HomeMy WebLinkAboutPermit Demolition 1991-05-10SP,lI GRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
\n
JOB NUMBER
225 Fifth Street
Spri ngfield, Oregon 97 477
TAX LOT
SUBDIVISION
OWNER:
ADDR
CITY:
PHON
STATE:ztP
I
NEW
-
FIEMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
S NAME DR EXPIR PHONES
\ \. \\
ELECTRICAL:
CONT
CONST.
CONTRACTOR #
G EN ERAL:
PLU M BI NG
&RNO
FIANGE:
* OF BDRMS:
WATER HEATER:
* OF STORIES:
OCCY GROUP:
_ OFFICE USE _
ZONING CODE:
FLOOD PLAIN
SECONDARY HEAT:
SQUARE FOOTAGE:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
To request an inspection, you must call 726-3769. This is a24 hour recording. All inspectlons requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after 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
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.l-_.l Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation.
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set-Up - When all
blocki ng is complete.
Floor lnsulation - Prior to Plumbing Connections - When
home has been connected to
water and sewer.
decki ng gryB"-.*Curbcut & Approach - After
forms are erected but prior to
placement of concrete.fflsanitary SewerL-J trerneh.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.
Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
LOT:
-
BLOCK:
Y-
MECHANICAL:
E
tl
E
flo*", NnnnC.U nn
E
E
E
E
E E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type v
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set
PL.HSE GAR ACC
N
S
E
-ts tHE PRoPosED woRK tN THE
HISTORICAL DISTRICI OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coord inator pri to it issuance.
APPROVED:
BUILDING VALUE, PLAN C
AND BUILDING PERMIT
This permit 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.
CK
Plans Reviewed By Date
Plan Check Fee
Date Paid:
Receipt Num
Received By:
VALUE
(A)
X $/SQ. 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 the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
le Hom
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and 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 certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, 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 permission 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
project.
I f urther 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 located at the f ront
of the property, and the approved set of plans wi
Date
remar
duringat all timen the sit
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
&4-,1c5
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
C'TY OF SPB"VGFIELD, OREGO'V
SPRINGFIELE,
DEVELOPMENTSERY'CES
PUBLIC Y1ORKS
M ETROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH SIFEEI
SPRINGFIELD, OR 97477
(503) 726-s75s
your demol jt.ion permit is currently be_i_ng processed. There may be a sl ight
OeiaV, of up to I-work1ng days for-smal1 itructures, due to.the tjme required
to rev.iew the nistoiy of irre itructure to determine'if it needs to be documented
n.for. demoljtion. -This documentation js for archjva'l purposes only and_wi11
not.ir.lt the gianting of the demolit'ion permit.. If the structure is very large
o.-.g*pf lcaieO if,. aoiurentatjon proces: mal take up. to a.max'imum of 4 work'ing
days. Documentatjon wjll consist of photographing the Pyit.Aing,. taking
*.iirr.*.nts and *ir.lng scaled drawings. 'The dbcumentat'ion will be undertaken
Uy-tf]. City at no cost- to you. Documentation 'is be'ing done.on all structures
ait.J-prioi to 1940 that may have historic importance to the City's development.
THIS DOCUMENTATION tlllLL NOT IMPEDE THE DEMOLITION PROCESS.
An age cut-off of 1940 was chosen because this is the date that the National
parks Serv.i...nd fhe Springfield Development Code use to determine potential
hj storical signi ficance.
If you would prefer to complete this documentation y.ourself you.must provi-de the
CitV *itf., if,L fottowing information: 1) black and white photographs. of each
.i.u.iion, a floor plan"with measurements, and a set of elevation drawings w'ith
DEMOLITION PERMIT APPLICATIONS
measurements.
Thank you for Your Patience.
I grant the City of Springfjeld permiss'ion.to enter my property to complete
dodumentation piior to thd requeited demolit'ion of the structure located at
Property owner signature
Date:
ilttr
Conetnrcti,on Lendet
Recelpt #
SPHINGFIELD
CA
a
!
a
qbre4t
Job Locaticn:
Aesessors Map #Ic.x Iot #
S'ubditsision:
0tmer:*57 Phone:Addtess:
7
DescrLbe l'lotk
Nea
I
&2-)Date of App Lieation 4-?{ vol," 2ooo
Adlitian
K rn^oon,
GenenaL
ELectrical N
l4eclonical A
Page 1 of 2
It ie the responsibility ol the permit hold,ez, to see that aLL inspections ee nade at the prope?tine, that eceh addtess is reaCabi-e
ftont the st?eet, dnd, that the penrit catd ia Located at the fiont of tlv ptopdty.*Building Diui-sion appto"*ed plot slnll remain on tlp Building Site at aLL tines.
PRQCEDUPE FOR INSPECTTltt_ll1yl$\:CALL726-3769(r,ecorder) state Aou? Citg desigrnted job nrttber, job aCCress, type of inspec2icn
eadyfot,inspection,cont!actorsil,a,lnel,s-nclne-cndp7nnelulnbel.Requestsreceixedbefcre7:00artlL be tnade the eane dcy, "equelts mcde after 7:00 on tiLL be nade the nect rnz,king dag.
