HomeMy WebLinkAboutPermit Building 1991-4-10 (2)
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RESID.ENTlAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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SPRINGFIELD
LOCATION OF PROPOSED WORK: .;to 70 Dr) ,v /!.Ie L { l'
ASSESSORS MAP' N/A I (}(}d~'7 f:-\
3/ BLOCK' ..3_
LOT'
OWNER'
Lochaven Partners
ADDRE"'"
1199 N, Terry St.
EURene
CITY:
DESCRIBE WORt<. Mobile Home set UD
NEW
x
REMODEL
ADDITION
CONTRACTOR'S NAME
Ernie 1\ Son's
GENERA' '
PLUMBING: Harrison Construction
MECHANICAL: ~r.n~.~ & Son I '"
ELECTRiCAL'
Herita2e Electric
QUAD AREA'
\ R ~\0
\
\(~ -\- ~ \
\IN
. OF BLDGS'
OCCY GROUP'
. OF STORIES:
WATER HEATER:_f.,l
STAT~'
OR
~OB NUMBER' q I [)IJ ~
225 Filth Street
Springfield, Oregon 97477' .
IJ r~lIe
TAX LOT: ---1!/ A
(T) ~ 4NJ
SUBDIVISION'
Lochaven
PHON~'
688-9123
ZIP'
97402
.- Concrete strin'lers - Accessorv Value ~HI ('{Y),
,(
DEMOLISH ,OTHER M.H. Value $4S/.oooeQ.
.
D Rough Mechanical - Prior to
cover.
['"""Q Rough Eloctrlcal - Prior to.
I..,.c< cover. qCV\~
D Elactrlcal Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to racing
materials and framing Insp.
00 Framing - Prior to cover.
o...ClA~
D Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stove - Alter Installation.
D Insert - Alter fireplace approval
and Installation of unit.
o Curbcut & Approach - Alter
forms are erectedlbut prior to
placement or concrete.
Q1 Sidewalk &.Drrveway - Alter
lp" excavation Is complete. forms
.and sub.base malerlal In place.
o Fence - When completed.
EQJ Street Trees ~ When all required
trees are planted. , . .
"J:j ," ,
ADDRESS
87922 LaPorte Dr, "
CON ST.
CONTRACTOR'
Eu\!. 41497
20-236PB
EXPIRES
2/2/92
PHONE
484-6505
689-1762
484-65Qi...
344- I 2QlL
855 \~. 24th
20-280CI63137
411.97
2/2/92
~7922 LaPorte Dr.. 'Euo.
- OFFICE USE -
LAND USE: \ \t()
\
. OF UNITS'
CONSTR., TYPE:
r'E..
e...
1441 N. Hwv.,99
HEAT SOURCE:
RANGE:
FLOOD PLAIN:
IJ)~
'3
ZONING CODE:
. OF BDRMS'
SECONDARY HEAT'
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769, This Is a 24 hour recording. All Inspections requested belore 7:00 a.m. will be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
D Temporary Electric
D Sito Inspection - To be made
. after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
rn Footing - After trenches are
excavaled. ~I;\<i, ~CAA.
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 PlumblnglMechanlcal
_ Prior to Insulation or decking.
o Post and Beam - Prior to 1I00r
Insulation or decking,
o Floor Insulation - Prior to
decking,
~ Sanitary Sewer - Prior to filling
trench.
["""";l Storm Sewer - Prior to filling
~ trench.
IS9 Water Line - Prior to IIl11ng
trench. .
o Rough Plumbing - Prior to
cover.
D Final Plumbing - When all
plumbing work Is complete.
"...,4 Final Electrical - When all
~,electr,lcal ~~rk~CJJ..p~
o Final Machanlcal - When all
mechanical work Is complete.
. 0 Final Building - When all
required Inspections have baan
approved and building la
, completed.
D Other
MOBILE HOME INSPECTIONS
, ", .. f" : I....
D ~,Iocklng and Set.Up _: When all
lOCking la complete." ,.
5a Plumbing Connections - When
home has been connected to .
water and sewer., .
[SZJ Electrical Connection - When
blocking, set-up, and plumbing
Inspections ,have been approved
and the home la connected to
the aervlce pa~el.
~ FInal - Alter all required
.inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
Lot sq. Itg.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM SO. FT,
Mal n ....A\\ \--\
Garage Dt..o\!;\l'Q)J,.
Carport
Total Value
LOI.e
Interior
Corner
Panhandle
Cul.de.sac
Setbacks
HSE GAR Accl
I
I P.L.
IN
Is
Iw
IE
X S/SO. FT, = VALUE
.Qj,om,eV
w)rh oC)
State Surcharge
\(....,~.=
Building PermIt Fee ,'-"-'-'
Total Fee (Al
~fY)O
PO. 5)
4.03
PA fS3
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) 3-' 5.00
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Chuge
MECHANICAL PERMIT
Furnace
Exhau:it Hood
Vent Fan
N'
FT.
FT,
FT.
(C)'
DrYln Vent
WOC'G Stove/lnsertlFlreplace Unit
N'
M'Jchanlcal Perml t
13suance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Ho.ne
State Issuance
State Surcharge
Sldewalf: loR' ft
Curbcu~
It
Demolition
State f,urcharge
Total Miscellaneous Permits (E)
TOTAL AMOllNT CUE (excluding electrical)
(A, B, C. 0, and E Combined)
FEE
~5.00
!l ~.OO
R500
1l5.CXJ
, 3.15
r") '8'. '/5
"loJ
~l~
( 5/15
..=525
c9D.fJ.O
I cQ()P-,. rr~
.'
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,
IS THE PROPOSED WORK-IN TBt
'HISTORICAL DISTRICT, OR ON '
THE HISTORICAL REGISTER?
If yes, this application must be algned
and approved by the Historical
.Coordinator prior to permit Issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopled ,by the City 01 Sprlnglleld, Including the
Development Code, regulating the construction and usa of
buildings, and may be suspended or revoked at any lime
upon violation of any provlslons.of. said ordin.:lncos.
Plan Check Fee: ....
Date Paid: ' \'tJ ./
Receipt Number: . 01
Received By: /"
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
, properties within lhe City limits whl,ch are being Improved.
.' .'
, ADDITIONAL COMMENTS
.','
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Ii'
By signature, I state and agree, thai I have carefUlly ex ami nod
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further certHy
that any and all work perlormed,shall be done In accordance
with the Ordinances of the City of Sprlnglleld. and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission 01 the Building Safety Division.
I further certify that only contractors' and employees who
are In compliance with ORS 701.055 will be used on this
project.
, "
.,.1.. .
I further agree to ensure that all required Inspectlona are
requested at the proper time, that each address Is readable
from the stre"t, that the permit card Is located at the front
of the property, and Ihe approved sel of plans will remain
on the site at ,.t"es during construction. ,"
Slgnatuh- I / ,/.-ov! ~K~/'-CI ~
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Datp f
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VALIDATION: f(} () /V7
RECEIPT NUMBER I~' l ( rl
DATE PAIr> 4-- U )- L.\ \. "
AMOUNT REC~~' \ ~\ 3 . ~3
RECEIVED ByCj\/L"(AI )
......--'.."-..
.
. ~~RIN.LD
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN 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 permits~, on of the'f~~owing
manufactured homes will be placed at ,,"Y()G _ 0 J/V J. ,_
Springfield, Oregon, City Job Number ~\() '1 . (
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 site
buil t 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
- Water line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
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Date