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)
\
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. 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
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s~ature ,- u
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'1- ;0-91
Date