HomeMy WebLinkAboutPermit Building 1992-6-2
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Ollice: 726.3759
ASSESSORS MAP'
N/A
<-/'X
LOT:
OWNER'
ADDRESS'
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK: Mobile' Home set UP
NEW
x
REMODEL
ADDITION
SPRINGFIELD
BLOCK'
STATE"
OR
J
JOB NUMBER -..9J ~
225 FIlIh Street
Springfield, Oregon 97477
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N/A fi}t)Lou~,
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TAX LOT:
SUBDIVtSION'
Lochaven
PHONF'
688-9123
ZIP:
97402
strinQers - Accessorv Value $l7~
'OTHER M.H. Value ~ 41r3
I
.- Concrete
DEMOLISH
CON ST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERAl' Ernie & Son' s 87922 LaPorte Dr.. EUQ. 41497
PLUMBING: Harrison Construction 1441 N. Hwv. 99 20-236PB
MECHANICA" Ernie & Son's
ELECTRICAl'
Heritage Electric
87922 LaPorte Dr.. Euq.
EXPIRES
2/2/92
PHONE
484-6505
689-7762
484-6505
344-1500
855 IL 24th
20-280C/63137
41/,97
2/2/92
QUAD AREA: \ e. 1\)\0 - OFFICE USE -
LAND US". \ \\~D FLOOD PLAIN'
\ \ \ tO~
. OF BLDGS' . OF UNITS' ZONING CODE:
OCCY GROUP: R.~ CONSTR. TYP'" . OF BDRMS; r:>..,
. OF STORIES: \/ HEAT SOURCF' F't..-- SECONDARY HEAl:
WATER HEATER: f~ RANGF' f'../ SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will b
made the same working day, Inspections requested aller 7:00 a.m. will be made the fOllowing work day.
REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
~nderslab PIUmblng/~trlcal/ i)
~ MechanIcal - Prior t~
~ Footing - Aller trenches are
Lf-J excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundallon - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - PrIor
to filling trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking. .
o Floor Insulation - PrIor to
decking.
r:-t:Sanltary Sewer - Prior to filling
\ trench.
" ~torm Sewer - Prl"or to filling
~ h-ench.
~ Waler Line - Prior to IIIlIng
l trench. "
o Rough Plumbing - Prior to
cover.
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D FIreplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Calling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit:
o Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
r7inSldewalk & Driveway - Aller
~ excavation Is complete, forms
"and sub.base material In place.
o Fence - When completed.
o Slreet Trees ~ When all required'
trees are planted.
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 Inspecllons have been
approved and building Is
completed.
DOlher
MOBILE HOME INSPECTIONS
~Iocklng and Sat.up - When ell
~ blocking Is complete.
~IUmblng Connections - When
home has been connected to
water and sewer. .
If'Elactrlcal Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the aervlce panel.
~Inal - After all required
.Inspectlons are approved and.
. ' porches, skirting, decks, and
venting have been Installed.
I
Lot faces. ,
Lot Type
. .~,.
IS THE PROPOSED WORK IN TH~ .......,
HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
11 yes. this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Lot SQ. ftg.
Interior
Setbacks
I P.L. HSE GAR ACC I
I N I
Lot coverage
Corner
Topography
Total height
Cul.de.sac
~---
,W
IE
Panhandlo
BUILDING PERMIT
ITEM SO. FT.
X $/SO. FT. ~'.
Main
Garage
Carport
.,
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 \0 the Ordinance
adopted by the City 01 Springfield, Including Ihe
Development Code. regulallng the construction and use of
buildings. and may be suspended or revoked at any time
upon violation of any provisions of said ordln.:mcos.
~~ Plan Check Fee:
Date Paid:
Total Value
Receipt Number'
Building Permit Fee
( . 4 Received By:
State Surcharge 8D.q~
Tolal Fee (A) Plans Reviewed By Dale
SYSTEMS DEVELOPMENT CHAR~I;,.,(~C, )
(B) ~-'DI'
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer.
FT.
FT.
~~
A~
6)S
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
15.GJ
....'3. 1')5
'7'f;, '75
(C)
MECHANICAL PERMIT
Furnace
Exhaur.t Hood'
Vent Fan
N'
Wood StovellnserllFlreplace Unit
Dryor Vent
Mechanical Per:nlt
Issuance
State Surcharge
-e"
(,L)
Total Permit
(D)
MISCEl.LANEOUS PERMITS
Mobile Hume
BJ.trS
ld~
Iq.tY
Stale Issuance
Slate Surc'}"rg~
Sldewal ( J.:/a.2... It
Curbcut
It
Demolition
State Surchi?rge
Total Mlscellsnec'us Permits (E)
~
TOTAL AMOUNT VUE (excluding electrical)
(AI Bt OJ D, a~d E Combined)
Systems Development Charge Is dua on all undeveloped
properties within the City limits which are. being Improved.
ADDITIONAL COMMENTS
.,
By signature. I state and agree, Ihat I have carefully examined
the completed application and do hereby certl fy that all
Information hereon Is true and correct, and I further cerllfy
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 of Oregon pertaining to the work described
hareln, 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
arB 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 raadable
from the sireet, 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.
Signature _~~:'''-' -7f.-~~
CalP
r
VALIDATION: 4vA ?\
RECEIPT NUMBER--rl-" ('1'-t'( )1
DATE PAID L/? rY -'1/ J ../
AMOUNTRE~t~.~
RECEIVED BY .~_~,
.r-
......
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I
SPRINGFIELD
DEVELOPMENT SERVICES
PUBUC 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
that with the approval of the attached
manufactured homes will be placed at
Springfield, Oregon, City Job Number
Development Code, I understand and agree
per~~~4~ ~~lG7oJ\ )
YI n.~ .
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 with site
built 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
- Yater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
cZ-_./ p. r-~M
Signature / -~ ---
/<'") - 2.. -- q. J.-
Date