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Home My WebLink AboutPermit Demolition 1992-03-17nesloENTIAL PERMTT APPLICATION lnspections: 7?6'3769 Olf ice: 726'3159 LOCATION OF PROPOSED WORK: -- SPFIt\.GFTELO JoB NUMBE " ?2a 72/ 225 Fif th Strcet Spri n0 {ield, Otegon 97 47 7 -?e2-_ ASSESSORS MAP ,/?^a7-3s-33 rAxLor: €=7Q{ LOT:BLOCK:SUBDIVISION PHONE: qw7ztPSTATE: C ? d<S CITY: OWNER: ADDRES NEW _--. REMODEL - ADDITION DEMOLISH OTHEFI DESCRIBE WORK PHONEADDRESSEXPIFIES tuCONTRACTOR'S NAME CONST. CONTRACTOR I/ MECHANICAL: ELECTRICAL: -- CENERAL: PLUMBING RANGE: OUAD AREA _ OFFICE USE _ LAND USE: WATER HEATER: HEAT SOURCE: -- ZONING CODE: SECONDARY HEIAT: SQUARE FOOTAGE: # oF BDRM",_t.OCCY GROUP: ---/ OF STORIES: FLOOD PLAIN: . - II OF UNITS: CONSTR. TYPE: To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be rnade the following work day. REOUIRED INSPEGTIOT{S Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing worl( is complete. Site lnspection - To be made af ter excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing / Electrical / Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrlcal power. Final Mechanigal - When all mechanical worl( is complete. Footing - Af ter trenches are L-xcavat(- (1.Fireplace - Prior to facirrg nlaterials ancl frarning lnsg-r. Final Building - When all required inspc{tiorrs lt;rvc l)ecrr apgrroved an<l btrilr.lirrg is corn pletecl.L_l Masonry - Sleel location, bond bealns, grouting.Framing - Prior to covcr.tXornerGry4ffl/ffizerr/rz,ryz-.Foundation - After forms are erected but prior to concrete placernen t.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to lilling trench. Underlloor Plumbing / Mechanical - Prior to insulation or decking. MOBTLE HOME ItNSPECflONS Wood Slove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and Installation of unit. Blocking and $et.Up - When all blocking is complete. Floor lnsulation * Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrele. Plumbing Conhections - When home has beeh connected to water and sewpr. Sanitary Sewer - Prior to f illing trench. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Electrical Conheclion - When blocking, set-r{p, and plumbing inspections have been approved and the home is connected to the service pahel. Water Line - Prior. to filling trench.f Fence - When completed Rough Plumbing - Prior to Street Trees - When all required trees are planted. Final - After all required inspections arp approved andporches, skirtifrg, decks, and venting have leen installect.cover tl tl tl tl r Efl r l-l Drywalt - Prior to taping. E tl E E E n Lot Type. lnterior -- Corner -=. Panl-rarrdle -- Cul'de-sac Setback ,S THE PROPOSED WORK IN THE -ntstoRtcAl DtsrRtcr, oR oN TI IE 11 ISTORICAL REGISTER? lf yes, this application must bc signed :rnd apProved bY the Historical Coor<lirrator prior to pr:rrnit issuancc' APPROVED: Lot far;es Lot sq. ftg. Lot coverage TopograPhY Total lrcight P.L. N ,) q GAR ACCHSE BUTLDING VALUE, PLAN CHECK AND BUTLDING PERMIT This perrnit is g;rantecl on the express conditiorr tl'lat the said consiruction shall, in all respects, conform to the Ordinance acloptecl by thc City of Spriagficl'd, ir.rcltrding the Developtnent Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any llrovisions of said ordinances' Plan Check Fee: ---'- DatePlans Reviewed BY Date Paid Receipt Number Received BY VALUE (A) BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X $/SO. FT.ITEM Main Garage Carport Systems Developtrterrt Charge is due on all undeveloped properties within the City limits which are being irtproved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITTONAL