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Home My WebLink AboutPermit Demolition 1998-01-09RESIDENTIAL PERMIT APPLICATION SP LD ln Or rspections: 726.3769 ffice: 726-3759 JOB NUMBER 9g+=-*_ 225 Fifth Street SprlngflelcJ, Oregon 97477 LOCAT]ON OF PROPOSED WORK: ASSESSOBS MAP: LOT - SUBDIVISION 4 BLOCK: PHONE: STATE:ZIP: OWNER: ADDRESS: OTHERIADOITION DEMOLISH DESCRIBE WORK: NEW- REMODEL A Ri EXPIRES ,l PHONE CONTBACTOR'S NAME MECHANICAL: ELECTRICAL; GENERAL: PLUMBING _ oFFtcE usE _ LAND USE: 'f OF UNITS: * OF BDRMS: WATER HEATER QUAD AREA: * OF BLDGS: SECONDARY HEAT SQUARE FOOTAGE: RANGE: OCCY GBOUP: * OF STORIES: FLOOD PLAIN: ZONING CODE: CONSTR. TYPE HEAT SOURCE: To request an lnspecflon, you must callmade the same worklng day, lnspecilon 726-3769. Thls is a24 hour recordtng. Allrs requested after 7:00 a.m. wlll be made REQUIRED TNSPECTIONS lnspecilons requested before 7:00 a.m. wlll bethe followlng work day. f-l Temporary Etectrtc Rough Mechanlcal - prior tocover.w Site lnspectlon - To lre madeafter excavatlon, but prlor tosettlng forms. Rough Electrlcat - prior to Final Plumblng - When allplumbing worl( ls complete.?L,.6CfrP Finat Electrlcat JWhen attelectrlcal work ls complete. Final Mechanlcal - When allmechanlcal work ls complete. cover. [--l U-nderslab ptumblng/ Etectricat/ - Mechanlcal - prioi to cover.Electrlcal Servlce - Must beapproved to obtaln permanent electrlcal power.Foollng - After trenches are excavated.Flnal Buildlng - When ailrequired lnspecflons have beenapproved and building iscompleted.I--l Masonry - Steet locailon, bond - beams, grouilng. [l Flreptace - prtor to factngu materlals and framing lnspl Framlng - prlor to cover. Foundatlon - After forms are erected but prlor to concreteplacement.Wall/Celllng tnsulatlon - prlor tocover. t] ,'d'f,i1fl;'l,!:j#-orns - Prror J-l Drywan - prror to taprns Undsrlloor Plumblngl Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME INSPECTIONS Wood Stove - After lnstallatlon. Posl and Beam - Prlor to floor lnsulatlon or decklng.J-l lnsert - After fireplace approval - and lnstallatlon of unlt. [-l elocking and Ser.Up - When ail - blocking ls complete. Floor lnsulalion - Prlor to decklng.Curbcut & A;tproach - After forms are erected but prior toplacement of concrete. Plumblng Connectlons - Whenhome has been connected towater and sewer. Sanllary Sewer - Prlor to fllllng trench. Slorm Sewer - Prior to fllllng trench. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base material ln place. Eleclrical Connection - When blocking, set-up, and plumblng lnspections have been approved and the home is connected to the servlce panel. Water Llne - Prlor to filling trench. Fence - When ccirlpleted. $lreet Trees - When all requlred trees are planted. Final - After all required lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled. Rough Plumbing - Prlor to cover. ?>CITY: E Er tlr E tl fVotherfu ,Z?u - : a:= tl E E i::,r.4 P.L.HSE GAR ACC N S W E IS THE PROPOSED WORK TN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and aPProved bY the H lstorlcal Coordinator prlor to permit issuance' APPROVED: \Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot Type - lnterior - Corner - Panhandle ! - Cul'de'sac This permit is granted on the express condition that the said consiruction shall, in all respects' conform to the Ordinance "O.pi"O by the City ol Springfield' includlng the Development Code, rejulating ihe construction and use of ["iloi"'s", and may oJsuspenoed or revoked at any time ,pon viofrtion of any provisions of sald ordinances' Plan Check Fee: ..- DatePlans Reviewe dBv Receipt Numbe BUILDI AND B E, l PE cE KHNcLANG MR ITDGNUL Date Paid Fleceived BY: BUILDING PE VALUE (A) I RMIT SO. ET. X $/SQ. FT'ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (S (B) DC) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) SanitarY Sewer Waler Storm Sewer Moblle Home PLUMBING PERMIT N' ./r.* €D FEE FT FT. (c).2e Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permlt lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I lurther certlfy that any and all work performed shall be done in accordance with the Ordinanccs of the City of Sprlngfleld, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure wifhout permission of the Bullding Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all requlred inspections are requested at the proper tlme, 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 on the site at all times during constructlon. Slgnatu 1) Date / -oq-q3 MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge Total Miscellaneous Permits (E) rc?