HomeMy WebLinkAboutPermit Demolition 1995-07-13PHON E
ABSTATE:zte, ? -{7 ?CITY:
ADDRESS:
OWNER
DEMoLtsH 4
ADDRESS EXPIBES PHON Ec
OTHER
CONTRACTOR'S NAME
M ECHAN ICAL:
ELECTBICAL:
DESCRIBE WORI(
CONSI.
ONTRACTOR /
G EN ERAL:.
PLU M BI NG
NEW --- REMODE,L ADDITION
- OFFICE USE -
WATER FIEATER
FLOOD PLAIN
RANGE:
QUAD AREA:
# OF BLDGS
, OF BDRMS: ._--
LAND USEI
OCCY GROUP:
I OF STORIES:
CONSTB. TYPE:
HEAT SOURCE:
# OF UNITS:ZONING CODE:_-.
BEB'ffi='t.i$i'to''o*
\nsDections:726'376S
O((ice: 726'3759
?rt,
74
225 Fi(ttr Streer'sptt"qii.'d' oregon 97477
SUBDIVISIONi
JOB NUMBEB
gSaZZ--
LOCATION OF PROPOSED WORK:
ASSESSORS MAPr
LoT:- BLOCK'
To request an inspection, you must call 726-376g. Thls ls amade the sanle working day, lnspections requested aft€r
l--l Ternporary Elecrric
,24 hour recordrng. Ail inspecilons requesteci before 7:00 a.m, wIr be7;00 a.m. will be made the followlng work day.
REQUIRED INSPECTIONS
Rouglr Mochanlcal - prlor tocover,
Rough Electrical - prlor tocovor.
I-_l Finat ptumbing - When ail
-
plumblng work ls complete.
l-l Finat Etectrical - When ail.- electrical work ls complete.
fl rina.t Mechantcat _ When ail-- mechanical work ls complete.
Final Buildlng - When allrequired inspectlons have beenapproved and bulldino lscompleted,
B,loc.k.ing and Set.Up _ When allblocklng is compleie,
lliTOIrn connections _ When
.l.9Ie ha: been connected towater and sewer.
Eleclrical Connection _ Whenp]::lilg, set.up, ano prumbrn-s'rnspecilons have been approvedan! rhe.home is connecled l0rne servlce panel.
Site lnspection - To be madcafter excavatjon, but prior tosettlng forr|s.
U-nderstab plumbing / Eleclrical /Mechanical - prioi to cover.
Fooltng - Af ter trenches areexcavaled.
Masonry - Steel location, bondbeams, groutin0.
Foundatlon - After forms areerected bu t prlor to concretepracemen t.
Underground plunrbing _ priorto ftlllng trench,
Undertloor plumbing/ Mechanlcal
- t,ilOt to insulatlon or decklng.
l_o-:,, u.lO Beanv. _ prior to floortnsulation or decl(lng,
Floor lnsulation _ prior too ec.Kt n g.
Sanltary Sewer - prior to fillingtrench.
Storm Sewe r - prior to f lllingtrench.
Etectrlcal Servlco - Must beapproved to obtaln permanentclectrlcal power,
Flreplaco - prlor to faclngmaterlals and lramlng lnspl
Framlng - prlor to cover.
i-l WatttCelting tnsulatlon _ prlor to
-
cover.
W ouor
J-l Drywail - prior ro taplng,
l--l Wood Stovo - Afrer lnstallailon
MOBILE HOME INSPECTIONS
lnserl - After flreplace approvaland lnstallatlon of unlt.
C-urbcut & Approach _ Afterrorms are erected bUt prior loplacomcnt of concreto_
:.i19walk &.Drtveway _ Af terexcavatlon ls compieto, formsanc, sub.base materiat in 1i""1.
l) water Line - Prtor ta fitri^-
-
-L-J tren;h.-"'- - , ,tor to litling f1 fence _ When comptoted
f i."":?, ptumbins _ prior to
;*T:IJ'r?;fn"n at t ra qut red ##;,$ird*it;:;*
rAX LoT: A1@
SECONDABY HEAT:
SQUARE FOOTAGE:
Lol /aces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typg
_-- lnterior
-
Corner
--_ Panhanc.ile
_- Cul.de.sac
i THE PBoPoSED WORK IN THEHISTOBICAL DISTFI CT, OR ONTI.JE HISTORICAL B EGISTER?
lf yes, this applicati on must be si gn edand approved by the HistoricalCoordinator prior to perrntt issuance.
APPROVED;
PL.HSE GAR ACC
N
s
E
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SO. FT.
ITEM
Main
Garage
Carport
Total Value
Building Permlt Fee
State Surcharge
Total Fee
Thls permit is grantecJ on the express co.dilion rhar the saidconstruction shall, in att respecis, c;"-f;;; ro tn" oroinrn."adopted by rhe City. oi spri"sri"ij, fncruoins the
-O",y:loornunt CocJe, regutating ir,u "lortir.tion and use ofbuildings, and may be suspended or revot<ed at any timeupon violation of any provisions of saic.j orJ,nrn"u".
Recel pt N umtrcr:_-*.. *_
PI ans RcviewccJ 13y
BUILDTNG VAAND BUILDIN [, FrfihflN c H Ec K
Received By:
Date Pald
Plan Check Fee: -
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systoms Developmcnt Charge Is duc o11 all undevelopedproperties within the City linrits which are being improved.
Residentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)&aZ
N0
FT.
Plumblng Permlt
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Flx t u res
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
I ssu ance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnaco
Exhaust Hood By slgnature, I state and agree, that I have carcf ully examlned
the completed applicatlon and do hereby certlfy that all
lnformatlon hereorr is true and correct, and I f urther certlfy
that any and allwork performed shall be done in accordance
wlth the Ordinances of thc City of Sprlngf ield, and the Laws
of the Statc of Oregon pertalnlng to thc work descrlbed
hereln, and that NO OCCUPANCY wlll [:e made of any
structure wllhout pertnlssion of the Bulldirtg Safety Divislon,
I further certify that only contractors and employees who
are ln compliance wlth OBS 701,055 will be used on thls
prolec t.
Iturther agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the f ront
of the property, and the approved set of plans will remaln
on the site at all tlmes during construction.
Slgnature
Date t3-7 t
U"-l- K
?-
MISCELLANEOUS PERMlTS
Moblle Home
State lssuance
State Surcharge
Sidewalk f t
Curbcut ' lt
Demolition
State Surcharge #
/i q/
(E)
Total Mlscellan eous Permits
€DATE PAID
AMOUNT RECEIVT..D
BECEIVED BY
VALIDATION:
RECEIPT NUMBER
7542ecal)elnudsclE(exUoNTUAMOTOTALnbl edComEandD,c,B,(A
Date
FT.
FT.
il