HomeMy WebLinkAboutPermit Demolition 1999-06-18RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
PRINGFIELt)
.JOB NLjM8EN
225 Fif th Street
Sprlrrgf lelr.l, Oregon 97
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT
LOT BLOCK:SUBDIVISION:
To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.rn. will be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc
Site lnspection - To tre made
after excavatlon, but prior to
setting forms.
Undorslab Plumblng / Electrical /
Mechanlca! - Prlor to cover,
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
bearns, groutlng.
Foundatlon - After forms are
erected but prior to concrete
placernont.
Undorground Plumblng .- Prlor
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prior to floor
insulation or decking.
Floor lnsulalion - Prior to
decking.
Sanitary Sewer - Prior to filling
trench.
Storrn Sewer - Prior to filling
trench.
Water Line - Prlor to filling
trench.
Rough Plumbing - Prior to
cover.
Electrlcal Servlce - Must be
approved to <lbtain permanent
olectrlcal power.
Flroplaco - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prior to cover.
WalllCelling tnsulatlon - Prlor to
cover.
Final Electrical - When all
electrical work is complete.
Final Mecharrlcal - When all
rnechanical worl< ls cornplete.
Flnal Building - Vlihen all
roqulrod lnspoctlons have boen
approved and buildlng is
cornplott:d.
)wlzezs--
MOBILE HOME INSPE TIONS
Blocking and Set.Up - When all
lrlocking ls complete.
Plumbing Connections - When
trome lras been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
[--] DrVwall - Prlor to taplng
Wood Stovo - After lnatallatlon
lnserl - After fireplace approvql
and lnstallatlon ol unlt.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Drivew;ry - After
excavation is complete, forms
and sub-base material in place..
Fence - When coi-rrpleted
$treet Trees - When all required
trees are planted.
NEW
-
REMODEL ADDITION DEMOLISH
rn*p 6E Ja c c.Bsap PHOt,tE:
ztP
Rz
1,900
STATE:ort 9z Y at?
-s-64tce c*)oaD ci 4 t 7C
OWNER:
DESCRIBE WORK:
ADDRESS:
CITY:
ADDRESS
+.
EXPIRES I PHONE
PLUMBING
MECHANICAL:
ELECTRICAL:
CONTRACTOR'S NAME
GENERAL:
CONST.
CONTRACTOR #
RANGE:
- OFFICE USE -
WATER HEATEB
ZONING CODE:
OUAD AREA:
I OF BLDGST
SECONDARY HEAT:
SQUARE FOOTAGE:
LAND USE:
OCCY GROUP:
n OF STORIEST
CONSTR. TYPE:
HEAT SOURCE:
E
E
E
E
r
tl
l-l Rough Mechanical - Prior tolJ cover.
[_l Rough Electrical - Prior tot---J cover.
E
E
f-l Final Plumbing - When aillJ plumbing worl( is completc.
fl
tf
*r:<+<-/,___
E
rl
E
Kotnu'4
# OF BDRMS:
--
FLOOD I)LAIN:
# OF UNITS:
-__
E
tl
Lot faces
Lot sq. ftg.
Lot coverage
TopoEraphy
Total helght
Lot Ty
-
lnterior
--
Corner
.- Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
TIJE IIISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgn6d
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMTT
VALUE
(A)
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is granted on the cxpress condition that the said
constructlon shall, ln all respocts, conform to the Ordlnance
adopted by thc City of Springfield, including the
Development Code, regulating the construction and use of
ouildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Rcviewed By Date
Receipt Numbe
Plan Check Fee
Datc Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City lirnits which are being improved.
PLUMBING PERMIT
FEE
N.
/ r:'
zo
1b-?o
F].
FT.
FT.
,'7f t , r'.f
(c)
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permlt
lssuanco
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust l-loorj By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Springfir:ld, 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 perrnission of the Builclirrg Safety Divislon.
I further certify tllat only contractors and employees who
aro ln cornpllancc witlr ORS 701.055 will bo r.rsecJ on lhls
proiect.
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 ls located at the front
of the property, and the approved set of plans will remaln
m
Signature
Date
on the site at uring construction.
MISCELLANEOUS PERMITS
Mobile Home
Stato lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-_-
ft
Demolition
State Surcharge
Total Miscellaneous Pennits (E)
/E::*lf
//
TOTAL AMOUNT DUE (exctuding etectricat)
(A, B, C, D, and E Comblned)sg^#
VAl-IDATION:
RECEIPT NUMBER
AMOUNT RECEIVED -
DATE PAIi)
BECEIVED BY
PL.}.ISE GAR ACC
N
S
E
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home.?&uk (w
CITY OF SPR"VGFIELD, OFEGO'V
SPR FIELO
DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-s753
FAX (541) 726-3689
Address:\qqj A/L'D
StructuretobeDemolished: OcD ldOrlSg q- Oc,r EOD 6b)?S
Job Number:9qog 3O
The applicant is hereby notified that any redevelopment of the subject site must comply
with all of the applicable laws, codes, ordinances, policies and plans in effect at the time
the redevelopment proposal is accepted as complete for City review. This would include
correction of substandard conditions associated with the present development. Examples
of such corrections may include modification of inadequate drainage facilities;
compliance with building set-backs from property lines; correction of substandard
sidewalks and street improvements, including driveway width and placement; and other
corrections which may be necessary to comply with existing development standards.
Furthermore, if an existing use is demolished or otherwise removed prior to the
development of the proposed use, then the system development charge credit for the
previously existing use shall expire two years after the date of issuance of the demolition
permit or other removal of the previously existing use. (Springfield Municipal Code
3.416(1)).
My signature below indicates that I have read and understand the above conditions
relating to the demolition of the above mentioned structure.
Date
Page I of I
I :\WORDFILE\PERMITS\Demosdc.doc
Z-ar^h c-/g'?9W
I SPRI JIELO
DEyELOPMENTSERY'CES
PUBUC }VIORKS
M ETRO PO LITA N WAST EWAT E R M AN AG EM ENT
DEMOLITION PERMIT APPLICATIONS
225 FIFTH SIPEEI
SPP/NGF/EID, OR 97477
(503) 726.3753
Your demol ition permit is currently bqlng .,processed' There .may be a sl ight
de.tay, of up t; i;;i[ing aiy.s ioi"smatl -structures, due to the time required
to review the tlrio.v or [n. it.u.irr. to determine if it needs to be documented
before demorition. This documeniiiion is for archival purposes on]y and-will
not affect the giiii,tirg ,r-tn. a.rojition permi.t. If the structure is very large
;;-.ffiri..t.airc aoirmentation pro..rr'may take up to a maximum of 4 working
days . Oocumeniali on wi I I cont! si of photograplii ng . the bui I di ng, taki ng
measurements and iraLiirg iiir.i-Jr.*tngt.. The d-octimentation will be undertaken
by the City at no cosfto you. Docuil'entation is being done on all structures
dated prior to rg-+o-i[it rnui tiv. nistoric importance to the city's development.
-, T.HIS DOCUHENTATION I.IILL NOT II'IPEDE THE DEI'IOLITION PROCESS'
An age cut-off of 1940 was chosen because this is the date that the Nationa'l
parks servi.. .id ffie-spiingii-.ld o.veloprent code use to determine potential
hi storical signi ficance.
If you would prefer to comp'lete this documentation yourse.'|6 V9u must provide the
City with ttre iJtrri.g j..fot*itiont l) black an-d white photosraphs of each
elevation, a fl;;;'piin"wiilr m.iru".r.ntr, and a set of elevation drawings with
measurements.
Thank You for Your Patience.
