HomeMy WebLinkAboutPermit Demolition 1996-1-29
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Orfice: 726.3759
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LOCATION OF PROP~SE9rrK: 5h4"'l '7
ASSESSORS MAP: \ <;(u \ qj(j
LOT'
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BLOCK:
OWNER'
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7' R.I9/V5/:70 r / ~l/O,..,J
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STATE: (3/f'ECfo^ /
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ADDRESS' . ~/ /
.~E/?--7
CITY:
DESCRIBE WORK: /),c-1?;?dL/S// 8'P-t-,.c'//N a,
NEW REMODEL ADDITION D:MOLlSH X
OTHER
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JOB NUMBER
225 Fifth Street
Sprlngfleld,'Oregon 97477
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TAX LOT:
SUBDIVISION'
\1 )~J)O
PHONE: <03
'h?6 - 5~ 3'6
ZIP: 975/0
CONTRACTOR'S NAME
GENERAl' (J/lyvt:: R;'fq <:
PLUMBING'
MECHANICAl'
ELECTRICAL:
CONST.
ADDRESS d CONTRACTOR'
/~~ A'fE.fl. /v A/EL.;;JCI.-j oiP 975'6_<:
~ JoG993
EXPIRES
PHONE
;l,CS ~~~ S-
&-,14/-96
EkP/,l'ES
QUAD AREA- ,~
· OF BLDGS:
OCCY GROUP:
· OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE:
· OF UNITS'
CONSTR, TYPE:
HEAT SOURCE:
RANG~'
FLOOD PLAIN'
ZONING CODE:_
· OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection. you must call 726.3769, This Is a 24 hour recording, Alllnspectlo~s requested before 7:00 a,m, will be
made the same working day, Inspectfons requested after 7:00 a.m. will be made the (ollowlng work day.
D Temporary Electric
o Site Inspection - To be made
after excavatlon, but prior to
setting forms.
o Underslab Plumblng/Electricall
Mechanical - PrIor to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - Alter forms are
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 floor
Insulation or decking.
o Floor Insulation - Prior to
decking,
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to 1I.lllng
trench.
o Water Line - Prior 10 filling
trench.
D 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
.materlals 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 approvlll
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrele.
o Sidewalk & Drlvewav - After
excavatIon Is compiete, forms
and sub-base material In place.
o Fence - When completed.
o 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
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MOBILE HOME INSPECTIONS -
o Blocking and Set-Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbIng
.inspectlons have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
ventIng have been Installed.
Lot faces
LOlte
Interior
Lot sq. Itg.
Lot coverage
Corner
Topography
Total height
Panhandle
Cul-de-sac
BUILDING PERMIT
ITEM
SO. FT,'
X $/SO, FT.
Main
Garage
Carport
Total Val ue
Building Permit Fee
Stale Surcharge
Tolal Fee
(A)
I P.L.
IN
\S
Iw
IE
VALUE
"
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Balh(s)
N'
Sanitary S~wer
Water
FT.
FT.
FT.,
Storm Sewer
oblle HOm\ ~\\ ~~\t\.~
~ . ~~
mblng Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcut
fI
Demolition
Stat~urcha~e
_ ~ V /0 '
FEE
\~W
. \.70
\tn .w.
WJD
,'~,
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) :-)S.\n~
(A. B, C, D, and E Combined)
". f.',.
.;,.,....,
; ~
.
IS 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.
Setb"'cks
HSE GAR ACC
\
-.J
I APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition Ihat the said
construction shall, In all respects, conform to the Ordinance
adopted by lhe Cilyof Springfield, 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.
Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved,
ADDITIONAL COMMENTS
'I
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 Sprlngfleld, and the Laws
of the State of Oregon 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 certi fy that only contractors and employees who
are In compliance with ORS 701.055 will be used on lhis
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 al the front
of the property, and the ap ved sel of plans will r m In
\~n eSIWQ~~1 c s
natur~ I ?....~~, _ 't..........- ~
Oat""
J~ ;t '7- 9 b
VALIDATION: (\("\'\ I D
RECEIPT NUMBFP,) - '" ~~
DATE PAID ,./. L. Y .C( (/7 _
A~OUNT REC~lvln ,~c:S .'--eft
RECEIVED BY "1T\ U '0 )