COMMENTSPLUMBING PERMIT FEE /v/€- /77,, N FT. FT. _r: -'T (c) Plunrbing Permit State Surcharge Total Charqe ITEM Fixtu res Residential Bath(s) Storm Sewer Mobile Home Sanitary Water Wood Stove/ lrrsert/ Fireplace Unit Drycr Vont MECHANICAL PERMIT Mecl-rarrical Pcrmit (D) lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan N0 By signature, I state alrcl agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct' and I f urther ccrtif y that any and all work pcr(ormecl shall be done in accordancc withtheordinanct.lsofthcCityofspringfieIcl,arrdtheLaws of f hc Statc of Orellon pertaining to lhc worl< clcscril-rcrl Ircrein, arrcl tlrat NO OCCUPANCY will bc t.tr;rtlc ol any structure witlrout pcrttlission ol the Building safety Division' |{urthercertifytllatorllyContractorSandemployeeswho are in compliance with ORS 701'055 will be used on this 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 is locatecl at the f ront of the property, and the approved set of plans will remain Signature Date 3 on the si te at all tinres during construction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk __-- ft Curbcut ---'- ft ernoliti /yaEFPfuzz' Slate Surcllargle (E)Tota I Miscellarreous Permits VALIDATION: RECEIPT NUMBER DATE PAID 2 7 RECEIVED BY AMOUNT REGEIVED TOTAL AMOUNT DUE (exclud (A, B, C, D, and E Cornbined) lng electrlcal) -*-se*.,Qff\- 6,8 DEPARTMENT OF FIRE AND LIFE SAFETY 549 SOUTH 2ND STREET SPRINGFIELD, ORE 97477 SPRINJFIELO FD-1 58 225 FIFTH SIFEEI SPF/NGF/ELD, OR 97477 (503) 726-s7s7 h its educat i on os. Th is TRAINiNG BURN AUTHORI ZATI ON },IARCH 2.___t 19 92 T0: city of springfield, a Municipal.corporation, acting by and throDepartment of-Fire ind Life Siietr- '-'- IoY ?tt.hereby authorized..unl permitted to burn under supervision and foand instruction purposes that iertain houie-or buitiina-i;tii.o-on Tax Lot # 37oo in Addition to S ringfield, 0regon which is designated as Street, Springfie d,0regon. I /Ve expres s 1 warrant and represent to you that I /t{e the undersi gned,are the t v idowner(s) of sa property, and'that the s ame i s free and c'lear of a ny an all 'liens,en c umbrances jud gments, and a nv interest, ri ght, title or claim in any ther pers0nother than t he unders i gned, an dt hat th'is con sent is freel y and voluntar ly gi ven,and that we wi I I save the City of Springfield harmless fr om any liabilit to anyperson whomsoever by reason of any statement or warranty contained in th is I ette.r. y the S.1. The proper ty owner ()shal I remove al I debr is on the lot (s) involv in this I/l{e, the underrlgngd: also agree to the foilowing requirements imposedDepartrnent of Fire and rire iireiy -io-;;r;;;'llrptetion of ar.r regulati sburn with i n six ty (60)of Fire and Lif days after completio n date of the burn by t e Departmente Safet2.ty owner s ,y. is to secure, the rThe proper ) I ding Department whe n inside the Ci ty L imi ts. permits fr om the Bui3. 0utside Ci ty L imi ts Count y regulations a pp ly. equired demolition an dpl ing cap ( 4. The pro perty owner(s ) sha'l I have the str ucture inspected for asbesincludeS , a. An internal and ex ternal i ns pection of the stru cture by an a es tosor environmental consulting firm.b.R emoval of asbe st os containing materia.ls, as indicated by th ins pect i ngf i rm. -l,lon-friable bound) asbestos m be removed by non-certif p eopl e.ay(-Friable (unbo und) asbestos mus tb e removed people certif ed to do so. 'l c r nspect io by th The prope rty owner(s ) sha11 submit aco pyfi of FIII . e original as estos BORDEII P ACIGGING & I STRIAI PRO. 470 SOUTH 2ND STREET n as writt en by the inspecting (so3 7 45-8461 f