HomeMy WebLinkAboutPermit Demolition 1997-08-26RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office: 726-3759
LOCATION OF PRO
ASSESSORS MAP;
LOT BLOCK:2
2fi,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT:
SUBDIVISION:c-C
1o Vz IL
ED
PHONE;
7zs
Oc-STATE:ZIP:q?rlo I
oI\ Saao bs f. *.. C,-r* i
O(;,.ra 51.
OWNER:
ADDRESS:
CITY;
NEW- REMODEL ADDITION DEMOLISH X - OTHER
Dq.r.^".\tr\-t- cLwooct \ rzi\DESCRIBE WORK:
ADDRESS
rL
PH'Dr
coNsT.
CONTRACTOR #EXPIRES "a
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
ONE .--155)
COM[,IENCED
WOBKU
NOTOB
- OFFICE USE -
LAND USE:
,| OF BDRMS
FLOOD PLAIN
# OF UNITS:
--_
OUAD AREA:
* OF BLDGST
SECONDARY HEAT:
SQUARE FOOTAGE:WATER HEATER
ZONING CODE: _
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTTONS
l-l Temporary Etectrlc Rough Mechanlcal - Prlor to
cover.l--l Flnat Plumbing - When ail
'J plumblng worl< ls complete.
I-.l Slte lnspectlon - To be made|J after excavatlon, but prlor to
settlng forms.
l-l Rough Elecrrlcal - prtor toL--J cover.Flnal Electrical - When all
electrical work is complete.
E
tl
t]
tf
E
E
E
Underslab Plumblngt Electrical /
Mechanlca! - 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.ll Flreplace - Prlor to factng
-
materlals and framlng lnsp.
[--l Framlng - Prtor to cover.
Flnal Bullding - When ail
requlred Inspections have been
approved and building isMasonry - Steel locatloni bond
beams, groutlng,compl d.
Foundallon - After forms are
erecled but prlor to concrete
placement.
or
l-l walltCblllng tnsulatlon - prtor to|J cover.
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplng.
MOBILE INUndertloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Slovo - After lnstallation.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When ailblocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prior to filllng
trench.Eleclrical Conneclion - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to fllling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base malerial in place.
Waler LIne - Prlor to filling
trench.[-l Fence - When cci-rrpleted
Rough Plumbing - Prior to
cover.
$lreel Trees - When all requlred
trees are planted.
Flnal - After all requiredlnspectlons are approved andporches, sklrting, decks, andventlng have been installed.
?,.
\
ELECTRICALT
occY GRouP. TH's PEilMlr
# oF sroRrES:
--
AUTHOF,ZED
E
E
tl
,r ir ii ,.,i -r1";'trl .
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterigr
-
Corner
-
Panhandle r
-
Cul-de-sac
(IS THE PROPOSED WOBK iN THE .' HrsToFilcAL D|STFI|CI OB ON
THE HISTORICAL REGISTER? J
"Jl, yes, thls appllcatlon must be slgnedand approved by the Hlstorlcal
Coordinator prlor to permit issuance,
APPROVED:
BUILDING PERMIT
ITEM SO. FT,
t
X $/SO. FT.VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
BUILDING VhTUT, PIAru CHECK
AND BUILDING PERMIT
This permit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City ol 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.
Plan Check Fee:
Date Paid:
Beceipt Nu
Received By:
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being lmproved.
PLUMBING PERMIT
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
FT.
FT.
Plumblng Permlt
State Surcharge
Total Charge
*9o
(c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
Mechanical Permlt
lssuance
State Surcharge
Total Permit (D)
By slgnature, I state and agree, that I have carefully examlned
the completed appllcation and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Buildirrg Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all requi ctions are
reguested at the proper tlme, that ls readable
at the lrontfrom the street, that the
of the property, and t plans wlll remaln
on the slte at all ti
Slgnature
Date
durl
ls
tructlon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
@
.qo _.Efi VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT
RECEIVED BY
P.L.HSE GAR ACC
N
S
W
E
FT.
sPr ;FrELC'
0[yil 1Pt /[N f SEn y/CES DE7A R rMEilr 225 F/FTH.STREET
SPR/NGF/ELD, O/? 97477
(s41 ) 726-s7s3
FAX (541) 726-368s
your demolition'permit is currently being processed. There may be a slight
Oetay, of up to i working days for small itructures, due to the time required
to r6view the h.istory of [fre itructure to determine jf it needs to be documented
before demol jtion. This documentatjon is for arch'ival purposes only and-will
not uff..t the granting of the demolition permit.. If the structure is very large
or compticated ih. Ooiumentation proces: mal take up to a.maximum of 4 working
days. ' Documentati on wi I I consi st of photographi ng the Pyi td'ing, . tak'ing
measurements and *it ing sca'led drawings. 'The documentation will be undertaken
by the City at no cosf to you. Docurn'entation is being done- on all structures
ait.J prioi to 1g40-that may have historic importance to the City's development'
THIS DOCUMENTATION }lILL NOT IMPEDE THE DEMOLITION PROCESS.
An age cut-off of 1940 was chosen because this is the date that the Nat'ional
parks servi.. uno fhe springfieid o-everopment code use to determ'ine potential
hi storical sign'i f icance.
If you would prefer to complete thjs documentation yourselg vgu.must provide the
city with the following inrormiii;tt 1i utact< and white photographs. of e191'
elevation, a floir pt.n"*itfr measure'r.nt't, and a set of elevation drawings with
meas urement s .
Thank you for Your Patience.
Ig rant the CitY of SP ri ngf i e'ld Pe my propertY to comPl ete
thir structure I ocated atrm'ission to enter
docume ntation Prior to the requeste d demol i
Prope
Date:
rty own S1 ature:
7
DEI'IOLITION PERMIT APPLICATIONS