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HomeMy WebLinkAboutPermit Demolition 1999-05-11RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 liPFl FTE ,,OB NLllv4BER 225 tjif th Street Spri rrgfir:lr.l, Ore TAX LOT: gon 97477 LOCATION OF PROPOSED WORK:(Ll o**L ASSESSORS MAP:la 6V Zq z 3 o.7 >o-n LOI BLOCK: , NJ SUBDIVISION 7+PHOl"lE: _-81at OR 7)STATE:ztP 7o CITY: r)e^ Chert)cJ ADDRESS: OWNER: o-*r- L ADDrrroN DEMoLrsr-r A orHER DESCRIBE WORK: NEW- REMODEL 7s4)LPo CONTRACTOR'S NAME ADDNESS t:XPIR z MECHANICAL: ELECTRICAL: PHONE 726-7 CONSI. CONTRACTOR # GENERAL: PLUMBING - oFFrc Oenteris 1 SOUAN[:- forth by r for thcnt Cante r. Those rules are EAT: LAND usE: -- in OAH 952-001"001Othrugb RANC F-: 0090. You may obtain# ot uNlTs: -----catli'nEtfi ireemte r. ( l -800-332-2344). SECOt.IDA'RY QUAD AREA: r OF BLDGS: CONSTR. TYPF.: HEA'I'SOURCE: WATER HEATER: OCCY GROUP: r OF STORIES: To request an inspection, you must call 726-3769. Tltis is a24hour recordlng. All inspections rerluested fore 7:00 a.m. wllt bemade the sarne worklng day, lnspections requested after 7:00 a.m. wlll be mac.le the following work day. REOUIRED INSPECTIONS [--l Temporary Electric Rough Mechanical - Prloi to cover. Final Plumbi g - When all plum l:ing is complete. Site Inspectlon - To be made after excavatlon, but prior to setting forms. Rough Electrical - Prior to Final Eleclrlc - When all is complete.c ove r.el ec t ri cal Underslab Plumbing / Electrical / Mechanlcal - Prior to cover.Electrical Service - Must.be approvect to obtairr permanent eleclrlcal power. Final Mechan al - When all rnechanical is cornplete. Footlng - After trenches are excavated.Final Buil required I - \lihen all Fireplace - Prior to faclng materials and framing lnsp. ns have been apl:roved and building isMasonry - Steel locatlon, bond beams, groutlng. com pleted. Framing - Prior to cover: Foundallon - After forms are erected but prlor to concrete placement. ffo*", Wall/Celling lnsulatlon - Frlor to cover. Underground Plumbing - Prior to filllng trench.fl Drvwall - Prior to taplng MOBILE I.IOM INSPE TIONSUnderlloor Plumblng / Mechanical - Prior to lnsulatlon or decking.Wood Stove - After lnstallation Post and Eeam - Prior to floor insulation or decking. Blr:ci<ing and Up - When all lnserl - After f ire;:lace approvql and installatlon of unlt. blocl<in1; is plete. Floor lnsulalion - Prlor to decklng.Crrrbcrrt & AJrproach - After forrrrs are ert:cted but prlor to pl:rccrnent of concrete, P lu rn bing Irornr: lras w;ll(it ;lr)d nections - When n connected to 'ur. Sanitary Sewer - Prior to fllling trench.Electrical C ection - When Storm Sewer - Prior to filling trench. Sidewall< & Driveway - After excavation is complete,. forms ancj sub-base material ln place. blockintt,p, and plumbing in s pec tions been approved an.J tlre home is connected to the service p Water Line - Prlor to filling trench.I--l Fence - Wtren ccrrrpleted Final - After all required {itreet Trees - When all. required trces are planted. inspeclions a porches, skirt venting have I and andRough Plumbing - Prior to cover.lnstalled / E E E rJ tl E E fl t_l ll [] fl t:] fl ,i, Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type v -- lnterior --- Corner -- Panhandle - Cul-de-sac Se k:i ACC - THE PROPOSED WORK TN THE " HISTORICAL DISTRICT, OR ON TI{E TIISTORICAL REGISTER? - l( yes, this applicatlon must be slgned arrd approved by the Historical Coordinator prior to permit issuance. APPFIOVED: GARPL. N .S E VALUE (A) X $/SQ, FT. Total Value Building Permit Fee State Surcharge Total Fec BUILDING PERMIT ITEM SO. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pcrrrit is granted on the cxpress condition that the said construction shall, in all respects, conform to the Ordinance adopted by thc 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. Plans Roviewed By Date Receipt Numbe Plan Check Fee Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. FEE (c) FT. f:1. Nr Fl'. Fixtures Residential Bath(s) Plumbing Permit State Surcharge Total Charge ?g,t +< _t9@d Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT ITEM ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fl replace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust liood By sigrrature, I state and agree, that I have carefully examlned tlre conrpleted application and do hereby certify that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done ln accordance with the Ordlnanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Bulldltrg Safety Division. I further certify that only contractors and employees who are in cornpliance with OFIS 701.055 wlll be used on this proiect. I further agree to ensure that all requi'red inspections are requested at the proper time, 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 will remain on tlre site at all times during construction. $* s=t/-'/Z - $,nn",,," MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut .---.-.._-_ ft Demolition State Surcharge Total Miscellaneous Permits (E) (A, E, F, B, aRd E 9embln$trt 5-tt- q t AMOUNT RECEIVED flEEFIVEEI HY DATE PAIi) VAI-IDATION: FIECEIPT NUMBER |l5lE CITY OF OREGON SPFr jFIELD DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 Address:-s zf so., fi- z n4 Structure to be Demolished:Fo,n Job Number:< ?qMD 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. J>+-77 Signature Date Page I of I I :\WORDFILE\PERMITS\Demosdc. doc SP GFIELI) DEVELOPMENTSERY'CES PUBUC }TOFKS M ETRO POLITAN WASTHilATER MANAG EM ENT 225 FIFfH SIREEI SPRINGFIELD, OR 97477 (503) 726-3753 '/?oorz your demolition permit is currently be-lng .processed. There may. be a slight a.i.v, of up to I woit<ing days for-small ltructures, due to.the time required io ".riiew the histoiy or [n. itructure to determine if it needs to be documented U.foi. demolition. -This documentation is for archival purposes only and-will noi-.if".i ttr" gianting of the demolition permi.t.. If the structure is_very large o"-.orpilcaleoihe uoiumentation procesl mal take u.p- to a.maximum of 4 working O.Vi. - Do.u*.ntatiori wi'll consist of photographing. the Pyll.ding,. taking rn.iirr.r"nts and making scaled drawings. 'The dbcumentation will be undertaken UV-it. City at no cost-to you. Documentation is being done-.on all structures Ait.J prioi to 1940 that ma! have historic importance to the City's development. DEMOLITION PERMIT APPLICATIONS Ig rant the CitY of Springfieldrior to to enter my prope rty to complete ition of the structu re located at ., TIIS D0CU],|EI{TATION l,lILL NoT IIIPEDE THE DE}|oLITI0N PRoCESS. An age cut-off of 1940 was chosen because this is the date that the Nationa'l parks Service anA [tre Springfield Development Code use to determine potential historica'l significance. If you would prefer to complete this documentation V.ou1s91f you.must provide the iitV-ritt inL fotlowing information: l) black and white photographs. of each ;i;"r"ii;;, i'noor plan-with measurements, and a set of elevation drawings with measurements. Thank you for Your Patience. documentation P *{L the reoue Souy'k permi ss i on sted dernol4ndc- Property owner i gnature:e t)tU,?eWLzi ?U lacrLDate: oCtTY RESIDENTIAL PEITMIT APPLICATION lnspections: 726.3769 Office: 726.3759 LOI - BLOCK SPRIN IELr, ,JOB NtJ|vlB 225 Firth st Sprirrg f ir:1r.1, ER reet LOCATION OF PROPOSED WORK -fZ 3 Jo"z ,/ ASSESSORS MAP;t7o 33 5 3)TAX LOI: SUBDIVISION btz on 97477 D rAt PHOl"lE: _, ztP.. 1s1uo5 u1 o OWNER: ADDRESS: CITY: f4a t (q tasrlps DESCRIBE WORK: NEW- REMODEL ADDI OTHER ooco N N ST. TRACTOR 2_rq CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: ADDF]ESS 01 2csc EXPIR GENERAL: PLUMBING PHONE 226-) E:RANG F.: _ OFFICE USE - WATER HEATER [:LOOD })LAIN: ZON ING # Ot. BDRMS: SECONI DARY H SOUARI: QUAD AREA: r OF BLDGS: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: To requ est an n pec ti on,yo U m US ca 726-3769. Tltis is a 24 hour recording. All