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HomeMy WebLinkAboutPermit Demolition 1995-06-29/-z t JI I BLOCK: IN IE E) 9 tr.7 oo 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