HomeMy WebLinkAboutPermit Demolition 1995-07-1324/-7)fzPHONE
6%72>STATE ztPCITY:
ADDRESS:
OWNER
IELD
EEB"f;'1.ilti,.o-t'o*
lnspectionsl 726'376S
Office: 720'3759 ?rt,
225 Fi{th Street
ipring{leld, Oregon 97477
4
JOB NUMBER
LOCATION OF PROPOSED WORK:
ASSESSORS MAPI
LOT:BLOCK.
TAX LOTI
SUBDIVISION
DESCBIBE WORI(:
NEW *--- REM.DEL ADDrroN DEMoLTSH J- -OTHER
CONTRACTO !c
^r n
GEN ERAL:
PLUMBING
MECHANICAL
ELECTRICAL
QUAD AREA:
# OF BLDGS
OCCY GFIOUP:
P OF STORIES:
after excavation, butsetting forrns,
DD
- OFFICE USE -
LAND USE:
/ OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
covor,
EXPIBES PHON E
FLOOD PLAIN:
ZONING CODE:
# OF BDFIMS:
Final Electrical _When allelectrical work ls c omplete.
CONST.
CONTBACTOR /
WATER I.iEATEI]
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspection, you must call 726-3769. Thls ls a 24 hour recordln g, All inspections requested before 7;00 a.m. wlil be
made the sanre working day, lnspection s requested af ter 7:00 a.m, wlll be made the followlng work day,
[-l Ternporary Etecrric
REQUIRED INSPECTI ONS
Rough Mechanlcal _ prlor to Final Plumbiplumblng wo
ng
rl<ls complete.- When altcover.
Site lnspection - To be madc Rough Electrlcal - prior toprior to
I U-nderslab plumbing/ Electrical/Mechanical - prioi to cover.
Footlng - Af ter trenches areexcavated.
Masonry - Steel locatlon, bonclbeams, grouting.
Fo-undatlon - Af ter forms areerected but prior to concretepracemen t.
Underground plunrbing _ priorto fitling trench.
I Underlloor plumblng/Mechanlcal
- rnot to Insulailon Or decklng.
1o.,, 1?a Boarry. _ prior ro floortnsulatlon or decklng,
Floor lnsulation _ prior too ec.K in g.
Sanitary Sewer _ prior ro llllingtrench.
Storm Sewer - prior to flllingtrench.
W_aler Line _ prtor ro fillingtrench.
!_ouOh Plumbing - pr,or tocover.
Electrlcal Servlce _ Must be
Spproyed to obtaln permanentorectrlcal power.
Flroplaco - prlor to factngmaterlals and framlng lnspl
Framlng - prlor to cover,
W-all/Celling lnsulatlon _ prlor tocover.
Drywall - prlor to taplng,
I wood Slovo - After installatlon
Lns:ft - After ftreplace approvaland lnstallailon of unlt.
C^urbcut & Approach _ Aftertorms are erected but prlor loplacemont of concrcte.
Sidewalk & Drlvewav _ Afterexcavatlon ls compi'eto, formsand sub.base matirlal in ptace.
I Fence - When compteted,
[Z otot
MOBILE HOME INSPE TIONS
F-lnal Mechanlcal _ When allmecnanlcal work ls complete.
Final Buildlng - When allre_qutred .lnspecllons have beenapproved and buildinq lscompleted,
3,'ff,|,'l3,i"j"i."J;yL- when a,,
lllfbl"n Connections _ Whennome has been connected towater and sewer.
^Eleclrical
Connection _ Whenpl::lllg, set.up, and ptumbtn-s'rnspocilons have been approvedaJ)_d il)e.home ls connected torne servlce panel.
i-I^u-"t rrees - when arl r6qulredtrees are planted.
,t^l::l : Afrer all required
*iilix;:,;*T{ft,iiy
f/8
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Totat helght
Lol Typs
\s__ lnterior
-..._- Corner
-...- Panhanc.Jle
_- Cul.de.sac
PL.HSE GAB ACC
N
S
E
*- THE PROPOSED
HISIOFICAL DISTH
THE HISIORICAL R
WOFK IN THE
ICT, OR ON
EGISTER?
lf yes, this application must be signed
1nd approved by the Histoii calCoordinator prior to peilnit issuance,
APPROVED:
BUILDING PERMIT
VALUE
(A)
so. FT. x $/sQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
This permit is grantec, on the express concJition tnat the saiOconstrUCtion shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding theDevelopment Code, regulating the co0struction and use ofbulldings, and may be suspended or revol<cd at any timeupon violation of any provisions of saicj ordrnances.
Hecelpt Numbcr:_-_..
Plans Roviewed 8y Date
Plan Check Fee
Date Pald
Received By:
PLAN CHECK
RMIT
PU[qtryc vALu E,AND BUTLDING PE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge is cJue on all undeveloped
propertles withln the City llnrits which are being improved.
ADDITIONAL COMMENTS
ITEM
Flx tu res
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
FEE
(c)
No
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
Moblle Home Af-o 4^
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carcf ully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certl{y
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngf ield, and the Laws
of the State of Oregon pertalnlng to thc work descrlbed
hereln, and that NO OCCUPANCY will tle made of any
structure wlthout pertnlssion of tlre Bullding Safety Dlvislon.
I f urther certif y that only contractors and employees \uho
are ln compliance wlth OBS 701.055 will be used on thls
prolec t.
lfurther agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
f rom the street, that the permlt card ls located at the f ront
of the property, and the approved set of plans will remaln
3- 35'Date
4
constructionon the site at all times during
Slg natu re
7-
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-_-
(t
Curbcut " ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)lzz
€ff"
€/
DATE PAID
AMOUNT BECEIVT..D
BECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
22-67
. FT.
(1",l #*/'l