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
,: