HomeMy WebLinkAboutPermit Demolition 1993-06-30RESIDENTIAL :
PERMTT APPLICATION
lnspections: 726'3769
Off ice: 726'3759
LOCATION OF PROPO
ASSESSORS MAP:
SPRINGFIELE)1ffi+q
?fr,
JOB NUMBER
225 Fifth Street
Springf ield, Oregon 97477
TAX LOT:
SUBDIVISION
D'
D
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\PHONE
ZIP:STATE
OWNER
ADDR
CITY:
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NEW -'-_ REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WOR
q#ADDR HEXcEi
MECHANICAL
CONST.
CONTCONT
PLUMBING
GENERA
RANGE:
OUAD AFIEA
_ OFFICE USE _
ZONING CODE:
FLOOD PLAIN
WATER HEATER
SECONDARY HEAT:
SQUARE FOOTAGE:
# OF BDRMS: .=..____..--=-_=--
LAND USE:
# OF BLDGS: - ---
OCCY GROUP:
* OF STOFIIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-376g. This is a 24 hour recording. All inspections requested before 7:o0 a'm
made the same working day, inspections requested after 7:00 a'm. will be made the fo!lowing work day'
will be
REOUIRED INSPECTIONS
TemporarY Electric Rough Mechanical - Prior to
ccver.
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 lo cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical work is comPlete.
Footing - After trenches are
excavaled.Fireplace - Prior to facing
materials and framing lnsP.
Masonry - Steel location, bond
bearns, grouting.Framing - Prior to cover.
o
Foundation - After forms are
erecled but prior to concrete
placemen t.
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to f illing trench.
Underlloor Plumbing/ Meihanical
- Prior 1o insulation or decking.
l--l Drywall - Prior to taoing.
MOBILE HOME INSPE TIONS
Wood Slove - Alter installation
Posl and Beam - Prior to floor
insulation or decking.lnsert - After fireplace aPProval
arrd installation of unit.
Blocking and Set'UP - When all
blocking is comPlete.
Floor lnsulation - Prior to
decki ng.Curbcut & APProach - After
forrrs are erected but Pi'ior to
placernent oi conurrlte.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanilary Sewer - Prior to filling
trench.Electrical Conneclion - When
blocki ng, set-uP, and Plumbing
rnspections have been aPProved
anci the home is connected to
the service Panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - Aiter
e>:c:rvation is co;nPlele, fo;ms
and sub-base materia, in Place.
Water Line - Prior to fillitrg
trench.
Street Trees - When ;iil required
ir/)4-s iirtl Planted.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed.Rough Plumbing - Prior lo
cover.
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[---l Final Building - When allU required inspections have been
approved and building is
completed.
tl
E Fence - When ccrrnPlt'tecj.
t_l
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type -
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK IN THE
HISTOFIICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
ancl approved by the Historical
Coordirrator prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
VALUE
(A)
X $/SQ. FT.
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
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, rerJUlating the construction and use of
buildings, and may bc suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Plan Check Fee:
-
Receipt Number:-
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
3
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
M ECHANICAL PERMIT
Furnace
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 certif y
that any an<j all work pr-'rformecJ shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregr-,n pertaining to the work clescribed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only corltractors 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 propcr time, that each adcJress is readable
from the street, that the permit card is located at the front
sig re
te
the s at all t
plans will remain
tion
of the property, and
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
3
D
\9:r
DATE PAID
VALIDATION:
RE,CEIPT NUM
AMOUNT R
RECEiVED
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
Date Paid: