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HomeMy WebLinkAboutPermit Building 1991-8-28 ~, ~ Q\D13lo .~ RESIDENTIAL . PERMIT APPLICATION SPRINGFIELD JOB NUMBER 225 FllIh Slreel Springfield, Oregon 97477 Inspections: 726.3769 Ollice: 726.3759 r::./-fIUO DL;f__,~ TAX LOT: --'if A C W 1 V N/A ASSESSORS MAP: Lochaven ;)..;}. SUBDIVISION' BLOCK' LOr. 688-9123 Lochayen Partners 1199 N. Terry St. Eugene . PHONF' OWNER' ADDRE<;-'" 97402 OR ZIP' STAT'" CITY' .- Concrete strinlZers - Accessorv Value $ J7~O DEMOLISH OTHER M. H. Value $ ,.J 'I, 1{3!:--_1 , -A}',..\Y-"'1'~ DESCRIBE WORI'" Mobile Home set un x ADDITION REMODEL NEW CON ST. CONTRACTOR' Eu\!. 41497 EXPIRES PHONE 2/2/92 484-6505 689-7762 2/2/92 484-6505 344-1500 ADDRESS 87922 LaPorte Dr.. CONTRACTOR'S NAME Ernie & Son's GENERA' . PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB MECHANICAL:~tP: ~ ~~n'~ 87922 LaPorte Dr.. Eu~. 41497 ELECTRICA" Herital!e Electric 855 Iv. 24th 20-280C/63137 \Q\\)\[) - OFFICE USE - QUAD AREA: LAND USE: I\WJ' FLOOD PLAIN' . OF BLDGS: \ . OF UNITS' ' I ZONING CODE: (1 )~ K'<, - OCCY GROUP' CONSTR. TYPF' . OF BDRMS' '=, \ ~~- - . OF STORIES: HEAT SOURCE: SECONDARY HEA'r. WATER HEATER' E- RANGE: f"'./ SQUARE FOOTAGE: ~ To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m, will be made the same working day, Inspections reQuesled aller 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS D Final Plumbing - When all plumbing work Is complete. D Rough Mechanical - Prior to cover. D Temporary Electric D Rough Eloctrlcal - Prior to cover. D Site Inspection - To be made after excavation. but prior to setting forms. 'kLJ Underslab Plumbln IEleclrlcal/ ~ Mechanical - Prior v \'ouver. Wootlng - Afler Irenches are ~ excavated. D Final Electrical - When all electrical work Is complete.' D Final Mechanical - When all mechanical work Is complete. o Electrical Service - Must be approved to obtain permanent electrical power. o Final Building - When all required Inspections have been approved and building Is completed. o Fireplace - Prior to facing materials and framing Insp. D Masonry - Steel location, bond beams, groullng. D Framing - Prior to cover. DOther D Foundation - After forms are erected but prior to concrete placement. D Wail/Ceiling Insulation - Prior to cover. D Underground Plumbing - Prior to filling trench. D Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Wood Stove - Aller Installation. d Blocking and 'Set.up - ~hen all T blocking Is complete. ~IUmblng Connecllons - When home has been connected to water and sewer. . D Post and Beam - Prior to floor Insulation or decking. . D l'1sert - After fireplace approvai and Installation of unit: D Floor Insulation - Prior to decking. ..Asanltary Sewer - Prior to filling ~ trench. D Curbcut & Approach - Aller forms are erected but prior to placement of concrete. rr Electrloal Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. ~Idewalk &.Drlveway - After excavation Is complete, forms .and sub.base material In place. ~torm Sewer - Prior to filling r trench. _ f7"i),."ale~ Line - Prior to IIl11ng ~ trench. . D Fence - When completed. . ~al - Aller all required ~pectlons are approved and . porches, skirting, decks, and venting have been Installed. D Rough Plu'mblng -.Prlor to cove~ ~ D Street Trees -: When all required trees are planted. ' , , . ) Lot faces Lol TYP~" . Setbacks Lot sQ. flg. Interior I P.L. HSE GAR Accl IN 'Lot coverage Corner Is Topography Panhandle Iw Total height Cul.de.sac IE I. . BUILDING PERMIT ITEM sa. FT. X $/SO. FT. ~a VALUE "-!~ , cY Main . Garage Carport Total Value c9-4 logs &fpl!zf1f1 I C}g ..."{) 1.4r dOH9: Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHAR~E).S9c).-o '?l)(). Le(B) <.~ PLUMBING PERMIT ITEM FEE Fixtures Resldenllal Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile H:>me Plumbing Permit State Surcharge Tolal Charge (C) ~?l as c9S 0.')~ 3.15 r; '8/1"5 MECHANICAL PERMIT Furnace Exhaw',t Hood Vent Fan NO Wood StovellnsertlFlreplace Unit Dryor Vent Mechanical Per:nlt Issuance State Surcharge Total Permit f75 (D) MISCELLANEOUS PERMITS Mobile Hume ffj.AS f'5. 'is 6.~') \ q .to State Issuance State Surcharge I ()f'\./ Sldewal, \ \) fl Curbcut fl Demolition State Surchinge Total Mlscellsnecus Permits (E) I TOTAL AMOUNT OUE (excluding electrical) (A, B, C, 0, a~d E Combined) -- "'I <, . THE PROptED ~ORK IN THE HISTORICAL DISTRICT, OR ON ' THE HISTORICAL REGISTER? If yes, this application must be signed 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 construcllon shall, In all respecls, conform to the Ordinance adopted by the City of Springfield, Including the Development Code, regulating the construction and uso of buildings. and may be suspended or revoked at any time upon violation of any provisions of said ordlnnnccs. Plan Check Fee' Dale Paid: Receipt Number; Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properlles within the City limits which are. being Improved. ADDITIONAL COMMENTS By signature. I state and agree, that I have carefully examined the completed application and do hereby certify Ihat all Information 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 of Oregon pertaining 10 the 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 readabla from the sireet. that the permit card Is located at the fronl of the property, and the approved set of plans will remain on the site at all times during construction. ~fture_)J;LiA~ 7k~~ (D~ " VALIDATION: RECEIPT NUMBE~ c<) LJl DATE PAID.r oI.V\?r:. ~ - , ~ -I AMOUNT RECEIV RECEIVED BY (() - L'-1Gtl _'6/' L~ ,e '.. SPR.FIELD .1 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 with the approval of the attached permits, one of the following manufactured homes will be placed at 10\1 ~1\~ (.,.11=",\,\(\ G'fZY))~ , Springfield, Oregon, City Job Number ql()-'~lo 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 ma terials that are commonly used or compa t i ble wi.th si te built homes. e 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 "\ J1?AA~ /t~ f'~ature Date