HomeMy WebLinkAboutPermit Demolition 1997-03-07RESIDENTIAL
PERMIT APPLICATION
lnspections:726.3769
Oflice: 726.3759
LOCATION OF PROPOSEO
ASSESSORS MAP:
OWNER:
AOOR
CITY:
DESCBIAE WOR
CONT r.lAME
G EN ERA
RINGFI
LOT: BLOCK
JOB NUMBEB
225 Fifth Streer
Sprlngf tetd, Oregon 92477
TAX LOT:
SUBDIVISION
NEW
-
BEMODEL
-AODITION _- OEMOLISH _-. OTHEFI
ADO CONST.
CONTRACTOR ,EXPI FIES PHONE
-1 'Uo713lPLU M Bl NGI
t I
STATE:
PHON E:
ztP
EiTUNANIUAL:
ELECTRICAL
OUAO ABEA:
, OF BLDGS:
OCCY GROUP:
r OF STOBIES:
WATER HEATEF:
To request an Insp
made the sanls
Temporary Electric
OOL 1772018 - OFFTC
280 N. ADAMS #3 6E3{459
EUGENElffi
E USE
Rough Electrical - prlor to
c ove r.
rftffi[SECONDAAY HEAT:
the followlng work day.
Sted before 7:OO a.m. wilt be
E:
t:Lel2 5L
onsl5
l--T Roush Mochanlcat - prtor to l--1 Ftnat ptumbtng _U cover. L_j ;i;;iJ;n worr( rs ,
Whe
complete.
Site lnspcction - To be madcafter excavation, but prior toselting lornts.
I--l Understab ptumbing/Etectricat/
-
Mechanlcal - prioi to cover.
Footlng - Alter trenches are
excavaled.
l-l tr4asonry - Sreet tocalton, bond
-
beams, groutino.
Foundatlon - After forms areerected but prior to concreteplacemcnt.
l-l Underground ptumbing - prior
-
lo fllllng trench.
t]
Underlloor PlumblnO/Mochanical
- t.flor io tnsuiation or decking.
Post and Bsam - prior to f,oorlnsulatlon or deck,ng.
Floor lnsulation - prior to
deckl nO.
Tl Sanitary Sewer - prior lo (iilings trench.
I-l Storm Sewor - t)rior to ti[in9u trench.
Eloctrical Servlcs - Must beapproved to obtaln petrnanent
clectrlcal power.
[-l Flreptac€ - prtor to factngs materlats and lramlng lnspi
l--l Framtng - prtor to cover.
l-l wattrCol[ng tnsutatlon _ prtor to
-
cover.
l--l Drywail - prtor ro taptng.
l-l Wood Stovr - A,icr tnsrailailon.
fl lnsert - Altor ,treptace approval
-
and tnstallailon ol unlt.
l--l Finat Etcclricat - When ail
-
electrlcal work ls comOlete,
f] Ftnat McchaDicat - When ail
-
mechanical worl( ls cornplete.
Flnal Building - When ailrequlred lnspectlons have beenapproved and building iscompleted.
"-.411rAV
MOBILE {O
<(
A{-u\^o
ME NS
l--l Warer Line - prror ro liilino [--l fence _ when compteted.llrench- - I I
l-l Rougtr Plunrbins - prior ro I-_l:;treer Troos _ when ail rcqutred_ cover. U i,u"J"- "ii.p,"n,uo.
l-_l Blocting and Set.Up _ When ail
-
btockln0 ls comptete.
Curbcut & A1:proach - Afterforms are erccted but prlor toplacetncnt ol concrctc.
Plumbing Connections _ Whenhomc ltas been connected towater and sewer.
Sidewalk & Oriveway - Aftercxcavittion ls complctc. lormsand sub.base material ln place.
Electrical Connection _ When
Pl99kil9, ser.up, and prumbrnslnspections have becn approvedand llte home is connected lothe servlce panel.
I--l ftnal - Af ter ail required
-
tnspectlons are approved andporchcs, sklrting, decks, andvenung have been instaltod.
031 4
Lot faces
Lot sq. lt9.
Lot coveragc
Topography
Total helght
Lo
-
lnterlor
--
Corner
-
Panhandle
-
Cul-de.sac
P.L.HSE GAR ACC
N
S
E
IS IOPOSE,O WORK iN THE
HISEf,fICAL DlSTBlGf, OR ON
TI]E HISTORICAL REGISTER?
ll yes, this appllcailon must be stgned
and approved by the Historiaat
Coordlnalor prior to permit issuance.
APPFOVED:
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SO. r:T.ITEM
Main
G arage
Carport
Tolal Value
Building Pcrflrit Fee
Slate Surcharge
Total Fco
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
This pcrtr)it is grantcd on thc cxpress condition that the saidconstruction shall, in all respccts, conform to the Ordinanceadopted by the City ol Springlleld, inctuding theOevelopment Codc, regulating the construction and -use
ofbuildings, and may be suspended oilevoked at any timeupon violation of a,ly provisions of said ordinances.
Reoei pt N umbcr:__.._=___
DatePlans Bcvicwcd By
Plan Check Fce
Date Paid:
Beceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Dcvelopmcnt Charge ls due on all undeveloped
properties withln the City tirtits which are beino improved.
ITEM
Flrtures
Rcsldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
FI
FT
FT
yb
(c)
6B-0_--rztr-
tru_
Plumblng Permlt
Stato Surcharoe t
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unil
Dryer Vent
MECHANICAL PERMIT
(o)
Fu rn acc
Exhaust Hood
Vent Fan
Mechanical Permit
I ssuance
Stato Surcharge
Total Permlt
By slgnature, I state and agree, that I have carcfuily examlnedth€ completed apptication and do hereby certlty that alllnformatlon hcreon ls lrue ancl correct, and I lurlher cerilly
that any and all work pertormed shall be done in accordance
wlth the Ordinanccs of thc City ol Springf ietd, and the Lawsof lhe Sl.ate of OrcAon perlaintng to tho worl( descilbe,J
hereln, and that NO OCCUPANCY wiil be made ot anystructure wlthout peflnission ot the Bulldirrg Sa,ety Oivislon.I further certify lhat only contractors and employees who
arc ln cotnpliancc with OBS 701.055 will bo used on thts
proiec t.
I further agrec to ensuro that all required lnspections arerequested at the propor ilme, that each address ls 16adabie
treet, that the pcrmlt card ls located at the lront
nd the approved set ol plans will remal
from tlte s
oI the pro n
times durlngon the sl
Si g natu
Date
MISCELLANEOUS PEBMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk _ lt
Curbcut
-
tt
Oemolition
Total Miscellaneous Pennits (E)
Slah
J
harge VALIDATION:
AECEIPT NUMBER
DATE PAID
AMOUNT R
TOTAL AMOUNT OUE (excluding electrlcat)
(A. B, C, D, and E Comblned)RECEIVEO BY
to
Tte.qo
=
f"5J4
TII\,/IE
TAN MESSAG-
FOR
A.IVI
DATE N/t
tvl
OF
PHON
ABEA CODE N EXTENSION
O FAX
tr MOBILE
AREA CODE TIME TO CALL
tvl
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