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Home My WebLink AboutPermit 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