HomeMy WebLinkAboutPermit Demolition 1995-06-29/-z
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BLOCK:
IN IE E)
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lle,
ASSESSOFIS MAP;
JOB NUMBER
SUBDIVISION:
TAX LOT:
BESIDENTIAL
PERMIT APPLICATION
lnspecilons:226-376S
Office;726.3759 225 Fif th Street
Springfteld, Oregon 97477
LocATloN oF pBoposED woBK; / AjJ
F3
PHONE:
ZIP:
a c
e
STATE:O-
1-+
CITY:
OWNER
ADDITION e.
DEMOLISH K -- oTHER
DESCRIBE WORI(
NEW X REMODEL
ADDRESS
D
G EN ERA L:J'EXPIBES - PHONE
CONTRACTOR,S NAME
PLUMBINGT
MECHANICAL
ELECTBICAL:
CONTRACTOR /
CONSI
UJA llt
\)N
- OFFICE USE -
LAND USE;
FLOOD pLAtN:-
WATER HEATER;
ZONING CODE
N OF BDRMS:
I OF UNITS:
RANGE:
QUAD AREA:
I OF BLDGS:
SECONDARY HEAI
SOUARE FOOTAGE;
OCCY GROUP:
E OF STORIES:
CONSTFI. TYPE:
HEAT SOUBCE:
To request an inspectio
made the sanre workin
n, you rnust call 226-3 769. Thls is a 24 hour recordlng. All insg day, lnspections req uested af ter 7:OO a,rn will be mad eth e followlng workRI-l Temporary Etectric
EQUIRED INSPECTION
I:.:^n-n Mechantcal _ prlor rocover.
pections request
Slro"totu
7:oo a.m. wi, be
S
,X.
:j rjr *:i:il, ;,r,.,n r :. "
H:*:',1 f, i 3Hi l: i S, :: f.J; ",,
5;;jl:?J After trenches are
D [XH,"n;il?:, rocaron, boncr
E j,.'":ls;,f",,1
;, *' l:, J;;T;,T"
,'":fl ;i;;.1:l?ru mbins - Prior
3 ts;;'j,iiJ,:,,Jffi,i:,,' llTm, ff l
,:'":i i,ii^?x:;, I,il.' to f , oo r
Floor lnsulalion _ poecrint.--'-'rv" - Prior to
;:ll;:' sewer - Prior ro rjilrns
;:onr;.ru*"r _ prior to filtins
,Y;l:;..,"" _ Prior to filrins
i;,[rrl ptumbing _ prior to
f] X.";t.n Etectricar - prror to
Eleclrlcat Servlce _ Must be
;i"?i?[T i"";:::,, permanen t
;:i5i,ffs;#*i;,'fi,#
Framlng - prlor to cover.
Walt/.Celting tnsulation _ prlor to
Drywall _ prior to taplng.
Wood Stovo - After lnstallation,
l?Tk,fll,L"J; ?;i,: app rova,
tTH1fl tii,j*l:1,;,n'r::
iii:lfi'Jrifus[r,^Ajfi
Fence - When completed.
' 5l;##;TJ?-', ;"yj ;till
5',JiJ,,:::"ff i,, ; y,l il:,11
;'#1, # ffj T L?, ;"l,,li?" ill
X;'l;l,3Jifll?_ when a,,
"p
p,o,uo uiffiJiiJ,: J?Je
been
completed.X
Othsr
MOBILE HOME INSPECTIONS
[ 8,'ff,|,,;f ,i"f"i"J;y[.- when a,,
;:r: #3ffiil"r":*?J"^
;"*'$$t+f*,l'ilr;{-
f ;yff:[H;f^en arr requrred 6ffi1!*[tfl+i:{#
ADDRESS:
,71(A
I
tl
r
__-
S ks ' -S THE PROPOSED WORK tN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
--lf yes, this application must be slgned
and aPProved bY the Historical
Coordinator prior to permit issuance'
APPROVED:
Lot faces
Lot sq. ftg.
Lot coverage
Topogra
To tal hel gh
Lot Tvoe v
-
lnterior
__ Corner
-
Panhandle
,(,Kllld*'
4W W
AccHSEGARP,L.
