HomeMy WebLinkAboutPermit Building 1991-7-2
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RESIDENTIAL
PERMIT APPLICATION
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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
'.
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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
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VALIDATION:
RECEIPT NUMBER :2&,","'):/'?-
DATE PAID ?~2 - "3 I
AMOUNT RECEIVED r:1g)\. ?Slo
RECEIVED BY ~~-
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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
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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;::~
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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
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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