HomeMy WebLinkAboutPermit Demolition 1997-05-13BLOCK: SUBD|V|S|ON: _
D
SPFIt l\.GFTELD
LOCATION OF PROPOSED WOBK:
JOB NUMBER
SESSORS MAP:-e
-RESIDENTIAL
PERMIT APPLICATTON
lnspections: 726.3769
Office: 726.3759
TAX LOT;
PHONE:
ZIP:
L
STATE:o R Q''/+ ry 1CITY:
OWNER:
OTHERADDITION OEMOLISH -/2.:
DESCRIBE WORK:
NEW- REMODEL
ADORESS CONST.
CONTRACTOR ,,EXPIRES PHONE
CONTBACTOR'S NAME
MECHANICAL:
ELECTFIICAL:
GENERAL:
PLUMBING
- OFFICE USE -
WATEB HEATER
SECONDARY HEAT: --
SOUARE FOOTAGE:
LAND USE:QUAD AREA:
, OF BLDGS
, OF BDRMS:-OCCY GFIOUP:
r OF STORIES:
ZONING CODE: _-.
FLOOD I)LAIN:
CONSTR. TYPE:
HEAT SOURCE;
/ OF UNITS: --
RANGE:
To request an rnspecilon, you must cail 726-3769. Thrs ls a 24 hourmade the same worklng day, lnspections requested af ter Z:OO a.m,
recordrng. Ail lnspectrons requested before 7:00 a.m. wlil be. wlll be made the followlng work day.
REOUIRED TNSPECTIONS
Temporary Electrlc
Slto lnspection - To be madoafter excavatlon, but prior tosettlng forms.
Underslab Plumbing/ Electrical /Mechanlcal - prlor to cover.
Footlng - After trenches are
excavated,
Masonry - Steel locatlon, boncl
beams, groutlng.
Foundallon - After forms areerecled but prlor to concreteplacement.
Posl and Boam - Prlor to floorlnsulatlon or decklng.
Floor lnsulation - Prior to
decklng.
Sanltary Sewer - Prior to filling
trench.
Storm Sewor - prior to fllling
trench.
Water Line - Prlor to filling
trench.
Electrical Service - Must beapproved to obtalrr permanent
electrlcal powor.
Flreplace - prlor to faclngmalerlals and lramlng lnsp.
Framlng - Prlor to cover.
Wall/Celllng lnsulallon - prlor to
Rough Mechanlcat - prlor tocover.
Rough Eleclrlcat - prlor tocover.
cover.
Wood Stovo - Aftor lnstallatlon
Curbcut & AJrproach - Afterforms are erected but prior toplacement of concrete.
Sidewalk & Drlvewav - Afterexcavation ls complete, forms
and sub.baso material in place.
Fence - When cornpleted
l-_l Final ptumbing - When ail
-
plumblng work ls complete.
l--l Final Electrlcat - When all.J electrical worl( is complete.
I--l final Mechanlcal - When alt
-
mechanical worl< ls complete,
Flnal Building - When allrequired lnspectlons have beenapproved and bullding iscompleted.
w Othor
MOBILE HOME INSPECTIONS
Underground Plumblng - prior
to fllllng trench.Drywall - Prlor to taping.
Underlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.
lnsert - After flreplace approvsl
and installatlon of unlt.
[-l Blocking and Set.Up - When ail
-
blockln.J ls cornplete.
Plumbing Connections - Whenhome lras been connected towater and sewer.
Electrical Connection - Whenblocking, set-up, and plumbing
inspections have been approvedand the home ls connected tothe service panel.
Final - After all requiredinspections are approved andporchos, skirting, ctecks, andventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.T-l Str€et Tross - Whcn all roqulred
-
troes are planted.
7- -t-
225 Fifth Street
Sprlngftelcl, Otegon gl 4ll
7- S-n/7a/,
ADDRESS:
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
IS THE PBOPOSEO WOBK i.N THE .
HISTORICAL DISTRICT, OR ON
TI{E HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinalor prlor to permlt lssuance.'
APPROVED:
VALUE
State SurcharSe rTO t,,ty'
Total Fec (A)
1r'l:+
X S/SO. FT.
Total Value
Building Permit Fee
BUILDING PERMIT
ITEM SO, FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permlt is granted on the cxpress condltion that the sald
construction shall, in all respects, conform to the Ordlnance
adopted by the City of Springfleld, includlng the
Development Code, regulating the constructlon and use of
bulldings, and may be suspended or revokcd at any tlme
upon violation of any provisions of said ordinances.
Plans Revlewer.l [3y Date
Receipt Numbe
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all und€veloped
properties withln tlrc City limits which are belng lmproved.
ITEM
Flxtures
Residentlal Bath(s)
Sanltary Sewer
Water
Slorm Sewer
Moblle Home
FEE
(c)
N0
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unll
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
Slate Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Pertnits (E)
N0Vent Fan
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
By slgnature, I state and agree, that I have carofully examlned
the completed appllcatlon and do hereby cerilly that all
lnformation hereon ls true and correct, and I lurther c€rtlly
that any and all work performed shall be done ln accordance
wlth the Ordinanccs of the City of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to tho work descrlbed
hereln. and that NO OCCUPANCY wltl b€ made of any
structure wlthout perrnisslon of the Bulldlrlg Safety Dlvlalon.
I further certify that only contractors and employees who
are ln cornpliance with ORS 701.055 wlll be used on thls
prolect.
I further agree to ensure that all requlred lnspectlons are
requested at the propor tlme, that each addr6e8 ls readable
from tho Btreet, that the pormlt oard ls looatod at the front
of the property, and the approved set of plans wlll remaln
on the slte at all times durlng constructlon.
Slgnatu
y'n. >1tfi.{1!4
U
Date
VALIDATION:
RECEIPT NUMBER
U
DATE PAID +\8,-€
TOTAL AMOUNT DUE (excluding clectrical)
(A, B, C, D, and E Combined)
AMOUNT FIECEIVED
RECEIVED BY
)
:. . r. t t .
I
krlal?rur{s@I-- /6e Plan Check Fee:
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