HomeMy WebLinkAboutPermit Demolition 1998-01-05BESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office:726-3759
LOCAtrION OF PROPOSED WOBK:
JoBNUMBEa@
225 Fifth Street
Sprlngfleld, Oregon 97 477fufr,
?Bo ?etu 5>a*
ASSESSORS MAP:?"/5b
SUEDIVISION:LOT:BLOCK:
OWNER;
ZIP:fl./^".(* firr*A
ADDRESS:
'1C?a A;.H" $.o-i B/v.l
l)EB S".r,>c, €-2"-
CITY:
PHONE:
/aru/! 1751"1"' s',/{ib{ ?tr-Z?/g
a'r*J"/.. &-ouo/ oF o,^ frE;/z>ax.<t<ax,DESCRIBE WORK:T
PLUMBING:
ELECTBICAL:
ADDRESS
CONcoN EXPIRES ,j PHONECONTRACTOR'S NAME
GENERAL:
MECHANICAL:
ST.
TRACTOR #
RANGE:
- OFFICE USE -
ZONING CODE:
FLOOD PLAIN:
WATER HEAf,ER:
* OF UNITS:
QUAD AREA:
r OF BLDGS:
OCCY GROUP:
C OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. will be
made the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Etectrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When all
plumblng work ls complete.
Slte lnspectlon - To be made
after excavation, but prior to
setting forms.
Rough Electrlcal - Prlor to
cover.
Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.
Electrlcal Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and lraming lnsp.
Flnal 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.
El otn"'
Wall/Celling tnsutatlon - Prlor to
cover.4P//vR Lfe4e
Underground Plumblng - Prior
to fllllng trench.^
/-2ya,Drywall - Prlor to taping.
MOBILE HOME INSPECTIONStl
tl
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Slovo - After lnstallation.
Post and Beam - Prlor to floor
lnsulation or decklng.
fl Blocking and Set-Up - When all
blocklng ls complete.lnsert - After flreplace approval
and lnstallatlon of unlt.
Floor tnsulation - Prior to
decklng.Curbcut & Alrproaclr - After
forms are erected but prior to
placement of concrete.
Plumblng Connections - When
home l'las been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prlor to fllling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Bough Plumbing - Prior to
cover.
Slreet Trees - When all required
trees are planted.
Final - After all required
lnspectlons are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
TAX LOT
4z;1,?
LAND USE:
# OF BDRMS:
-
SECONDARY HEAT:
SOUARE FOOTAGE:
E
E
E E
tl
tl
Flnal Electrical - When all
electrical work is complete.
E
tl
fl
fl
tl
E
Fence - When coi,rpleted.
''4, !
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WOBK IN THE.
HISTOBICAL D ISTRICT,OR ON
THE HISTORICAL REGISTER?Lot faces
Lot sg. ftg.
Lot coverage
TopograPhY
Total height
Lot Type
-_
lnterior
-- Corner
-
Panhandle \
-
Cul-de-sac
lf yes, this applicatlon must be slgned
onO
'uPPtoruO bY the H istorical
Coordinator prlor to permit issuance'
APPBOVED:
BUILDING PE
VALUE
(A)
RMIT
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
AND BUILDING PERMIT
This permit is granted on the express condition that the Said
construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Fleceipt Numbe
BUILD LAN CHECKINGE,
Date Paid
Received By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within ure City limits which are being improved.
PLUMBING PERMTT
FEE
Nc
qoc'
FT.
a-2
(c)
Plumblng Permit
State Surcharge
Total Charge
Sanitary Sewer
Water
Storm Sewer
Mobile Home
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 apptication and do hereby certify that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
with the Ordinanccs of the City of Sprlngfield, and the Lawsof the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Buirdi,g safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thisproiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
^5
Signature
Date
on the site during const
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
.^ _/9,-'lV -:gt
TOTAL AMOUNT DUE (excluding etectricat)
(A, B, C, Q and E Combtned)
A€-cy 6
?
^5-DATE PAII)
AMOUNT RECEIVED
BECEIVED BY
VALIDATION:
RECEIPT NUMBER
. I.-\li'.;
Z4E-
FT.
ITEM
Fixtures
Residential Bath(s)
==2