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HomeMy WebLinkAboutPermit Miscellaneous 1992-2-27 , - . .. 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 , .. 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.-- .. -, \ 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 " , '.~' I .. . 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. . . 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.':':'~~ ':.'. ':; .'::.: ~ . ~.:: ~~. . ~ ::- r,..~: ',~ C:'.': '::'~:. ~.: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' , < 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 qj,tD '"'t . ~ ~ .rLJ . . -'--. 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: