HomeMy WebLinkAboutPermit Demolition 1996-04-26I
BES,DE
PERM'I
NTIAI
APP['CAT'ON
lnspections: 126.g769urice: t26.Jt59 JOB NUMBER
225 Fifth Street
Spri ngfletd, Oregon 97417
LOCATION OF PRO
ASSESSORS MAP:
LOr
TAX LOI
BLOCK:
OWNER:
ADDRESS
CITY:
STATE:
PHONE:
ztP
NEW _--- REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS PIRES
CONST.M
ELECTBICAL:
CONTRACTOB'S
MECHANICAL:
G EN ERAL:
PLUMBING
QUAD AREA:
# OF BLDGS
- OFFICE USE -
LAND USE:[:LOOD PLAIN
I OF UNITS:ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP:
* OF STORIES:
# OF BDRMS
SECONDARY HEAT:
WATER HEATER:RANGE:SOUARE. FOOTAGE
To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. will be
made the sanre worklng day, lnspectlons requested after 7:OO a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Rough Electrlcal - Prior to
cover.
Electrical Servlce - Must be
approved to obtaln Permanent
electrlcal power.
Flreplace - Prlor to laclng
materlals and framlng lnsp
Framlng - Prlor to cover.
WalltCelllng lnsulatlon - Prlor to
cover.
Final Plumbing - When all
plumbing worl( ls complete.E
ESite lnspection - To be made
after excavatlon, but prior to
setting forms.
Underslab Plumbing/ Electrical I
Mechanlcal - Prior to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but Prlor to concrete
placement.
Underground Plumblng - Prior
to filling trench.
Underltoor Plumblngl Mechanlcal
- Prior to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulation or decking.
Floor lnsulalion - Prlor to
decking.
Sanitary Sewer - Prior to fllling
trench.
Storm Sewer - Prior to {llllng
trench.
Water Line - Prlor to filling
trench.
Rough Plumbing - Prior to
cover.
l--l Drywall - Prlor to tanlng
Wood Stovo - After lnstallatlon.
lnsert - After flreplace aPProval
and lnstallatlon of unlt.
Curbcut & APProach - After
forms are erected but Prior to
placemcnt of concrete.
Sidewalk & Drlveway I After
excavation is comPlete,' forms
and sub-base materlal in Place.
Fence - When comPleted.
Slreel Trees - When all required
trees are Planted.
Final Electrical - When all
electrical work ls complete.
Flnal Mechanlcal - When all
mechanical work ls complete.
Final Buildlng - When all
required lnspections have been
approved and building is
co
MOBILE HOME INSPE TIONS
Blocking and Set-UP - When all
blocklng ls comPlete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrlcal Connection - When
blocking, set'uP, and Plumbing
inspections have been approved
and the home is connected to
the service Panel.
or
Final - After all required
inspections are approved and
porches, skirting, decks' and
venting have been installed.
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IS THE PROPOSED WOBK iN TH E
Lot laces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Ty _
-
lnterior
__ Corner
-
Panhandle
-
Cul-de-sac
HISTORICAL DISTBICT, OB ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and aPProved bY the Historlcal
Coordinator prlor to permit issuance'
.A,PPROVED:
L.H
VALUE
(A)
x $/so. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Thls 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.
Receipt Number:-
Plans Reviewed By Date
BUILDING VALUE
AND BUILDING P
, PLAN CHECK
ERMIT
Plan Check Fee:
Date Paid
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
N0
FT.
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examinedthe completed appllcation and do hereby cerilfy that alllnformatlon hereon is true ancl correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprtngfield, and the Lawsof the State of Oregon pertaining to the work descrlbedhereln, and that NO OCCUPANCy will be made of anystructure without permission of the Bullding Safety Division.I further certify that only contractors and employees whoare ln compliance with ORS 70.1.055 will be used on thisproiect.
I further agree to ensure that all required ins
requested at the proper time, that each add
from the street, that the permit card ls locof the property, and the approved set of
pections are
ress ls readable
ated at the front
plans will remain
at all times duri co tructlon.
26
MISCELLANEOUS PERMITS
.Mobile Home
State lssuance
State Surcharge
Sidewalk tt
Curbcut -.-.---- ft
Demolition
State Surcharge
t
Total Miscellaneous perrnits (E)
TOTAL AMOUNT DUE (excluding-clecrricat)(A, B, C, D, and E Combined)
RECEIVED BY
DATE PAID
AMOUNT
VALIDATION:
RECEIPT NUMBE
.: .
FT.