HomeMy WebLinkAboutPermit Demolition 1993-02-03SPFlINGFIELE'
\RESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Off ice: 726'3759
LOCATION OF PROPOSED WORK:1
ASSESSOFIS MAP
LOT BLOCK:
Qft,
JOB NUMB
TAX LOT
SUBDIVISION
u
STATE:
PHONE:247-Qa 94,.J
ZIP:I "+77
sLOWNER:
ADDRESS
CITY:
OTHNEW -- REMODEL ADDITION DEMOLISH
DESCRIBE WOHK:
PHONEEXPIRESADDRESS
U
-
CONTRACTOR'S NAME
ELECTRICAL
Tv4ECHAN ICAL:
CONST.
CONTRACTOR f
G EN ERAL:
PLUMBING
# OF BDRMS
_ OFFICE USE _
ZONING CODE:
FLOOD PLAIN
WATER HEATER RANGE:
SECONDARY HEAT:
SOUARE FOOTAGE:
OUAD AREA:
e OF BLDGS:
CONSTB. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
I OF STORIES:
To request an inspection, you must call 726-3769. This is a24nour recording' All inspections request
made the same working day, inspections requested after 7:00 a'm' will be made the following work
ed before 7:00 a.m. will be
day.
REQUIRED INSPECTIONS
l-l TemporarY Electric
ll
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is comPlete.cover
Underslab Plumbing/ Eleclrical /
Mechanical - Prior to cover'
Electrical Service - Must be
approved to obtain Permanent
electrical Power.
Final Mechanical - When all
mechanical work is comPlete'
Fooling - After trenches are
excavated.Fireplace - Prior to facing
materials and f raming lnsP.
Final Building - When all
required insPections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Other
Foundation - After forms are
erected but prior to concrete
placement.
Wall/Ceiling lnsulalion - Prior to
cover.
Underground Plumbing - Prior
to f illing trench.Drywall - Prior to taPing
MOBILE HOME INSPE TIONS
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.
Floor lnsulation - Prior to
decki ng.Curbcut & APProach - After
forms are erected but Prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocki ng, 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
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are Planted.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed.
225 Fifth Street
Spri ngfield, Oregon 97 477
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E
E
E
r
tl
tl Blocking and Set'UP - When all
blocking is comPlete.
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E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type :.-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Se tbac ks
P.L HSE
N
S
E
GAR ACC
VS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTOBICAL REGISTEFI?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPFIOVED:
Total Value
Building Permit Fee
State Surcharge .}
Total Gea ,.-.
VALUE
'' ,{(A)
X S/SO. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
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, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
ReceiDt Number:
a
a ./Plans R a Date
PIan Check Fee
Date Paid:
Received By:
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rvrHr Lnn.:*;t#*#*ft{;iimM u nd evel o ped
ing improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
--!r.lrrJ
I
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
NoVent 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 front
rty, and the approved set of plans will remain
?
of the pro
on the sit at all ti ng construction
Signat
Date
MISCELLAN EOUS PERM ITS
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)
RECEIPT NUMB R
AMOUNT RECEIV D
VALIDATION
DATE PAID
RECEIVED BY
a