7'N
S
izo)/atr
BUILDING VALUE, PLAN CHECK
Auo BUILDING PERMIT
Thls permit is grantecl on the express conclition that the said
consiruction shall, in all respects' con(orm to the Ordinance
;;;;i;; ty the citv of sprins(ield' i,ncludins the
Development Cocle, reiulating the coostruction and use of
6rrloin-s", and may uJsuspenoed or revokcd at any time
,pon riof"tion of any provisions of said ordinances'
Plan Check ee., -%-27
k/,#s
cviewedPla
umbe
Date Paid:
ReceiPt N
Received
Total Value
Building Permit Fee
state surcharse 7?3 t /'' o
VALUE
S:/lF
5c/o
50
X $/SO. FT.
//4 't
o3
GPE IT
€3
BUI
Total Fee (A)
ITEM
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City linrits whicl.r are being improved'+#CDSRAEGCTH(rEMNEVoLPDSEMESYST
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
Zfu
| ?r + '7s z7.ao
N0
FT,
FT.
FT.
(c)
.1 5,e
-) ooL
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
Furnaco
Exhaust Hood
Vent Fan
By slgnature, I state and agree' that I have carcf ully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true ancl correct' and I f urther certlly
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the Clty o( Sprlngf ield' and the Laws
o( the State of Oregon pertalnlng to thc work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structurewlthoutperrnissionoftheBulldirrgSafetyDlVislon.
I further certily that only contractors and employees who
are ln compllance with OHS 701'055 will be used on thls
prolect'
ro that all required inspections are
fin^,,
Date
I further agree to ensu
time, that each address ls readable
requested at the ProPer
ermit card ls located at the front
from the street, that the P
proved set of Plans will remain
of the ProPertY, and the aP
ring constructionon the site at all times du
Mobile Home
State lssuance
State Surcharge
Sldewalk .- ft
curbcut ' f t
Demolitlon
State Surcharge
(E)
MISCELLANEOUS PERM ITS
Total Ml scellaneous Permits aDATE PAID
AMOUNT RECEIVT"D
RECEIVED BY
VALIDATION:
BECEIPT NUMBER
NT OUE (excluding electrical)
d E Comblned)
#s
TOTAL AMOU
(A, B, c, D, an
SQ. FT.
CITY OF
225 FLTTfl STREET
SPRTNGFIETJ, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Tr'e {olirwing i;rc,i'
z(;i'lrrB, i.:'j ('ioaS
974rlo'lai.
SP'II,tlGFIELEl
ect as submitted has the lollowi
nQt requtre specifi c land use
EI,EqTRICAL PERUIT APPLICAIION
City Job Number)>< -/1
1. LOCATION OF
ON
JOB DESCRIPTI
Permits are non-transfer and 1re
if vork is not started vi t n 1B0 days
of issuance or if vork is suspen-ded for
180 days.
Constr Contr. Number clo4Q C-
Expiration Date q lqo
Signa ure of Supervising Electrician
s_f
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less S 40.00
201 amps to 400 amps
-
S 55.00
Over 401 to 600 amps
-
S 80.00
Over 600 amps or 1000-voTts see uBt' a6ffi
D. Branch Circui ts
Nev, Alteration or Extension per panel
s 3s.00
Servi ce'-f s 2.oo E
E. Miscellaneous (Service/feeder not included )
-Each installation
Pump or irrigation g
Sign/0utIine Lighting- S
Lirni ted Energy/Res
-
SLimited Energy/Comm S
COT{PLSIE FEE SCMDULE BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each a<iditional 500
sq. ft or portion
thereof
Each Hanuf'd Hone or
-Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
s s0.00
s 60.00
s100.00
$130. 00
s300.00
s 40.00
One Circuit
Each Additional
Circuit or vith
or Feeder Permi t
A
Sum
2. COI{TRACTOR INSTALLATI0N ONLY B. Services or Feeders
Installation, Alterations
Elec tri cal Con t ractoroet AoO 5LlrlJtrPlc 5€A/gr Relocation :
Address QC f3ox .s.3-)
Ci ty pnone343-lrt ?t
Supervisor cense Number /A9=3--S
Expiration Date I O qS
c
/\fi,
ovners tl"r" Q,er1o 12- Frs \l^aca
Address \
ci tv-rhone-) 3rL - t(Sr.l
OSNER TNSTALI,.ATION
The instal]ation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Osners Signature:
DATE:
RECETVED B
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
40.
40.
20
36.
00
00
00
00
5 sx-
a (DnGt '-t716&tr-
to?t
200 amps or less I
201 amps to 400 amps
-
401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/voIts
-
Reconnect On1y