HomeMy WebLinkAboutPermit Building 1991-8-28
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RESIDENTIAL .
PERMIT APPLICATION
SPRINGFIELD
JOB NUMBER
225 FllIh Slreel
Springfield, Oregon 97477
Inspections: 726.3769
Ollice: 726.3759
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TAX LOT: --'if A C W 1 V
N/A
ASSESSORS MAP:
Lochaven
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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.
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VALIDATION:
RECEIPT NUMBE~ c<) LJl
DATE PAID.r oI.V\?r:. ~
-
, ~
-I
AMOUNT RECEIV
RECEIVED BY
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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
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f'~ature
Date