HomeMy WebLinkAboutPermit Building 1991-8-16
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RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726-3769
Office: 726-3759
SPRINGFIELD
LOCATION OF PROPOSED WORK: ry ~~/ L
ASSESSORS MAP- N/A \'1()~) a-r
~ 'S BLOCK' _ S
LOT'
OWNER'
Lochaven Partners
1199 N. Terry St.
Eugene
ADDRESS:
CITY'
DESCRIBE WORI<' Mobile Home set un
NEW
x
REMODEL
ADDITION
CONTRACTOR'S NAME
Ernie & Son's
GENERAl'
STAT'"
OR
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C1\QJ1L
JOB NUMBER
225 Filth Streel
Sprlnglleld, Oregon 97477
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N/ A cYt.<:~.(()
Lochaven
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SUBDIVISION'
PHONF'
688-9123
ZIP:
97402
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.- Concrete strinl!ers - Accessorv Value $ f7l/o-_
REQUIRED INSPECTIONS
o Rough Mechanical - Prior 10
cover.
D Rough Electrical - Prior to
cover.
Eleclrlcal Service - Musl be
approved to obtain permanent
electrical power.
o Fireplace - Prior 10 lacing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior 10 taping,
o Wood Stove - After Installation.
o Insett - After Ilreplace approval
and Installation of unit:
o Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
\ (i"7'i)ldewalk & ,Driveway - After
l~xcavat10n Is complete, forms
.and sub.base material In place.
o Fence - When completed,
o Slreet Trees....: ,When all required
trees Bre planted. .
DEMOLISH
OTHER MoH. Value $ ;
ADDRESS
CON ST.
CONTRACTOR'
41497
EXPIRES
2/2/92
PHONE j
484-6505 _
I
689-7762
484-6505
344-151llL
87922 laPorte Dr.. EUI!.
PLUMBING: Harrison Construction 1441 N. Hwv 0 99 20-236PB
MECHANICAt. Ernie & Son's 87922 LaPorte Dr.. EUI!. 411,97
ELECTRICAl' Herital!e Electric 855 \~o 24th 20-280C/6J137
2/2/92
\ Q. \\ ")tlJ - OFFI\E USE -
OUAD AREA: LAND USE: \ Cf::J:) FLOOD PLAIN'
. OF BLDGS: \ . OF UNITS' I ZONING CODE: \l)~
OCCY GROUP' ~~~ CONSTR. TYP'" . OF BDRMS' '?-,
. OF STORIES: , F~ HEAT SOURCE: Fe SECONDARY HEA-r.
WATER HEATER: RANGE: 9.J 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 b~
made Ihe same working day, Inspections requested after 7:00 a,m. will be made the following work day.
o Final Plumbing - When all
plumbing work Is complete.
D Final Electrlca' - When all
electrical work Is complete.'
D Final Mechanical - When all
mechanical work Is complete.
o Final Building - Whan all
required Inspections have been
approved and building Is
completed.
o Other
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o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms. _
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U derslab Plumbln Electrlcall
. echanical - Prior cove
D Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - 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.
aollary Sewer - Prior to filling
trench.
tarm Sewer - Prior to filling
trench.
aler Line - Prior to filling
trench.
o Rough Plumbing - Prior 10
cover.
MOBILE HOME INSPECTIONS
~IOCklng and Set.Up - When sll
locking Is complete,
,
r,umblng Connections - When
home has been connected to.
water and sewer. .
~Iectrlcal Connection - When
blocking, set.up, and plumbing
Inspections have been approvod
and the home Is connected to
the service panel.
~Inal - Aller all required
,Inspectlona are approved and,
, porches, skirting, decks, end
venting have been Installed.
Lot faces .
Lot TY.
Interior
Lot sq, IIg.
Lot coverage
Topography
Corner
Panhandle
Total height
Cul.de.sac
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BUILDING PERMIT
ITEM SO, FT.
X S/SO. FT,
Main
Garage
Carport
Total Value
Building Permit Fee
Slate Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) NO
Sanitary Sewer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permll
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur,t Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryor Vent
Mechanical Pel':nlt
Issuance
State Surcharge
Total Permit
(D)
MISCEl.LANEOUS PERMITS
Mobile Home
State Issuance
State surc];b
Sldewal < It
Curbcut
It
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Demolition
State Surchi?rge
Total Mlscel.snecus Permits (E)
TOTAL AMOUNT OUE (eXCluding electrical)
(A, B. C, D. and E Combined)
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Setbacks
HSE GAR ACC
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IS THE PROPOSED WORK IN"lHE
'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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APPROVED'
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JB.'7B3
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14()
30aCO
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SYSTEMS DEVELOPMENT CHARGE (SOC). ,I I
(B) clB\ . '7 C)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permllls granted on the express condition that the said
construction shall, In all respects. conform to Ihe 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 ordlnnncos.
Plan Check Fee'
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Dale
Systems Development Charge Is due on all undeveloped
properties wllhln the Clly limits which are being Improved.
ADDITIONAL COMMENTS
r
By signature, I state and agree, thai I have carefully examlneu
the completed application and do hereby certlly 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
herein, and thai NO OCCUPANCY will be made 01 any
structure without permission of the Building Safety Division.
I further certify thai only contractors and employees who
Bre In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required Inspections sOre
requested at the proper time, that each address Is readable
from the street. that the permit card Is located at Ihe front
of the property, and the approved set of plans will remain
on the site at all times during construction.
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VALIDATION: f\ \0 ~ .
RECEIPT NU~ ()l Q -
DATE PAIDC ~\ r \ \9~\ LCj0 \
AMOUNT RECEtE~~V J~<::-\,.3! )
RECEIVED BY / ll'fT---/
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DEVELOPMENT SERVICES
PUBLIC 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
perm~ ?-~e\ ~0~~:~X~lg 0 (\ ')
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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. ,
D
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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Date
Signature