HomeMy WebLinkAboutPermit Building 1991-12-16
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
SPRINGFIELD
,LOCATION OF PROPOSED WORK:
N/A
1-<;;
ASSESSORS MAP'
LOl'
OWNER'
ADDRESS'
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK: Mobile Home set UP
NEW X REMODEL ADDITION
CONTRACTOR'S NAME
Ernie & Son's
GENERA' .
PLUMBING: Harrison Construction
strin~ers - Accessory Value $
OTHER M.H. Value $ '71lD/-:-
, '.&hO
BLOCK'
STATF' OR
.- Concrete
DEMOLISH
JOB NUMBER q, 01:33
225 Fifth Streel
Springfield, Oregon 97477
r::..l-f/llU Qr./>f
.TAXLOT:~W
SUBDIVISION' Lochaven
,
-
41497
PHONF'
688-9123
'I
",,:
ZIP:
97402
ADDRESS
CON ST.
CONTRACTOR .
EXPIRES
2/2/92
'PHONE
484-6505
689-'1762
484-6505
344-1500
D Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
87922 LaPorte Dr.. Eu~.
1441 N. Hwv. 99 . 20-236PB
2/2/92
MECHANICA" Ernie & Son's 87922 LaPorte Dr.. EUIl. 41/,97
ELECTRICAl' Heri ta~e Electric 855 \~. 24th 20-280C 16~ ,7
QUAD AREA: \Q f\)U J - OFFICE USE -
LAND USE: ,\~ FLOOD PLAIN' -
. OF BLDGS' \ . OF UNITS' 1 ZONING CODE: LJ ) {(..--
OCCY GROUP: ~~ CONSTR. TYP~' . OF BDRMS: :3
. OF STORIES: .\ HEAT SOURCE: ~E... SECONDARY HEAT:
WATER HEATER: G RANGF' y../ SQUARE FOOTAGE:
To requesl an Inspecllon, you must call 726,3769. This Is a 24 hour recording. All Inspecllons requested before 7:00 a.m. will b
made the same working day, Inspecllons requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting (orms.
rt!Jinderslab Plumbing ~trlcall
T ~echanlcal - Prior over
~ootfng - After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling Irench.
D Underfloor Plumbing/Mechanical
- Prior to Insulation or deckIng.
D Post and Beam - Prior to floor
Insulation or decking. .
D Floor Insulation - Prior to
decking.
anllary Sewer - Prior to filling
trench.
torm Sewer - Prior to filling
trench.
Weter Line - Prior to filling
trench.
D Rough Piumblng - Prior to
cover.
D Fireplace - Prior to facing
materIals and framing Insp.
D Framing - Prior to cover.
D Wail/Ceiling tnsulatlon - Prior to
cover.
D Drywall - Prior to taping.
D Wood Slove - Aft~r Installation.
D Inserl - After fireplace approval
and Installation of unit:
D Curbcut & Approach - After
forms are erected bul prior to
placemenl of concrele.
~dewalk &'Drlveway - After '
excavation Is complete, forms
,and sub.base material In place.
D Fence - When completed.
D Slreet Trees ~ When all required
trees are planted.
D 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.
D Flnel Building - When all
required Inspections have been
approved end building Is
compleled.
D Other ~
MOBILE HOME INSPECTIONS
.Et!ltocklng end 'Set.Up - When all
T blocking Is complete.
f Plumbing Connectlona - When
home has been connected 10
water and sewer. .
IElectrlcal Connection - When
blocking, set.up, and plumbing
Inspections have been approved I
and the home Is connected to
the service panel.
PFlnal - After all required
,Inspectlone are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
I
Lol sq. fig,
Lot TYP"
Interior
Lot coverage
Corner
Topography
Total heigh I
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM
sa, FT,
X $/50, FT.
Main
Garage
Carport
Total Value'
Building Permit Fee
State Surcharge
Tolal Fee
SYSTEMS
(B)
PLUMBING PERMIT
ITEM
Flxlures
Residential Bath(s) NO
Sanitary Sewer
FT.
FT.
FT.
Water
Storm Sewer
Mobile Home
Plumbing Permll
Stale Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur,t Hood
Vent Fan
N'
Wood Stove/lnserl/Flreplace Unll
Dryer Venl
Mechanical Pe,.:nll
Issuance
State Surcharge
Total Permit
(D)
MISCE1.LANEOUS PERMITS
Mobile HIJme
State Issuance
State Surcharge
Sldewal ( .l.Q(l fI
Curbcut
fI
Demollllon
State Surcherge
Total Mlscel.anecus Permits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B. C, 0, a~d E Combined)
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'THE PROPOSED WORK IN :HE"" :
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
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Setbacks
I P.L, HSE GAR ACC I
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W
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a VALUE
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c./~66o;
FEE
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APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permllls granted on the express condition Ihatlhe said
construction shall, In all respects. conform to the Ordinance
adopted by Ihe City of Sprlnglleld. InClUding the
Development Code. regulallng the construction and use 0'
buildings. and may be suspended or revoked al any time
upon violation 0' any provisions of said ordinances.
Plan Check FelOl'
Dale Paid:
Recelpl Number'
Received By:
Plans Reviewed By
Dale
lC14D
7c:?,Y'Po I
-, -;;,~, '. ,
.z~5"~~
/. 7'i'5:
(A) 30 ere'
DEVELOPMENT CHARGE (SDC\ I
~....cl!2 .e:;>.t>
Systems Development Charge Is due on all undeveloped
properties within the City limits which are, being Improvod.
ADDITIONAL COMMENTS
By slgnalure. I state and agree, thai I have carefully examined
the completed application and do hereby cartl fy that all
Information hereon Is true and correct, and I furt~er certify
thai any and all work performed shall be done in accordance
wllh the Ordinances of the Clly of Springfield. and the Laws
of the Slale of Oregon perlalnlng to Ihe work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with OAS 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 du~ng.Jo~structlon.
Slgnaturp A~ 7;- ~~~--'
, t:-~.7h~\"^-
I;:) - /(,-7/ ~ . - (~
Date
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VALIDATION:
'"3-:r:2...5""
I 2-/6~/
AMOUNT RECEIVED _fB ~2. 53
RECEIVED BY ,~~,
RECEIPT NUMBER
DATE PAID
.-
Metropolitan
Wastewater
Managernent
Commission
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r:riH A:'~D A STREE"'iS - ~;:;;::-~GF:~LD CITY !-;':-.LL - ~~::;;;\'Gr:ELD, C;:,EGC!J ;;.:.77 lELEr':-:C:,;: (:(.::) i':i.':::i
!1\iMC COK1<ECTION CHARGE
Building Address: SI (j' Sco7/:s (;(0/-:''-"-,04)
Refere;~jUmbe:: 1/'03 ;L 7/3 , . Tax Lot Number: () D 3 a-o
O'..ner: D0AlCU)r {\ " i_ /\In A+{1i.f-,,~_:)) 0
Address: \ \C\ C\ \\ \~.m \.:' Phone Number: l O~S?; - -\\[3
City: fAJ(l60 ,n.L ,State: (()J~ j)~FYY\ Zip: q f\4CY2--
~ Residential Fee ($222.00)
$r0~~ ~
Commercial Fee (new non-residential development/
- remodel)
Total fixture unit charge (see reverse of this form) $
Credit Due (see reverse of this form)
SUBTOTAL $
<$ c9'l ~
>
TOTAL M\i~C CHARGE
s \04 .~Q
Date Received: /~~/~-?/
Received By: ~~_ - ....
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Building Job Number: 9/6733
Receipt Number: ~ "3"::;;?"C;-
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Fi:\ture Unit Calculatio:l Tabl~: ::,,~,t~, cf ne'.' IJ:.:tures r,ultip1ied by \!:lit
equivalents. NOI2: for r~r,odals, caleJl=te c.nl:; the ,:ET aedi tio:-:a1 fi:-:t"res.
Fb:ture Type
~ ~
'71' QJ.
Fi:,:tures
Unit
Equi "JalE:11 ts
Fi:\ture
l'ni t s
3a t h tub. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . .
Drinking fountain......... ................
Floor drain...............................
Interceptors for grease/oil/solics/etc....
Interceptors for sand/auto .ash/e:c.......
Laundry tub/clothes .asher... .............
Clothes \"asher (3 er more)................
Kobile heme park trap (1 per ~.~.)... .....
Receptor for refrii/~ater static~/etc.....
Receptor for Co~~er si;.k/dish~s~:/~tc.....
Shover, single stall.......... ............
Sho~er. gang (per head)............,......
Sink, bar, com~erci21........ .............
Sink, commercial/industrial/etc...........
Urnial, stall/~all........................
Vash.basin/lavatcry, si~gle...............
Vater closet, public installaticn.........
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 $13.25 each = TOIal Charge: $
Credit Calculation Table: 3ased on total value of property at time of permit
application.
Year )...r:me:.:e:d
to t~e citv
Credit per $1,000
e.ssessed va'lue
\ 9Co'l-
1979
1980
1981
1982
1983
19E4
1985
lSC6
1987
19S8
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 IO)~2..0
r.ssessed Val"..:e
= S
Credit
TOIal Credi I