s requested af ter 7:00 a.m. wlll be macje REQUIRED INSPECTIONS NS pec o NS te Are cl UCSmadetheameworklngday,NS pe ct ion he fol low n s o rk day. l--l Temporary Etectrlc Rough Mechanical - Prlor to cover. Final Plunrbi plumbing Slte lnspection - To tre made after excavation, but prior to settlng forms. Rough Electrical - Prlor to Final Electcover.el ec tri cal Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Electrical Service -'Must be approved to obtairr permanent clectrical power. Final Mechani rn ec lt a n ical Footlng - After trenches are excavated.Final Building Fireplace - Prior to facl.ng materials and framing lnsp. required in Masonry - Steel locatlon, boncl beams, groutlng. approved and com pleted. Framing - Prior to cover. Foundatlon - After forms are erected but prior to concrete placement, Other Wall/Ceiling lnsulatloii - prlor to cover. Underground Plumbing - Priorto fllllng trench.fl DrVwail - prior to taptng. Underlloor Plumblng / Mechanical - Prior to lnsulatlon or decking. MOBILE FIOME Wood Stove - After lnstallailon Post and Beam - Prior to floor lnsulation or decking. Bloci<ing and lnsert - After fire;:lace approvql and installation of unlt.' blockin0 is co Floor lnsulation - Prior to decking.Curbcr.rt & AJrproach - After forms are erocted but pri'or topl:rcernent of concreti. Plunrbing Co horne has water and Sanitary Sewer - Prior to filling trench. Sidewalk & Driveway - After cxcav;rtion is complete, fofms ancl sut-r.base maleriat ln. place.. Fence - lVhen cciitpleted. Electrical Con Stonn Sewer - Prlor to f llling trench. blocl<irrg, set-u inspoctions h anrJ tlte home the service Water Llne - Prlor to filling trench.Final - After inspections{;treol Trees - When all 'required trces are planted. porchcs, skirtlRough Plumbing - Prior to cover.venting have fore 7:00 a.m. wllt be - When all ls complete. - When all is complete. I - When all rk ls complete. - tyli hen all tions have been NSPECTIONS p - When all connected to t. and plumbing been approved connected to I required approved and g, decks, and ete. el ilding is s - When - When lnstalled I tl L] tl tl tl E r tl fl Lot faces Lot sg. ftg. Lot coverage Topography Total height Lot Type -, lnterior -- Corner - Panhandle - Cul-de-sac Setbacks , PL.}JSE GAR ACC N S - TI-,JE PROPOSED WORK TN THE . FIISIORICAL DISTRICT, OR ON TI]E HISIoRICAL REGISTER? - It yes, this application must be signed arrd'approved by the Historical Coordinator prlor to permit issuance. APPFIOVED: This pcrrrrit is granted on the express condition that the said construction shall, in all respects, con{orm to the Ordinance adopted by the 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: Date Paid Receivcd By: BUILDING VALUE AND BUILDING P r! , PLAN CHECK ERMITVALUE l{.0 e / 1,41 Opr,to /t-tn -ivT (A) X 9/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within thc City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) COMME TSADDITIONAL0*/.*.6,ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N" Fl'. FT, PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge - Fl. Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust lloorj By sigrrature, I state and agree, that I have caref ully examined the conrpleted application and do hereby certify that all lnformation 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 Springfield, and the Laws of the State of Oregon pertainlng 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 compliance with ORS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address ls readable frbnr thc street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on tlre site at all times during construction. Signatu re Date 6-7 MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -* ft Demolition State Surcharge Total Miscellaneous Penntts (E) TOIAL AMOUNT DUE (excludinq clectrical) (A, B, C, D, and E ComblnciJ) VAI-IDATION 6t -s RECEIPT NUMBER 03s EIV DATE PAIi) AMOUNT REC FTECEIVE.D BY E ,: