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Home My WebLink AboutPermit Demolition 1997-03-12ELr) 0ute4s BLOCK: SPR -tn LOT TAX LOT: SUBDIVISION JOB NUMBER LOOAT'ON OF PROPOSED WOHK; ASSESSORS MAP: RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 225 Fifth Street Spri ng f leld, Oregon g7 477 t PHONE: STATE:ZIP: 23//-- "''z oeTuJ*- / ,EEitr;CITY: ADDRESS: OWNER: ADDITION DEMOLISH _V OTHER DESCRIBE WORK:' NEW- REMODEL R'S NAME DDRESS EXPIRES PHONE MECHANICAL: ELECTRICAL: PLUMBING: GENERAL: CONTR CONST. CONTRACTOR # RANGE: _ OFFICE USE - WATER HEATER: ZONING CODE:I OF UNITS: QUAD AREA: I OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All inspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made lhe following work day. REQUIRED INSPECTTONS Temporary Electrlc Rough Mechanlcal - Prior to cover.l-_.l Final Plumbing - When ailtJ plumbing worl( is complete. Slte lnspectlon - To be madc after excavatlon, but prlor to settlng forms. Rough Electrical - Prior to Final Electrlcal - When all electrical work is complete.cover. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Final Mechanical - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Final Buildlng - When all required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement. fforn", WalllCelllng tnsulatlon - Prlor to v/cover.rCt-!..!.fl,qDub Underground Plumblng - Prlor to fllllng trench.l--l Orywall - Prlor to taping b frTurd rvl sile Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or decklng. MOBILE HOME INSP IONS Wood Stovo - After lnstallatlon Post and Beam - Prlor to tloor lnsulatlon or decking.lnserl - After flreplace approval and installatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulation - Prlor to decking.Curbcut & Approach - After forms are erected btrt prior to placement of concrete. Plumbing Connectlons - When home has been connected to water and sewer. Sanilary Sewer - Prior to fllllng trench.Electrical Connection - When blocklng, set-up, and plumblng lnspections have been approved and the home ls connected to the servlce panel. Storm Sewer - Prior to filling trench. Sidewalk & Drlveway - Alter excavation is complete, forms and sub-base materlal in place. Water Llne - Prlor to filling trench.l-l Fence - When completed. Street Trees - When all required trees are planted. Final - After all required inspectlons are approved andporches, skirting, decks, and ventlng have been lnstalled. Rough Plumbing - Prior to cover. 'r /2P LAND USE:FLOOD PLAIN: , OF BDRMS: - E E L] fl E E E E tl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor -- Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E S THE PROPOSED WORK iN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - ll yes, this applicatlon must be slgned and approved by the Historical Coordinator prior to permit issuance. APPROVED VALUE (A) Tolal Value Building Permit Fee State Surcharge Total Fee 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. Plans Reviewed tjy Date Plair Check Fee: Date Paid Receipt Number Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City linrits which are being improved. ITEM Fixtures Residential Bath(s) Sanltary Sewer Water Storm Sewer FEE \h.0D Plumblng Permit State Surcharse +3O/b Total Charge 5bu- (c) FT. le e PLUMBING PERMIT FT. N0 ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certify that all lnformation hereon is lrue and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the Clty of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Builditrg Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.05S will be used on lhls proiect. i iurther agree to ensure that ail requlreo inspections are reguested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front Z-ZS -7 7 t plans will remaln Slgnatu Date of the property, and the on the site ction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition 3olo Total Miscellaneous Perrnits (E) @ q 54'Aifn,n rce- State Su TOTAL AMOUNT DUE (excruding etectrica,l 35.\d- (A, B, C, Q and E Combined) D RECEIVED DATE PAID AMOUNT RECEI VALIDATION: RECEIPT NUMBE BUILDING PERMIT ITEM SO. FT. X $/SO. FT. FT. SPRI}iGFIE]-D FIRE DEPAN.TI.lENT F]RE DAI4AGE REPORT OR ELECTRICAL HAZARD ?rra4s a! 1!' lt 03 3e 4a ooaoo sf '1 G 2uY4 DATE: c?-a?-?L TO: FR0l.1: SUBJECT: Bu j I d'i ng Depa rtmen t Springfield Fire Denartment Structural Damage to Bujlding ,4 Address or location of buildin-q ZZA /? Name of ouner kefl //erI Type of building Estimated val ue of bui 1d'ing Est'imated I oss to bu j ldi ng , Store, l{arehouse, etc. )(Dwel'li $ S Date of fire c7 -c? -7 b Location of damaqe in buildinq r l^- (Rcof, Wa1 1 , Exterior, Interjor, etc. Structural weakness as a result of the fire c lvc r-r- ,t{/ c-s (Burned raf ters, Beams, .1oists, etc.) Additional pertinent informatjon Electrical Hazard Lti rr (l,li rinq , 0utl ets , etc. ) .'i/f,t(''i t ,7t _qLI U cc:T, U,; Siqned I