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HomeMy WebLinkAboutPermit Building 1991-4-22 RESIDENTIAL PERMIT APPLICATION ..__ 1,. Inspections: 726.3769 Office: 726'3759 e- SPRINGFIELD ASSESSORS MAP' .U. \ N/A LOT: OWNER' ADDRESS: CITY' Lochaven Partners 1199 N. Terry St. Eugene DESCRIBE WORY' Nobile Home set UD NEW X REMODEL ADDITION STATF' OR . JOB NUMBER-EJ.1J3tS- 225 Filth Slroot Springfield, Oregon 97477 ;)ri.,l-L. C 1-1-1,,-,,/<1'<.) N/A 0 t)\OO TAX LOT' SUBDIVISION: Lochaven PHON~' 688-9123 ZIP' 97402 ,-Concrete strin2ers - Accessorv Value $ 17qo~ I DEMOLISH OTHER N.H. Value $ ~o:Z5b,oO , CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAl' Ernie & Son's 87922 LaPorte Dr" EUR. 41497 PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB MECHANICA" Ernie & Son I s 87922 LaPorte Dr., EUl!, 411197 ELECTRICAL: Herita2e Electric OUAD AREA: \ Q..\\,l-l) \ ~~ \ . OF BLDGS' OCCY GROUP: . OF STORIES: y- WATER HEATER' EXPIRES 2/2/92 PHONE 484-6505 689-7762 484-6505 144-1500 855 \~. 24th 20-280C~'H 2/2/92 - OFFICE USE - \\~ \ LAND USE: . OF UNITS' CONSTR, TYPF' HEAT SOURCE: \=' E...; F~ RANGE: FLOOD PLAIN' ZONING CODE: ,'l.ll \L.. -:l., . OF BDRMS' SECONDARY HEA-r. SQUARE FOOTAGE: To request an Inspection, you musl call 726.3769, This Is a 24 hour recording, All Inspections requested before 7:00 a.m, will bo made the same working day, Inspections requested allor 7:00 a,m, will be made the following work day, REQUIRED INSPECTIONS o Temporary Electric o Sito Inspection - To be made after excavation. but prior to setting forms. o Underslab Plumblng/Electrlcall Mechanical - Prior to cover. rtO Footing - Aller trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms Bre erected but prior to concrete placement. O Underground Plumbing - Prior to filling trench, O Underfloor Plumbing/Mechanical - Prior to Insulation or decking, o Post and Beam - Prior to Iloor Insulation or decking. o Floor Insulation - Prior to decking. rtt!l Sanitary Sewer - Prior to filling L...:[-J trench. . rtt1 Storm Sewer - Prior to filling Lf-J trench. d Water Line - Prior to f1111~g L:f'J trench. o Rough Plumbing - Prior to cover. 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 lacing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping, o Wood Stove - After Installation, o Insert - After fireplace approval and Inslallation of unit, o Curbcut & Approach - After torms are erected but prior to placement 0' concrete. fi'6l" Sidewalk &, Driveway - Aller ~ 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 completo, o Final Building - When all required Inspections have been approved and building Is completed, o Other MOBILE HOME INSPECTIONS rnlocklng and Sel.Up - When all T blocking Is complete, ~ Plumbing Connections - When home has been connected to . water and 8ewer.. . P Electrical Connection - When blocking, aet.up, and plumbing Inspections hsve been approved and the home Is connected to the service panel, rd Final - Alter all required ~ ,Inspectlona sre approved and porches, skirting, decks, and venting have been Instslled, Lot laces Lot sq, ltg, Lot coverage Topography Total height BUILDING PERMIT ITEM SQ, FT. ~ Garage Carport \ ck--!'O D ' Total Value Building Permit Fee State Surcharge Total Fee . Lot Type * Interior Corner Panhan<Jlc Cul.de,sac X $/SQ, FT, (A) _ THE PROPOSED VlORK IN ~HE HISTORICAL DISTRICT, OR O~ "- THE HisTORICAL REGISTER?)pi }-. If yes, this application ~e signed and approved by the Historical Coordinator prior to pormlt husulIncu. Setbacks I P.L, HSE GAR ACC I I N I ..~------ W E . VALUE mQm ~ ~) I q-p., 2O.q~ SYSTEMS DEVELOPMENT CHARGE (SD~_ . (B) 8Qq,~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhauut Hood Vent Fan N' FT, FT, FT, (e) Dryer Vent Wood Stovellnsert/ Fireplace Unit N' Mechanical Permit Issuance State Surcharge Tot~ll Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcherge Sidewalk 1,Q.l1- It Curbcut 1~ fI Demolition State Surcharge Total Miscellaneous Permits (E) FEE B~.CU RSCO tJS9U f)~_OO 3nS llcr; , f)~ 9 /.,' ffl -dCS /5,15 5.2.. c.., '~ =.,Q,'1D TOTAL AMOIINT OUE (excludlr g electrical) (A, B, C, 0, a ld E Combined) 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 10 the Ordinance adopted by the City of Springfield, Including the Dovolopment Code, rogulatlng tho construction anti usa of buildings, and may be suspended 0' revoked at any time upon violation of ony provisions of 881~cJln:JncQa. Plan Check Fee' / Date Paid: '~ ./ \ Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are. being ImprovoeJ, ADDITIONAL COMMENTS By signature, I state and agree. that I have carefully oxamlno<J the completed application and do hereby certify that all In(ormatlon 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 Sp,lngfleld, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made 01 any structure without permission of the Building Salety Division, I lurther certify that only conI/actors and employees who are In compliance with ORS 701,055 will be used on this project, I further agree to'ensure that all required Inspectlona are requested at the proper time, that each address Is readable Irom the street, that the permit card Is located at the front of the property, and the approved set 01 plans will remain on the I at all s during construction, -U~~ tf.::2~ - ~ I Date " VALIDATION: RECEIPT NUMBER r q <6llo DATE PAlf"'I 4. .72-,'-'\ I AMOUNT RECEIVED 88lo ,03 RECEIVED BY N~ , . . DEVELOPMENT SERVICES PUBUC WORKS IVIETROPOUTAN 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 perm~'t on, f t~'following manufactured homes will be placed at ~~~ ,~ ~~~~ Springfield, Oregon, City Job Number Y \ tn'r\ . D 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 wi,th 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 - Vater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps -~~~ s~ature ,- u \ '1- ;0-91 Date