I grant the
documentalf;
of Springfield permission to enter my property to comp'lete
oi to thd requeit.O demolition of the itrircture located atCi tyn oricrz 2 ^tD
Property owner signature:
Date:
I
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
hIGFIE
JOB NUMBER
225 Fifth Street
Sprl ngf lelrJ, Oregon gl 477
/ 743 57,
ASSESSORS MAP:TAX LOT Oo
LOT BLOCK:SUBDIVISION
NEW
-
REMODEL ADDITION DEMOLISH OTHER _-
€z-PHONE:
ZIP:&STATE:
OWNER:
ADDRESS:
CITY:
DESCRIBE WORK:
CONST.
CONTRACTOR #ADDRESS
t/
EXPIRES .;1 PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
RANGE:
'T OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
FLOOD I)LAIN:
r OF UNITS:
OUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE. FOOTAGE:
OCCY GROUP:
I OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When attplumbing worl< ls complete.
l-_l Slte lnspectlon - To lre made|J after excavatlon, but prior to
settlng forms.
Rough Electrlcal - Priclr to Fln;l Electrlcal - When ail
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mecharrical - When all
mechanlcal work is complete.
tl Footlng - Alter trenches are
excavated.Flnal Building - When all
required lnspectlons have been
approved and building is
Flreptace - Prlor to faclng
materlals and framlng lnsp.
Masonry - Steel locatlon, bond
beams, groutlng.
completed
Framlng - Prior to cover.XoBFoundatlon - After forms are
erected but prlor to concrete
placement.
ther
WalllCblllng lnsutatlon - Prlor to 3eu"- ' gf
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taping.
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPECNONS
Wood Stovo - Aftor lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulatlon - Prlor to
decklng.
lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Curbcut & Alrproaclr - After
forms are erected but prior to
placement of concrete,
Plumbing Connectlons - When
home has been connected to
water and sewer.
Srnllrry $ewrr - Prlor te ,llllng
trench.Electrlcal Connectlon - When
blocking, set-up, and plumblng
lnspections have been approved
and the home is connected to
the servlce panel.
Stonn Sewer - Prlor to fllling
trench.
Sldewalk & Driveway - After
excavatlon ls complete, forms
and sub-base materlal in place.
water Llne - Prlor to fllling
trench.
Fence - When cotnpleted.
Rough Plumblng - Prlor to
cover.
Slr€et Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
E
Z
E
il
E
tl
n
Irl
l
E
tl
tl tlE
Lot faces
Lot sq. ftg.
Lot coverage
Topo0raphy
Total height
Lot Typt._
-
lnterlor
-
Corner
.-_ Fanhandle !
-
Cul-de-sac
,S THE PROPOSED WORK TN THE .
HtsroBtcAL DtsrRtcr, oR oN
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordlnator pil6r to peiitlt lSSt-rance.
APPROVED:
P,L.HSE GAR ACC
N
I
I
S
W
E
VALUEFT.
1
(A)
MtT ,
Total Value
Building Permit Fee
State Surcharge
Total Fee
ti .{,
x $/so. FT,
BUILDING PER
ITEM SO.
Maln
Garage
Carport
BUTLDTNG rAu:ie, iSlnN CHEcK
AND BUILDING PERMIT
Thls permit is granted on tho express condltlon that the sald
conrtructlon shall, ln all respects, conform to the OrdlnCnae
adopted by the City of Sprlngfldld, includlng the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt Number:-
Plans Reviewed By Date
Date Paid
Fleceived By
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
sa,hh-qfl
,7ff,/f
FEE
'a2
a
(c)
N'
FT.
FT.
FT
2!
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed applicatlon and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are ln compllance'with ORS 701.055 wlll be used on thls
prolect.
I {urther agree to ensure that all requlred inspections are
requested at the proper tlme, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans wlll remaln
Slgnature
Date
mes rlng constructlon.on the slte
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
-lEI-:
/,y'4
l?./4
r2?--TOTAL AMOUNT. DUE (exctuding electrical)
(A, B, C, Q and E Comblned)31h4 ,-r
VAI-IDATION
RECEIPT NUMBEFI
DATE PAII)
AMOUNT RECEIVED
L
6
RECEIVED BY
/6.>n