HomeMy WebLinkAboutPermit Demolition 1996-7-3
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
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SPRINGFIELD
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LOCATION OF PROPOSED WORK:
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ASSESSORS MAP'
LOT'
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OWNER'
ADDRF'"''
CITY'
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STATE:
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JOB NUMBER
225 Filth Street
Sprlnglleld, Oregon 97477
TAX LOT:
SUBDIVISION:
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PHONE: 7';;U::-"7fFL6
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DESCRIBE WORK:VC-.xdb ~~6" ~ L~#P.7> ~~.#--~
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL: //'-t' ;;;M/~Eny,.
PLUMBING'
MECHANICAl'
ELECTRICAl'
DEMOLISH
OTHER
'"'5/ ...ns-
CONST,
ADDRESS CONTRACTOR' EXPIRES., PHONE
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REQUIRED INSPECTIONS
D Rough Mechanical - PrIor to
cover.
o Rough Electrical - PrIor to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D FIreplace - Prior to facIng
materials and framing Insp.
o Framing - Prior to cover.
D WalllC'e/llng Insulation - Prior to
cover.
D Drywall - Prior to taping,
o Wood Stovo - Altar Installation,
D Insert - After fireplace approv!ll
and Installation of unit.
o Curbcut & Approach - Alter
forms are erected but prIor to
, placemont of concrete.
D Sidewalk & Drlvew3Y - After
excavation Is compictc, forms
and sub.basc material In place.
D Fence - When completed.
D Street Trees - Whtln all required
trees are planted.
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN:
. OF BLDGS' . OF UNITS' ZONING CODE: _
OCCY,GROUP: CONSTR. TYPE: _ . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: __ 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 be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
D Final Plumbing - When all
plumbing w9rk Is complet.e.
D Final Electrical - When all
electrical work Is complete.
D
Final Mechanical - When all
mechanical work Is complete.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Uriderslab PlumbIng/Electrical I
Mechanical - Prior to cover.
D Footing - After trenches Bre
excavated.
o Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prlor
, to filling trench,
O Underlloor PlumblnglMechanlcal
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
O Floor Insulation - Prior to
decking,
D Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench. j
o Water Line - Prior to fillIng
. trench.
o Rough Plumbing - Prior to
cover.
D
Final Building - When all
required Inspections have been
approved and buildIng Is
completed.
Qj Other ;r~~A.cac~ ~
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, set.up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D Final - After all required
Inspections are approved and
porches, sklrllng, decks, and
venting have been Installed.
Lol TYP. .,,: .IS THE PROPOSED WORK 'iN THE,
Lot faces Se I bac ks
I PL, HSE GAR ACC I HISTORICAL DISTRICT, OR ON
Lot sq, ftg, Intertor I THE HISTORICAL REGISTER?
Lot coverage Corner N If yes, this application must be signed
S I and approved by the Historical
Topography Panhandle Iw I Coordinator prior to' permit Issuance.
Total height Cul.de.sac IE I
APPROVED:
BUILDING PERMIT
ITEM SQ, FT., X $/SQ, FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
ThIs permit Is granted on the express condlHon that the said
constructlon shall, In all respects, conform to the Ordinance
adopted by the City ,of Sprlnglleld, Including the
Development Code, regulating the construction and use of
buIldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
MaIn
Carport
Plan Check Fee:
Date Paid:
Tolal Value
Rocelpt Number:
Building Permi t Fee
State Surcharge
Received By:
Total Fee
(A)
Plans Revlewod By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within \liO City limits which are being Improved.
PLUMBING PERMIT
ITEM
FEE
ADDITIONAL COMMENTS
.A /'=AT/~/~/=- .e:>/" r..(/~
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l'~~-i7?:.
Fixtures
Residential Bath(s)
N'
SanItary S~wer
Water
FT.
FT,
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By sIgnature, I stato and agree, that I have carefully examined
the completed application and do hereby certify that all
Informatlon horeon Is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordlnancus of the City of Springfield, and the Laws
of tho State of Oregon pertainIng to tho work described
herein, and that NO OCCUPANCY will be made of any
structure wllhout permission of the BuildIng Safety DIvisIon.
I further certify that only contractors and employees who
are In complIance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood StovellnsertJ Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agreo lo ensure that all required Inspections are
requested at the proper tlme, 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 sIte at all times during constructIon.
Signature V--f/~?-
Date ~- .-::? '3 . "9 L:'
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcut
fl
Demolition
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T ~4 . j;'o/
VALIDATION:
State SurchargfJ
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
.e~
RECEIPT NUMBER ~"3 Y"C
7-7, %
AMOUNT RECEIVED /9. '/'/
RECEIVED BY ~~~
DATE PAID
Total Miscellaneous Permits (E)
,