HomeMy WebLinkAboutPermit Demolition 1996-11-25SPFlINGFIELO
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3765
Qf f ice: 726-3759
LOCAIION OF PROPOSED WOFK:
Qfi,
JoB NUMBE a ?14e:z
225 Fif th Street
Springfleld, Oregon 97477
9,fi N 4tr s/. SpB iNAf wa
ASSESSORS M \<.
BLOCK
TAX LOT:O7 Po O
LOT:
iAP;
0
1
E AI'tr\l.lS PHON E
ztP
S
STATE:
,J L+11CITY:S Par Nc, ,:rtr Ae
OWNEFI:
ADDRESS:lq
NEW
-
REMODEL ADDITION DEMOLISH
n
OTHER
eDESCRIBE WORK
ADDRESS EXPIIlES PHON E
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONSI.
CONTRACTOR #
GENERAL:
PLUMBING
_ OFFICE USE _
I OF BDRMS:
WATER HEATER:
ZONING CODE:
HEAT SOURCE:
QUAD AREA:
# OF BLDGS
SECONDARY HEAT;
SQUARF. FOOTAGE:FIANGE:
OCCY GROUP:
E OF STORIES:
FLOOD I)LAIN:LAND USE:
I/ OF UNITS
CONSTR. TYpE: __
To request an inspection,
made the same working r
you must call 726'3769. This ls a24 hour rccording. All inspections requestec., before 7:oo a.mday, lnspections requested after 7:00 a.m. wlil be made the foilowrng worr( day.
wlll be
REOUIRED INSPECTIONS
f Temporary Electric Rough Mechanical - prior to
cover.fl Finat ptumbing - When ail.J plumbing wort( ls complete.
Site lnspection - To be madeafter excavation, but prior tosetting forms.
Rough Electrical - prior to Final Electrical - When allelectrical worl( is complete.
covcr.
[--l Understab plumbing/ Etcclricat/
-
Mechanlcal - prlor to cover.Electrical Service - Must beapproved to obtain perrnanent
electrlcal power.
Final Mechanical - When allmechanical worl< ls cornplete.
Footlng - After trenches are
excavated.Final Building - When altrequired inspections have been
Masonry - Steel locailon, boncJbeams, grouting.
Fireplace - prlor to facing
materlals and frarning lnsp.
Framing - prior to cover.
p prove d n d b U d n s Scompl
Foundatlon - After forms areerected but prior to concreteplacemen t.
DII ott'o
Wall/Ceiling lnsulation - prior tocover,
[-l Unaerground plumbinq - priortJ lo filliig trench [-l Drywall - Prior io ta6,ing
Underlloor plumbing/ Mechanical
- Prior to lnsulatloh or decking.
Posl and Beam - prior to floorInsulation or decking.
Floor lnsulation - prior todecki ng.
Sanitary Sewer - prior to fillingtrench.
Storm Sewer - prior to fillingtrench.
MOBILE HOME INSPECTIONS
Wood Slove - After lnstallation
lnserl - After fireplace approvqland installation of unit.
Curbcul & Atrlrroach - Af terforms are erected but prior toplaccrncnl of concrctt:.
[-_| e]ocking and Ser.Up _ When ail.- blockin<; is compleie.
Plumbing Connections _ Whenhome has been connected towater and sewer.
Water Line - prior to fillingtrench.
Sidewalk & Dri\,/eway - Afterexcav;rtion ls completc, formsand sub-base fiaterial in place.
Fence - When completed.
Electrical Connection _ When
lr]::fllg, ser.up, and ptumbingr,rspections have becn approvedand the home is connected tothe service panel.
Rough Plumbing - prior ro
cover.{itreet Trees - When all requiredtrees are planted.
Final - After all requiredrnspections are approved andporc.hes, sl(irting, decks, andveniln0 have been installed.
suBDlvrstor.r, € -
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type \s
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
Tf rxr PRoposED woRK iN THE
HISTORICAL DISTRICT, OFI ON
TI.IE HISTORICAL REGISTEFI?
-
lf yes, this application must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED
VALU E
(A)
x $/so. r--T.
Total Value
Building Pcrnrit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT,
Main
Garagc
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrrilit is granted on ttre cxpress condition that the said
construction slrall, in all respects, conform to the Ordinance
adopted by thc City of Spring(ield, including the
Development Cocle, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt Nurn[:er:--.
Plans Reviewed By Date
Plan Check Fee
Datc Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systcms Developmcnt Charge is due on all undeveloped
properties within the City linrits which are being improved.
ADDITIONAL COMMENTS
ITEM
Fix tu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)/a=ze
N0
FI.
FT
FT.
,22
PLUMBING PERMIT
/2f7Plumblng Permit
State Surcharoe
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood By slgnature, I statc and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereon is true allcl correct, and I lurther certlly
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Springfield, and the Laws
of the Statc of Orcgon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure wilhout pcrtnission of the Buildirrg Safety Division.
I f urther certify tllat only contractors and employees who
are in cornpliance with ORS 701.055 will be used on thls
pro ject.
I further agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from tl're street, that the permlt card ls lo
S lg natu re
Date
of the property, a
durin
the app roved s
onon tlre site at
at the front
will remalnMISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
--
ft
Demolition
State Surcharge /7
o
Total Miscellaneous Perlnits (E)
/a-
-----9erU. r///2.rr
TOTAL AMOUNT DUE (exclucjing clectrica,) 55.4Y
(A, B, C, D, and E Cornbined)
VALIDATION:
RECEIPT NUMBE,R 23*2
DATE PAID /t-2.9,7€
AMOUNT RECEIVED
NECEIVED BY
Trcy
4->f- -G: