HomeMy WebLinkAboutPermit Building 1991-8-28
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RESIDENTIAL
PERMIT APPLICATION
.-. SPRINGFIELD
.- ..
Inspections: 726.3769
Office: 726.3759
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LOCATION OF PROPOSED WORK: ';? fa I .SC oTTs
ASSESSORS MAP' N/ A \, f'\.. ~~ \ ~
LOT' tS" BLOCK' ~
OWNER'
ADDRESS:
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK' Mobile Home set uo
NEW
x
REMODEL
ADDITION
,
JOB NUMBER ill () (0 R4;
225 Filth Street
Springfield, Oregon 97477
c.~^. J ~..u.J.
off ;~I./o-
i
.- Concrete strinl!ers - Accessorv Value $ ~
DEMOLISH OTHER M.H. Value $ Iql /g~~
STATF'
OR
, TAX LOT:
SUBDIVISION:
N/A \Ol()n
Lochaven
PHONF'
688-9123
ZIP'
97402
CONST,
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERA" Ernie & Son's 87922 LaPorte Dr.. EUI!. 41497
PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB
MECHANICAl' Ernie & Son's 87922 LaPorte Dr.. EUI!. 411.97
ELECTRICAl'
HeritaQe Electric
QUAD AREA'
\ RX\)LO
-'
~~
. QF BLDGS:
OCCY GROUP'
. OF STORIES:_\
WATER HEATER: _7 .J
EXPIRES PHONE
2/2/92 484-6505
689-7762
2/2/92 484-6505
344-1,500
855 Iv. 24th
20-280C 163137
- OFFlqE USE -
LAND USE: \ \ c:-n
\
. OF UNITS'
CONSTR. TYPF'
HEAT SOURCE:
\'='b
'7.-/
FLOOD PLAIN'
ZONING CODE: -W \2.....
. OF BDRMS' . -!l.,
SECONDARY HEAT'
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769, This Is a 24 hour recording, Alllnspeclions requested before 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
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Eleclrlcall
Mechanical - Prior to cover.
gFOOtlng - Alter trenches are
excavated.
Masonry - Steel location. bond
beams, grouting.
o Foundation - After forms afe
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
_ Prior to Insulation or decking,
o Post and Beam - Prior to floor
Insulation or decking,
o Floor Insulation - Prior to
deckl ng,
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to IIIl1ng
trench.
Rough Plumbing ~ Prior to
cover.
RANGE:
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
~ectrlcal Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior 10
cover.
o Drywall - Prior to taping,
o Wood Stove - After Installation,
o Inserl - After fireplace approval
and Installation of unit
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
q11dewalk &'Drlveway - After
excavation Is complete, forms
.and sub.base material In place.
D Fence - When completed.
~ Street Trees - When ,all required
f trees are planted.
o Final Plumbing - When all
plumbing work Is complete,
D Final Electrical - When all
electrical work Is complete.'
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed,
o Other
MOBILE HOME INSPECTIONS
!t79BloCklng and 'Set.Up - vo:.hen all
\' blocking Is complete.
~IUmblng Connections - When
home has been connected to
water and sewer. . .
~Electrlcal Conneclion - 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, decks, and
venting have been Installed.
I
Lot Typel " ,
Lot faces Setbacks ,_ THE PROPOSED WORK IN":HE---
Lot sq, ltg, Interior I PL. HSE GAR ACC I HISTORICAL DISTRICT. OR ON
I THE HISTORICAL REGISTER?
Lot coverage Corner N If yes, this application must be signed
Panhandlo S I and approved by the Historical
Topography Iw I Coordinator prior to permit Issuance.
Total height Cul.de.sac
IE I APPROVED:
BUILDING PERMIT
ITEM SQ. FT,
X $/SQ, FT, -
VALUE
I""'I~
\~:MO
I
Main
Garage
Carport
_ Jj~D
tY'l7'iJ(~0 ~()~
~JJ ~1.S0
-~8.
(A) 3{) .q c;(
SYSTEMS DEVELOPMENT CHARJ3E ~D~....)
3J/ ,"7()(B) Ol ~ ,,-~
PLUMBING PERMIT
Total Value
Building Perml t Fee
State Surcharge
Total Fee
ITEM
FEE
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
N'
Storm Sewer
FT,
FT,
FT,
~
(J.~
Mobile Home
Plumbing Permit
Stale Surcharge
Total Charge
I
'1~~
~.'lS
1 ~ .r'JS
(C)
MECHANICAL PERMIT
Furnace
Exhau:~t Hood
Vent Fan
NO
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
Slate Surcharge
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(
ECJAfj
-' Q /5
'-~,A5
J3,(X:)
Total Permit
(D)
MISCEl.LANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sldewal~( ~ It
Curbcut ~ It
I
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT IOUE (excluding electrical)
(A. B. C, D. and E Combined)
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
adopted by the City of Springfield. Including the
Development Code, regulating the construction and usoo!
buildings, and may be suspended or revoked at any tlmo
upon violation of any provisions of said ordinances.
Plan Check Fee'
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Dale
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improvo~.
ADDITIONAL COMMENTS
By signature, 1 state and agree, that I have carefully examined
the completed application and do hereby certify that all
in (ormation 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 o( Oreg<?n pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Boildlng Safety Division,
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will 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 site at all times during construction,
~ture~~Jt~
)ate
.'
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VALIDATION: ..A
RECEIPT NUMBE" ~ U M-r
DATE PAID_R~/' , r
AMOUNT RECEIVE . ( A . "2..~
RECEIVED BY (/) &\I / -
,
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SP~IELD
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
that with the approval of the attached
manufactured homes will be placed at
Springfield, Oregon, City Job Number
Development Code, I understand
permits, one of, \he fojlowin&.
8 tQ I ~C:;(\ V'ltt b (:) tDfl'J
4101o~~
and agree
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 si te
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
- Vater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
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Date