*,77 TOTAL AMoUNT oUE (excludins electricaO 75-6-7(A, B, C, Q and E Comblned) ,,41DATE PAIi) AMOUNT RECEIVED BECEIVED BY VALIDATION: RECEIPT NUMBER ->,'7r FT. A=-?* zR A7r RESIDENTIAL PERMIT APPLICATTON lnspections: 726-3769 Office: 726-3159 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT fttJ JOB NUMBER 225 Fifth Street Springfield, Oregon 91 4ZZ TAX LO]I BLOCK:SUBDIVISION STATE: PHONE: OWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER IDESCRIBE WORK: ADDRESS EXPIRES PHONE b S CONTRACTOR'S NAME PLUMBING: GENERAL: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # # OF UNITS: _ CONSTR. TYPE: _ HEAT SOURCE: - - OFFICE USE - LAND USE: WATER HEATER FLOOD PLAIN: QUAD AREA: * OF BLDGS: SECONDARY HEAT SOUARE FOOTAGE: OCCY GROUP: * OF STORIES: ZONING CODE: # OF BDRMS:--- To request an inspection, you made the same working day, must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. will belnspectlons requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanical - prior to cover.f--l Final Plumbing - When ail'J plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrlcal - When allelectrlcal work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Electrlcal Service - Must be approved to obtaln permanent electrlcal power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Final Building - When ail required inspections have been approved and building is completed.Masonry - Steel location, bond beams, groutlng.Framing - Prlor to cover. Foundation - After forms are erected but prior to concrete placement. Other Wall/Celllng lnsulation - Prior to cover. Underground Plumblng - Prior to filling trench. MOBILE HOME !NSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decking.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Conneclions - When home has been connected to water€nd sewer. a Sanllary Sewer - Prior to fllling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. l5/ Water Llne - Prlor to fllling trench. Sidewalk & Driveway - After excavation ls comPlete, forms and sub-base materlal ln Place. 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, skirtlng, decks, and venting have been installed. E. aa S 1,'-l nf ?)qa zP: q 1*18 tl E tl tl tl E tl E E E E Er n Drywall - Prior to taping. n Wood Slove - After lnstallatlon. I-l lnsert - After flreplace approval 'J and lnstallatlon of unlt. ,'/- Lot faces Lot sq. ftg. Lot coverage TopograPhY Total helght Lot Type - lnterior - Corner - Panhandle - Cul'de-sac rS THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and aPProved bY the Historical Coordinator prior to permit issuance' APPROVED: P.L.HSE GAR Acc N S E BUILDING VALUE, PLAN CHECK Anb BUILDING PERMIT This permit is granted on the express condition that the said "oniiru"iion slall, in all respects' conform to the Ordinance ;;;;i;; bv the'citv of sprinsfield' includins the Development Code, regulating ihe construction and use of ["ilii"b", ."d may oJsuspended or revoked at anv time ,pon ,iof "tion of any provisions of said ordinances' DatePlansReviewed BY Plan Check Fee: Date Paid: Receipt Number: Received BY: VALUE (A) BUILDING PERMIT .' SO. FT. X $/SO. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHAR (B) GE (SDC) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) SanitarY Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 FT. 4D OO FT. 4) or'(c) l-{ n oo )ooPlumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuance state surcharge Total Permit Furnace Exhaust Hood Vent Fan By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all inlormationhereonistrueandcorrect,andlfurthercertify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, 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 ln compliance with ORS 701.055 wlll be used on this project. I further 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 ls located at the front approved set of plans will remain Signatu a Date tonst of the property, and durion the slte at all MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, g D, and E Combined) t-/.f, .o 6 ll?L, 3ls,lq q OB DATE PAID AMOUNT RECEIVED BECEIVED BY VALIDATION: RECEIPT NUMBER FT. JS/ 4),oo