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HomeMy WebLinkAboutPermit Demolition 1999-05-27RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 SPRINGFIELO JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 LOCATION OF PROPOSED WORK: ASSESSOFIS MAP:TAX LOT: BLOCK: SUBD|V|S|ONLOT: PHONE: ztPSTAIE: d(CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER _- DESCRIBE WORK: 0unna ADDRESS PHONEflffir 's ORIS ENTION:Oreq trE THIS THIS SAT CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: GENERAL: PLUMBING RANGF-:SOUARE. FOOTAGE HEAT SOURCE:SECONDARY HEAT: WATER HEATER: QUAD AREA: * OF BLDGST OCCY GROUP: * OF STORIES: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:OO a.m. will be macle the followlng work ddy. REOUIRED INSPECTIONS Temporary Electric Site Inspection - To be made after excavatlon, but prior to setting lorms. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. Footlng - After trenchee are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are crcolccl but prlor to oonoroto placement. Underground Plumblng - Prior to fllllng trench. Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or clecklng. Post and Beam - Prlor to floor lnsulation or decklng. Floor lnsulalion - Prior to decking. Sanitary Sewer - Prior to fllllng trench. Storm Sewer - Prior to filling trench. Water Llne - Prlor to filling trench. Rough Plumbing - Prlor to cover. Rough Mechanlcal - Prior to cover. Rough Electrical - Prior to cover Electrical Servlce - Must be approved to obtaln permanent glectrlcal power, Flreplace - Prlor to faclng materlals and framing lnsp. Framlng - Prlor to cover. WalllCelllng lnsulatlon - Prlor to cover. l--l Drywall - Prlor to taplng Wood Stove - After lnstallatlon lnsert - After flreplace approvql and installatlon of unlt. Curbcut & Approaclr - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is com,plete, forms and sub-base material .ln place. I--l Fence - When coiilpleted Street Trees - When all required trees are planted. llfrtnrt Bultdlng - Wh€n elt ,}qrequired lnspectlons have been approved and bulldlng ie completed. Eo,n"' Aetuq ?y. Final Plumbing - When allplumblng worl< is complete. Final Electrlcal - When all electrlcal work is complete. Final Mechanical - When all mechanical work ls complete. MOBILE HOME INSPE TIONS Blocking and Set-Up - When all blocklng ls complete. tf E tf Plumbing Connectlons - When home has been connected to water and sewer. Eleclrical Connection - When blocking, set-up, and plumbing lnspections have been approved and the home ls connected to the servlce panel. Flnal - After all required lnspectlons are approved andporches, sklrting, decks, and ventlng have been lnstalled. a 7D7/z C37AO oAll obtain -)!bUf\n rulesotthe FLOOD I)LAIN: ZONING CODE: _ # OF BORMS:- E tl tl E E E E E E ACCPL.HSE GAR N S E Lot faces Lot sg. ftg. Lot coverage Topography Total helght Lot Typev - lnterior - Corner -- Panhandle - Cul-de-sac backs IS THE PROPOSED WOBK TN THE . HISTORICAL DISTRIC-T, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned arrd approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: VALUE (A) nirr Total Value Building Permit Fee State Surcharge Total Fee '',. .h X $/SO. FT. BUILDING PER ITEM SO. Main Garage Carport This permit is granted on the cxpress 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 oulldings, and may be suspended or revoked at any tlm6 upon violation of any provisions of said ordinances. Fleceipt Number:_ Plans Reviewed By Date Plan Check Fee: Date Paid BUILDING VALUE AND BUTLDING P , i5tRu cHEcK ERMIT SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home 5ndd4 ffi t5* ,75 f ,45 l,2o FEE ---7---- /Q,rc(c) N' FT. FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS , 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 f urther cerilfy that any and all work performed shall be done in accorrJance with the Ordinanccs of the City of Springfield, 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 perrnission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 wiil be used on this proiect. I further 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 remain on the site at all times during construction. Date Xnnr,, Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobite Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge Total Miscellaneous Permits (E) (D) 44 NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood TOTAL AMOUNT DUE (excluding electricat) (A, B, C, Q and E Comblned) VAI.IDATION RECEIPT NUMBER 03rzr DATE PAID AMOUNT RECEIVED RECEIVED BY z f f Received By: t,*ru+i€ v'lL Ktwr,c t?ft v<.64