L~
FOR OFFICE USE
7-/-97_
Date
Date of Application:
7 -/ -77_
JOB it:
Issued By: ~V~
q1D7~
Receipt #
?lob
Checked for Delinqupn~ies:
J::)'.~
~
Checked for Historic~l St~tus:
~
Total Amount Collected: