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HomeMy WebLinkAboutPermit Building 1991-7-2 " . RESIDENTIAL PERMIT APPLICATION .- Inspections: 726.3769 Office: 726.3759 BcJb~ U SPRINGFIELD ~t@ &/-.v. .., ASSESSORS MAP' S"~ N/A LOCATION OF PROPOSED WORK: _(,,0 Q C;u LiS Vl()MfJA4" _5_ .- Concrete'strin~ers - Accessorv Value $ 174o~ DEMOLISH- OTHER M.H. Value $ 17) 7/> CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERA" Ernie I: Son 's 87922 LaPorte Dr.. Eu\!. 41497 PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB LOT' OWNER: ADDRESS: CITY' Lochaven Partners 1199 N. Terry St. Eugene DESCRIBE WORK: Mobile Home set uo -NEW X REMODEL ADDITION MECHANICAL' Ernie & Son I s ELECTRICAl' Herita\!e Electric QUAD AREA: \ R t\) L0 -~ V...<...,. OCCY GROUP' t--..'-.J . OF STORIES: '\ WATER HEATER: -f! ./ . OF BLDGS: BLOC...' STATF' OR 41/.97 · JOB NUMBER 31 fj/o<:6 L 225 Filth Street Springfield, Oregon 97477 , , TAX LOT: SUBDIVISION' N/A .n1lciD 87922 LaPorte Dr.. Eu\!. Lochaven PHONF' 688-9123 ZIP' 97402 EXPIRES PHONE 2/2/92 484-6505 2/2/92 689-7762 484-6505 855 \~. 24th 20-280C/63137 344-'500 - OFFkC\ ~A LAND USE: \ 'G....) . OF UNITS: CONSTR. TYPF' HEAT SOURCE: ~p --' ~<.J RANGE: FLOOD PLAIN' ZONING CODE: -lD-Q.., -;r"1 . OF BDRMS: .:-, SECONDARY HEAT' SOUARE 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 requested after 7:00 a.m. will be made the following work day. o Temporary Electric o Site Inspection - To be made after excavation, but prlor to setting forms. rtiZnderslab Plumbln9/trectrl:;;' ~ ~eChanical - Prior to cover. ~oting - 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 Undorlloor Plumbing/Mechanical _ Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking, o Floor Insulation - Prior to decking, ~sanitary Sewer - Prior to filling ~"trench. . ~Storm Sewer - Prior to filling tp trench. '~Water Line - Prior to' filling 't::fl trench. . . o Rough Plumbing - Prior to cover. . REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to laplng, , o Wood Stove - After installation. o Insert - After fireplace approval and Installation of unit. o Curbcul & Approach';" After forms are erected but prlol to placement of concrete. ~Idewalk &'Drlveway - After excavation Is complete. forms .and sub-base material In place. o Fence - When completed. ~ Street Trees - When all required ~ trees are planted. o Final Plumbing - When all plumbing work Is complete. o Final Electrical - When all electrical work Is complete.' o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. o Other MOBilE HOME INSPECTIONS ~OCklng and Set.Up - When all (.,..,blocklng Is complete, ~PIUmblng Connecllons - When home has been connected to water and sewer~ . {~Iectrlcal Connection - When l ~IOCklng. set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. '~Flnal - After all required ,Inspections are approved and porches, skirting, decks, and venting have been Installed, Lot faces Lot Type. Lot sq. Itg. Interior I P.L. IN Lot coverage Corner Is Topography Panhandle lw Total height Cul.de.sac IE '. .- , las THE PROPOSED WORK 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. Setbacks HSE GAR Accl .."l; , BUILDING PERMIT ITEM sa, FT, X slsa. FT, = VALUE J!1!1L5 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 to the Ordinance adopted by the City of Sprlnglleld, Incl ding the Development Code, regulating the construe n and use of buildings, and may be suspended or rev ed at any tlmo upon violation of any provisions of s ordinances. ~ Ptan Chock Foe: Date Paid: / Total Value Receipt Number' ./ Building Perml t Fee Re7 State Surcharge -M~ Total Fee (A) 0_ . Plans Reviewed By DalO SYSTEMS DEVELOPMENT CHARGq~p,c~ Q, (B) c9~ PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. FT. FT, ~5 fl. t:) ~::)- Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge !JSCO , =VJ5 0?;,0:S (C) MECHANICAL PERMIT Furnace Exhau:;t Hood Vent Fan N' Wood Stove/lnsertl Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge (7) > ER./J5 J~..~ ~ Total Permit (D) MISCEl.LANEOUS PERMITS Mobile Hume State Issuance State Surch';[g" Sldewal'( ...J.L::1.L It Curbcut f'5 It / Demolition State Surch.rge Total Mlscellanec'us Permits (E) TOTAL AMOUNT IOUE (excluding electrical) (A, B, C, 0, and E Combined) 5-~'Y~ \ Systems Development Charge Is due on all undeveloped properties within the City limits which arc being improved. ADDITIONAL COMMENTS ., By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that 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 Oreg<?n pertaining to 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 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 slt0i)lmes during construction. Slgnatu,! ~P:Th~kt1<- I Date 7-:1 -'1 J " VALIDATION: RECEIPT NUMBER :2&,","'):/'?- DATE PAID ?~2 - "3 I AMOUNT RECEIVED r:1g)\. ?Slo RECEIVED BY ~~- .- .'-. . 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 that with the approval of the attached p.ermi.ts, ~~ of\the manufactured homes will be placed at Lcl.~Q~ Cll'll ,s Springfield, Oregon, City Job Number q\ ()\o<;(: I . understand f51llowing hhn) and agree 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 s/2r;;/~p kL~ 7~rl.. - 9/ Date Metropolitan Wastewater Managernent Commission . . C01,',I.',ISSI0t: t:t~:=-~~,S .'I.~~ 5t,,:1('::-(UC~~'~ Co:.:r;:i:;,t:~~, S:r;"f [\~::r-Etl~f;(e lei ;e~r~H~,:,:i.e Seo:: fr'.~~::v:n-S;_."i;lifld Laj' .:;e~;tH~.:a:i~'e . C:'1flS la;S::ln-~S~rin~:ifld C:''.;:1C'l:~I~Y:1 (t:r:S:.:C;;S:lr.-Lanf L.,C'u:::ru,' Rr:'.f'H-::a:IYi! Jf;~)' RUSl-lllll( CalmlJ' C01",:n:~S'~:;(:f I,~a;~. \'.'fst1ifl~-:l:yene la,. P.!:~.;e!(;,:a:h'e FIFTH Ai,D A STREETS - SFRii'iGFIELD CITY HALL - SPR!hiGPIELD, OP.EGOI'J 97477 TELEPHOI,E (503) 747-45:1 11\JMC CONNECTION CHARGE Building Address: \OlO~ &J\ls G.l.QN Referen~11mber: V'l03QfJA4-. ,,, Lo< "'.b,,()4Jdi2 o"ner:('-J~M HPIl / \ P4-fVLcs Address: Hqq V\ ~O~ (U) Phone Number:1~€:,.q(23 "'y, fA ~ nL "".0 ro~ Zip' C\1<0~ ~Residentia! Fee ($222.00) $ f)AQ,OCJ Commercia! Fee (new non-residential deve!opmentl remodel) Tota! fixture unit charge (see reverse of this form) $ SUBTOTAL $ Credit Due (see reverse of this form) <$ n?'7.45 > TOTAL M\JMC CHARGE $1H.ti.~ Date Received: 7-'?";) / Received By: ~ /?). Receipt Number: ~c::> '5'"?~ Building Job Numb;::~ . . Fixture Unit Calculation Table: ~umber of nev fixtures multiplied by unit equivalents. NOTE: For rEmodels, calculate only the NET additional fixtures. Fi:-: tu re Type 3a t h tub. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drinking foun tain. . . . . . . . . . . . . . . . . . . . . . . . . Floor drain............................... Interceptors for grease/oil/solids/etc.... Interceptors for sand/auto .,ash/ecc....... Laundry tub/clothes ~asher....... ......... Clothes vasher (3 cr mor,e)............... '. Mobile home park crap (1 per H.S,).....,., Receptor for refrig/','ater static~/etc..... Receptor for Commer sink/dish~shr/etc.. ... Sho','er, single stall...................... Shover, gang (per head)................... Sink, bar, commerciaL.................... Sink, commercial/industrial/Etc........... Urnial, stallNall........................ Uash basin/lavatory, single..... .......... Uater closet, public installation......... Uater closet, private......... ......... ... Miscellaneous: '" ....... .......... Total fixture units # of Fixtures " Unit Equivalents Fi:-:ture Units I 2 1 2 3 6 . 2 6 6 1 3 2 1 2 3 2 1 6 4 Total Units: x $13.25 each = Total Charge: $ Credit Calculation Table:, 3ased on totai value of property at time of permit application. Year '1..7'lrl€::-:e.d to the Cit~ Credit per $1,000 assessed value. \ '7~Cj- 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 Credit x S 10)3"2-0 r.ssessed Value Rate $2.66 $2.64' $2.53 $2.41 $2.19 $'2.04 $1. 69 "$1.35 $1.15 $0.92 $0.59 $0.23 s a'lJ.4,~ Total Credit