You" CitA Desigr,ated Job Nwnber fs:
Reaztited fnsoecticns
SITE INSPEC?ION,e*;arrilo",'ilt
FIIIAL PLUAAIIG
PINAL MECHANICAL
FINAL ELECTRICAL
To be nwde aftet,
pr"ior tc set up of
rN saLArr)N /vAPoR BABRTE4I llEqEMpl!DEt.l)Lrrrau oR !.:owi
T
fonne.
UNDERSLAB PLUMBING, ELECTRICAL &
WCHr'llfCAL: lo be nade before ang
.ffii7i-i6oered.
FO)TING & FOUNDATICN: Io be naCe
AfrA6ffis ax,e ercaoated attd
fonns ate etected, but prior to
pourLng ccncyete.
UNDERGROUIID PLUMBING, SETIER. W.4TER,
DRAIIIAGE: To be npde pr"Lor to fil-
@-trenchee.
UNDERFLOOR PLUI'I.B IN G & MECITANTC AL :
oy
fLoor insulation or decki.ng.
P0ST AND BEAM: To be nade Priot to
ffif,frTffi{of floot' insulation or
deeking.
R1UGH PLUEIIIG. ELECTRI9AL & I'IECH:
Tnrcer,: -uo uork-is to be couet'ed
.ffilTthese inspectiotts haoe been
mad.e and approoed..
FLPEPIACE: PrLor to Pl,cciry facing,r,atffi& ard. before franing insPee'
tion.
FIAI!!!Q: lrtust be z,equested after
approuat of rough plitrbi,ng, electt'i-
cal & neclnnlca'|. ALl, roofing
btac[ng & ehinmeys, etc. rntst be
, eonpleted. llo ucrk ie to be con-
. cealed until this i.nspectton lae
'been trud.e anC approtsed.
To be made after aLL insulcticn c,d
required oapor beriera @e in plaee
but before oty Lath, Wpsllln bcatC or
wLL couering is applied, od. before
otg insulation is concealed.
Sanitatg seser eapped at propertg Lire
Septic tutk prrped and filled trLth gra::el
?inal - Wen abctte itens ate ectnpleted
and uhen detnclition is complete o? st/'uc-
ture moued atd ptemises cleaneC up.
Le Hcmes
Blocking old. Set-up
Plwnbing connectiotte -- BeDe? otd uatet
Electri,eal Cc*nection - Bloeking' eet-uD
ard plwnbing conneeti.one nust be qpra;ed
before requesting electrical inspeetiol
Aeeessory Buitdilrg
Pinal - After pcrekes' skitting' decks,
ete. @e conpleted.
DRWALL INSPEC?TON: TC bC IrudC;fter ai-&,a;Afis in place,
but ptiot, to any taping.
ILASINRY: Steel Location, bond
dffijgzouting or uerticals in
accordotce L)ith a.B,C. Seetion
241 5.
WOODS?O'IE:
canpT;TA.
After installati.on is
& APPRCACI!After fornsto pouri.ngee erecteC but
corwrete.
SfDEWALK & DRf"EWAI: For aLL eon-
cr"etenaofrAffin street rlght-
of-uaA, to be made after aLL erca-
oating canplete & forn tnt'k & s1lb-
base naterLal in pLace.
IENCE:
gates
P, U, E,
h4ten conplete -- Prooide
or motsable sectians through
ALL project eonditions, such as the installation of street trees'- conpT-etion-of the
,nq"1"L"a-i"a"eaping, Ltc., mtst be satisfi.eit before the BUTLDTN? F|NAL eanbe requested'
ilNAL BALLDING: Ihe Final Building Inapeetion mtst be requested aftet the Pinal Phnbing
tleciricaL, and Meclanieal fnspections lwue been nade ard approoed
*ALL I4ANHCLES AND CLEANOATS YIUST BE ACCESSIBLE, ADJUSTIIEIII TO BE I'L4DE r'.T IIO CCST TO CI?Y
I
Date:
.. RES), :NTIAL..
APPLICATION /PERILIT
225 North ith Street
SpringfieLd, Onegon 97477
Building Diuision
7 26-37 53
90/l il. t* C+
\-7 Oez(^zt\o
l[*r<cn R€r /\) oBr,14 L)
ciat, KpQr) A-.-
I
LLec.Cont"actors
f
tr
.q2
a
JOB NO SOLAR AC'qSS REQ.-
Reeeipt #:
L-co c
Bedroons
f HAW CAREFULLy EXAITIyED. tle eornpleted application fot petnit, ajld d.oherebv certif.y that aLL informati'on hereon' r." iil-"nd ,6"i"i,
"rra tfut'tker' .cet'tifg that any ard aLL uork perfonred. stwil u aoiZ-,i." acco?-dance ',vLth the ordinanc-es of the citg 'of 'sp4"jfia,
"rra tii La;,:s of ther
zY-"^n- o{ -lrgecn p-ertainins to the ,"it, Z"tb;.tlie i""Li., "ii- tt-t No occa-PANcy ?,vLlL be nade of any- st,uctute tithout permission z7 tn" Buitd.ing Di-uisian' r fut'then ce-11iii1 trtat only eontractore a.a aoptcgels uho an e ineanpliance uith oRS zol.obs uiLL be"used on thii p"oiii't--"--"
Lot Faces -Enerqu Soutcds Tuoe
Setbacks lleat
DT House Canaqe Access.Water lleate?North Range
East FirepLace
South Woodstoxe
% of Lct Catserage_
# of Stories
Iotal Height
LCT ?WE
_ fnterict
_ Cotner
_ Panltardle
CUL-de-sacTopography
Lot Sq. Ftg
West
Building Volue & Permit
This penntt is granted on the enpress condition tl@t the said eonstructionsltall, |n aLL respects, conform to the Ondinance adopte,l.6iy the Ci.ty ofSpz,ingfieLd, including the Zoning Czdinance, regulating thb ccnsttubticn
old -use of buildirqs, otd nay be suspend.ed or reuokeC at cny time upon oic-Lation of dtA prcoisione of said Ordinanees.
SQ. F?C VaLue
2ac*.*
TOTAL VALUE
Date Paid:
ITEM x
e
Signed
S.D.C. 1.5 r
24w
Building P*ttit
?otal Clwrges
State
NO FEE CHARGE
Fitttu.es Plumbing Permit
No- person slwll construct, install., alter or ehonge anA neu cr existingglunling or drainage saltqlt in ulnle or in put, unles-s sueh person is- theLegal -possessot, of a oalid plunbetrs Li-eensb, ea,cept that a pZr"on naA dopltnbing uotk to p?ope,tA uhich is otrned, Leased or operated ty tt n "ppti-@rtt.
Resi.d,ential (1 bath)
Seuer
Plunbing Penrit
State
1
Nau/Ertend. Cireuits
Electricql Permit
were state Lan re-quiz.es tlnt the electrieal uork be done bg an EleetrieaLcontractor, the electrical portion of this permit slnll noi be oalic untilthe Label lue been eigned ty the Eleeh,ical'Contractor.Set oice
1 Pehtrti
State
?otal
n9M NC FEE CfIARCE
Mechcrnicol Permit
Echanst HooC
Vent Fot
llcodstotse
PermLt fssuanee
Meclwnicel Permtt
*
-- ENCROACHME!]T --
tSec"o'itu
Stotage
Mainteaance
Perlrit
Ctttbcu!
_STectrieal La.bel
Mobile Horne
L
TO?AL AMOIJNT DIJE: *frSe,era Signed Date
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!ence
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HOUSING AUTHORITY AND COMMUNITY SERVICES AGENCY OF LANE COUNTY, OREGON
NOT VALID IN EXCESS OF $ZOO.OO PURCHASE ORDER
Mail Invoice to:
HACSA
Unless app roved on Lines 1&2 below
PO# N 3 6096
VENDOR:
a;t ,# se Attn: Larry AbeI
-r
1 n1redr \77)A,YLslJ Kct'
DATE
tNvorcE
NUMBER
Eugene, 0R ,rffi,
Show P0# on Invoice, Shipment or
Correspondence
Check Appropriote Boxes: n Material picked Up tr Ship prepaid to Aqency E NET n
|^i?''T, e:/e5--
Discount
DESCRIPTION NET AATOUNTUNIT
PRICE
Dlsc.
YoamDivision/0b cL/P
ACCOUNT CODE CHARGED
06-o r,\
<_ I \r..t l.
o3
n , /Vo ,),^? h
2-o tl lV ,t+7
NET TOTAT
"Seller worronts lhot lhe product sold or service rendered io the buyer sholl conform lo lhe stondords ond/or regulotions promulgoted by the U'S. Deportment of Lobor under lhe
654.00I ro 651.295 ond 651.991
Occupotionol Sofely ond Heolrh
Act of 1970 (29 U.S.C.65I, Pt 9l-596) ond by Oregon Worker's Compe nsotion Boqrd under lhe Oregon Sofe Employment Acl of 1973 (SB 44'ORS ). ln the evenl lhe product sold
does not conform to rhe OSHA ond,/or OSEA slondords ond,/or regulotions,lhe buyer moy relurn lhe prod uct for correclion or replocement ot the seller's option ond ot seller's expense. Seruices performed by rhe
setler which do not conform to the oSHA/OSEA stondords ondlor regulotions must be correcled by the seller ot lhe seller's exPense or by the buyer expense in the event seller foils to moke the op'
propriote correclion wilhin o reosonoble lime." "NOTE: This purchose subiect to oll opplicoble provisions of ORS
The above items are required in the operation of this Agency
and
cha
the exp roved bu
RECEIVED BY - I certify thol or 3erylcet
I
APPROVED BY
2
APPROVED BY
c-L4-27
s they resent are an app
DATE
dget
hove been received or hove been occepled.
2/z:/ts-
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