HomeMy WebLinkAboutPermit Demolition 1999-05-06RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
SPFrINGFIELE,
€)t
.JOB NL'MBER 7
225 Fif tlr Street
Sprirrgf ir-'lrJ, Oregon 97477
(.//
LOGATION OF PROPOSED WORK:-s//,/L ZOJ
ASSESSOBS MAP:/7 03 9r Z3
TAX LOI:34oo
LOT
-
BLOCK:SUBDIVISION:-
PHOI'.lE: -
?7172STATEZIP:
J
o
h e OR
-dt?6
CITY:
ADDRESS:
OWNER
DESCRIBE WORK:
NEW
-
REMoDEL ADDrroN DEMoLTsH 2i OTHEFI
ADDI.'IESS
!n uouolIBcll!loN
Bu r.ru/
dlQforoo-t00-296uvo ul
CONTRACTOR'S NAME
RANGE:WATER HEATER:
# OF BDRMS
y+/
L s!roluoc
or{}loll
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
L:XPIRES
Zatz : PHONE
7i.6 -7/26
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
* OF STORIES:
ifi ilF,?&8L",ffiffi#ili'i'llt"#" "
D . LA N :
' qfi hbns;imb€+Mp+lro6alo.NolJN3l-lVzo r.r r N G co D E
CONSTR. TYPE:
HEAI'SOURCE:
CONST.
EONTRACTOB #
To request an lnspection, you must call 726-3769. Ttris ls a24hour recordlng. All inspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be.macJe the following work day.
REQUIRED INSPECTIONS
[-_l remporary Etectrtc Rough Mechanical -.Prlor to
cover.
Final Plumbing - When all
plumbing worl< is complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prlor to Final Electrlcal - Wtren all
electrical work is complete.cover.
Underslab Plumblngl Electrical /
Mechanlcal - Prior to cover.
Electrical Service - MUst be
approved to obtain permanent
electrlcal power.
Firral Mechanical - When all
rncclranical work ls complete.
Footlng - After trenches are
excavated.Fireplace - Prior to faclng
materlals and f raming.lnsp.
Final Buildlng - Vlihen alt
required lnspections have been
approved an<l building is
co rn pleted.Masonry - Steel locatlon, bond
beams, groutlng,Framing - Prior to ooVer.0ao*
Foundatlon - After forms are
erected but prlor to concrete
placemont.
Other
Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to filllng trench.[--.l Drywall - Prlor to taplng.
MOBILE l.IOME INSPECTIONSUnderlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.
Post and Beam - Prior to floor
lnsulatlon or decklng.lnsert - After flrel:lace approval
and installatlon ol unlt.
Blociiing and Set.Up - When all
blor;l<in,.; ls cotnplete.
Floor lnsulatlon - Prior to
decking.Curbcrrt & A1:proaclr - After
forms are ert..cted but prior to
placement of concrete.
Pltrrrrl;irrg Connectlons - When
Irornr: has been connected to
walcr and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
anc rl)e home is connected to
thr: service panel.
Storm Sewer - Prior to filling
trench.
Sidewall< & Driveway - After
excavation is complete, forms
and su[.r-hase malerial ln place'.
Water Llne - Prior to filling
trench.
Fence - When ccllpleted
{ilreet Trees - When all required
trLles are planted.
Final - After all required
insf)eclions are approved and
porclre.s, skirting, decks, and
ventir)g have been installed.
Rough Plumbing - Prior to
cover.
SECOT!DARY HEAT:
SQUARL': FOOTAGE:
E r
l--l Wood Stove - After lnstallation.
I
E
E
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type .-
-,
lnterior
--
Corner
-- Panhandle
-
Cul-de-sac
Setbacks
- THE PROPOSED WORK IN THE .
HISTOFIICAL DISTBI T, OR ON
TIIE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
arrd approved by the Historical
Coordinalor prlor to permit issuance.
APPROVED:
P.L.}JSE GAR ACC
N
S
E
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
VALUE
W
(A)
t6ao
Llcr
X $/SO. FT.
t1..{ {
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrrit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of 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.
Plarrs Rcviewed [3y Date
Reccipt Numbe
Plan Check Fee
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systerns Development Charge is due on all undeveloped
propcrtics within the City limits which are being improved.
FEE
(c)
Fl.
Fl..
N"
PLUMBING PERMIT
Residential Bath(s)
Plumbing Permit
State Surcharge
Total Charge
ITEM
Fixtures
Sanitary Sewer
Water
Storm Sewer
Moblle Home
rI-
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplact: Ur.rit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust llood By sigrrature, I state and agree, that I have carefully examlned
the conrpleted application and do hereby certlfy that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accorrJance
with the Ordinanccs of the City of Springfield, 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 Building Safety Division.
I further certify that only contractors and employees who
are in cornpliance with ORS 70i.055 wlll be used on this
proiect.
I {urther agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
fronr tl.re street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Date _.P 6- 7 v
Signatu re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Penni ts (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combinedl
q
33 bbrVAI-IDATION
RECEIPT NUMBEFI
DATE PAIi)
AMOUNT RECEIVED
RECEIVED BY
<,
s/l
lnspect
Offlce:
6
BLOCK:
Zd
LOT
JOB NUMBER
225 Fifth Street
Sprlngfleld,
SUBDIVISION:
TAX LOX
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
rlons: 7263769
72e.3759
- 8+6/PHONE:-)o
7)E2)!/5 ORSIATE:ZIP:CITY:
r7ttL
AADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
Po6ox 2J+?
.iranrrou t[,
,)"0u,rr/
ADDRESSCONTRACTOR'S NAME
GENERAL:
PLUMBlNG:
MECHANICAL:
ELECTRICAL:
coNsT.
CONTRACTOR 're 84/
EXPIR]
L,ccs
PHONE
726 7 /)4
E:
H
LAND USE:
,OFUN
RANGE:SQUAREWATER HEATER:
QUAD AREA:
r OF BLDGS:
OCCY GROUP:
* OF STORIES:
To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspectlons requested re 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be ma<le the followlng work day.
REQUIRED INSPECTIONS
n temporary Electrlc [-l Rough Mechanlcal - Prlor toU cover.
Flnal Plum - When all
ls complete.plumblng wo
Slte lnspectlon - To lre mado
after excavatlon, but prlor to
settlng forms.
[-l Rough Electrical - Prior tor---J cover. I I
Flnal - When all
ls complete.electrlcal
Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.E Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mecha
mechanlcal '
- When all
ls complete.
Footlng - After trenches are
excavated.Flnal Bulldlng When allEFlreplace - Prlor to faclng
materlals and framlng lnsp.
requlred lns have been
approved and
completecl.
lng ls
Maaonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
E Foundatlon - After forms are
erected but prlor to concrete
placement,
&ottrerEWalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor Drywall - Prlor to taplng.to fllllng trench.
MOBILE HOME NSPECTIONS
Underlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.tl Wood Stovo - After lnstallatlon
Post and Boam - Prlor to floor
lnsulatlon or decklng.
Blocklng and p - When all
lnsert - After flreplace approval
and lnstallatlon of unlt.
blocklng ls ete.
Floor lnsulatlon - Prlor to
decklng.
Plumblng
home has
water and
- When
Curbcut & AJrproach - After
forms are erected b(rt prior to
placemcnt of concrete.
connected to
Sanltary Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.E Storm Sewer - Prlor to fllllng
trench.
Water Llne - Prlor to filllng
trench.l-l Fence - lvhen coinpleted.
Rough Plumblng - Prlor to
cover.
Str€et Trees - When all requlred
trees are planted.
E
UtilitY
rules forthfollow
rfdlq
CONSTR.
