HomeMy WebLinkAboutPermit Demolition 1998-02-24SPRRESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED
JOB NUMBER
225 Fifth Street
Sprl ng fleld, Oregon 97 477
TAX LOTASSESSORS MAP:l'l
LOT
-
BLOCK:
OWNER:
ADDRESS:
CITY:STATE
PHONE:
ZIP:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WOR
R'S NAME ADDRESS
PLUMBlNG:
GENERAL:
CONT
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR ,
E-
/g
* OF BDRMS:
RANGE:
FLOOD PLAIN
HEAT SOURCE:
CONSTR.
#oF
OUAD AREA:
r OF BLDGS:
SECONDABY HEAT:
SOUARE FOOTAGE:WATER HEATER:-
OCCY GROUP:
* OF STORIES:
To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before z:oo a.m. wlll bemade the same worklng day, lnspections requested af ter 7:00 a.m. wlll be made the followlng work day.
REOUIRED !NSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When allplumblng worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior tosetting forms.
Rough Electrlcal - Prlor to Flnal Electrlcat - When allelectrlcal work is complete.cover.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanlcal - When allmechanical work ls complete.
l-l Footlng - After trenches are|J excavated.
n Masonry - Steel locatlon, bond|J beams, groutlng.
Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Bulldlng - When ailrequlred lnspectlons have beenapproved and building is
completed.
l-l Framlng - Prtor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.E Wall/Celllng lnsulatlon - Prlor to L-/
cover.(,4
Underground Plumblng - prior
to fllllng trench.Drywall - Prlor to taplng.
Underlloor Plumblng/ Mechanlca!
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.J-l lnsert - After flreplace approval
-
and lnstallatlon of unlt.
Blocklng and Set.Up - When allblocklng ls complete.
IPlumblng Connectlons - When
home has been connected towater and sewer.
Floor lnsulation - Prlor to
decklng.Curbcr.rt & AJrproach - After
forms are erected but prior toplacement of concrete.Sanltary Sewer - Prior to fllllng
trench.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - Afterexcavation ls complete, forms
and sub-base materlal in place.
Eleclrlcal Connection - Whenblocking, set-up, and plumbing
lnspections have been approved
and the home ls connected tothe servlce panel.
Water Llne - Prlor to filling
trench.l-l Fence - When coinpteted.
Street Trees - When all requlred
trees are planted.
l--l Flnat - After all requiredu inspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled.
tl Rough Plumbing - Prlor to
cover.
08
SUBDIVISION:
--
\\
-141 Q2Al n
EXPIRES a PHONE
ZONING CODE: _
E
E
E
tf
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typb--
-
lnterior
-
Corner
-
Panhandle !
-
Cul-de-sac
IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
PL.GAR ACCHSE
N
S
E
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SQ. FT.ITEM
Main
I
Garage
Carport
SQ. FT.
- rl
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 By Date
Recei pt Numbe
Plan Check Fee:
Date Paid
Received By:
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
FEE
t@,
oo
5
(c)
N.
FT.
FT.
FT.
PLUMBING PERMIT
bile Home
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert / Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon perlainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout pennission of the Buildirrg Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I {urther agree to ensure that all required 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 remaln
the site at all times during constructlon.
ure
Date
dd
examlned
of
By slgnature, I state
the completed app tlfy that all
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
Total Miscellaneous Permits (E)
tbp
Su rc
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
55t,+
8gg2-
DATE PAID
AMOUNT RECE
RECEIVED BY
VALIDATION:
RECEIPT NUMB
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
that I have
and do hereby
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