HomeMy WebLinkAboutPermit Demolition 1997-07-24RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
INGFIELE,qr\
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT looASSESSORS MAP:)70 e, aY
LOT:
-
BLOCK:SUBDIVISION:
5<(PHONE:
7ryztP:
U
STATE:
- 74 7 /6ql
CITY:
ADDRESS:
OWNER:
DEMOLISH X OTHERNEW
-
REMOD EL A DITIO
E/HaOP(LDESCRIBE WORK:
ADDRESS
o qwEXPIRES ,l PHONE
ELECTRICAL;
CONTRACTOR'S NAME
GENEBAL:
MECHANICAL:
PLUMBING:
coNsT.
CONTRACTOR #
RANGE:
- OFFICE USE -
WATER HEATER
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT
SQUARE. FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
FLOOD PLAIN:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS: _ZONING CODE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested belore 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll bo made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.l--l Flnal Plumbing - When alt
'J plumblng work ls complete.
Site lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Eleclrlcal - Prlor to Flnal Electrlcal - When all
electrlcal work is complete.cover,
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
E Flnal Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.E Flreplace - Prlor to faclng
materlals and lramlng lnsp
Flnal Buildlng - When all
requlred lnspectlons have been
approved and bullding ls
completecl.Masonry - Steel locatlon, bond
beams, groutlng,Framlng - Prlor to cover.IflFoundatlon - After forms are
erected but prlor to concrete
placement.E WaltlCelling lnsulatlon - Prlor to
cover,
Underground Plumblng - Prior
to fllllng trench.
TD L)
Drywall - Prlor to taplng
E Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulation or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng is complete.
Floor lnsulalion - Prior to
decking.Curbcut & Approach - After
forms are erected but prlgr to
placemont of concrete.
Plumbing Conneclions - When
home lras been connected to
water and sewer.E Sanitary Sewer - Prior to filllng
trench.
Storm Sewer - Prior to fllllng
trench.
f-l Sidewalk & Drlveway - After
'J excavation ls completo, forms
and sub-base material ln place.
Eleclrlcal Connection - When
blocklng, set.up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Water Llne - Prlor to filling
trench.
Fenco - When colrpleted.
Rough Plumblng - Prlor to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
lnspecllons are approved and
porchos, sklrtlng, decks, and
ventlng have been lnstalled.E
t
/ OF BDRMS: _
fl
tl
E
E
ii., i I
It
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type--
-
lntorlor
-
Corner
-
Panhandle \'
-
Cul-de-sac
i-IS THE PROPOSED WORK TN THE "' HtsroRtcAL olsTRtc{, oR oN
THE HISTORICAL REGISTER?
-
ll yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordlnator prlor to permit issuance.
APPROVED:
PL HSE GAR ACC
N
S
W
E
BUILDING PERMIT i
VALUE
(A)
f
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
SQ. FT. X $/SQ. FT.
BUILDING VALUE, PTRU CHECK
AND BUILDING PERMIT
Thls permit is granted on the cxpress condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfleld, includlng the
Development Code, regulating the constructlon and use of
bulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed Ljy Date
Receipt Numbe
Plan Check Fee:
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln tlre City limits which are being improved.
ITEM
Fixtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
FEE
t
(c)TVW
blng
Nl
FT.
PLUMBING PERMIT
. FT.
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby cerilfy that all
lnformatlon hereon ls true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrl.bed
hereln, and that NO OCCUPANGY wlll be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are ln compliance wlth ORS 701.055 wlll be used on thls
prolect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
al mes duri c
Slgnature
Date
tructlon.on the slte at
t/
Wood Stove/ lnsert / Fl replace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
Total Mlscellaneous Permlts (E)
(D)
"\
MECHANICAL PERMIT
rcharge
Mechanical Permlt
lssuance
_Statre Surcharge
total Ft'*it
Fu rnace
Exhaust Hood
Vent Fan
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, Q and E Comblned)
3W
/\n6,)nn
RECEIVED BY \a-
VALIDATION:
UMBER
AMOUNT RECEIVED
RECEIPT N
DATE PAID
I
FT.