UtilitYOregonHEAT
theOregon
E
E
E
I--l Electrlcal Connection - WhenU blocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
l-l Flnat - After all required.J lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
it
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-- Panhandle
-
Cul-de-sac
:g THE PROPOSED WOBK tN THE -. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permlt lssuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
BUILDING PERMIT
VALUE
(A)
SO. FT,ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
'- /t
X $/SO. FT.
.i r, rl
BUILDING VIALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express conditlon that the said
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngf leld, lncludlng the
Development Code, regulating the constructlon and use of
ouildings, and may be suspended or revoked at any tlme
upon violation of any provlslons of sald ordlnances.
Plans Reviewed By Date
Receipt Numbe
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln the City limits which are belng lmproved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Mobile Home
FEE
il-
(c).f ta, ao
Nc
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy that all
lnformatlon hereon is true and correct, and I further cerilfy
that any and all work performed shall be done in accortJance
with the Ordinanccs of the Clty of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure without perrnission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on thls
project.
I {urther agree to ensure that all requlred lnspecilons are
request€d at the prop€r tlme, that €ach addregs ls readable
from the ttrlet, that thr pormlt oud l! looetcd et thc tront
of the property, and the approved set ol plans wlll remaln
on the site at all times durlng constructlon.
J--//- vv&,"
^(gn",rr"
MISCELLANEOUS PERMITS
Mobllo Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--_
ft
Demolition
State Surcharge
Total Mlsoellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, D, and E Comblned)
VAl-IDATION:
RECEIPT NUMBER
-
P
RECEIVED BY
AMOUNT RECEIVEO
DATE PAII)
Plan Check Fee:
-
. FT.
)CITY OF OREGO'V
SPri jFIELO
DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
.l
Address:Slt S.,,'f'h Z 17
h-,;t O,*re/)XStructure to be Demolished:r/?2
Job Number:77oo t t
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.
D*//s-4q
Signature Date
Page I of I
I:\WORDFILE\PERMITS\Demosdc.doc
SPr .GFIELO
DEVELOPMENTSEPY'CES
PUBUC }IOPKS
M E T R O PO LITA N WAST EWAT ER M A N AG E M E N T
225 FIFTH STREET
SPP/NGF/EID, OR 97477
(503)726-37s3
located at
Your demol ition permit is currently bqlng ,'processed' There .may .be a sl ight
delay, of up to i-woil,ing days ?oi-smalI -structures, due to the time required
to review the nirtori or [n. itructure to determine if it needs to be documented
before demolition. 'This documeniaiion is for archiva'l purposes only and-will
not affect the g;i.tirg.r-trc o.rotition permit. If the structure is-very large
;;-.;bilLateOif,. Aoeumentation process'may take u.p. to a.maximum of 4 working
days. oocurentaiiil-;li1- consist of pfiotographing. the building' taking
measurementt .na i'ir.ing i..r eJ
-aiawi
ngs . The d-ocumentati on wi'lI be undertaken
ui-ir.,. ciiy at no cosfto you. Documentation is being done on all structures
dated prior to rg+o-[[it r.i hive historic importance to the city's development.
., T.tlIs DoCUHENTATION tIILL NOT IHPEDE THE DEI-|0LITI0N PRoCESS'
An age cut-off of 1940 was chosen because this is the date that the National
parks service .;i ii.-spiingii-eld o.*topment code use to determine potential
hi storical significance.
Ifyou would prefer to comp'lete this documentation yourse.l6VPu must provide the
City with lre'fJi.r+i"g tnformiitont l) black and white photographs. of each
elevation, a fl;;;'piin"witt mei-sure*enti, and a set of elevation drawings with
measurements.
Thank you for Your Patience.
DEMOLITION PERMIT APPLICATIONS
ity of Spring field pe rmission to enter mY ProPertY to complete
??oo 1t
pt:
//
ior
5
reouestedo'h4
(z-
demol ition of the structure
9oruvl
I grant the C
documentatlon_t
si gnature:6zaa c/tuLztat>t
/46/u
Property
Date:VT