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HomeMy WebLinkAboutPermit Demolition 1991-07-19SP]lINGFIELE, h, D tlZtt l! Vn"l * o4T LOT: TAX LOT: JOB NUMBER LOCATION OF PROPOSED WORK: ASSESSORS MAP:o> RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 BLOCR: SUBDIVISION bvq 225 Fifth Street Springfield, Oregon 97 477 5er*rvaln}OWNER:PHONE: =,", Q 7.1 71 L '7 C STATE: t1 aJ 7,. 2() lj' NEW - REMODEL ADDITION DEMOLISH F OTHER DESCRIBE WORK: ADDRESS EXPIRES PHONE 'II MECHANICAL: ELECTRICAL: PLUMBING: G EN ERAL: CONST. CONTRACTOR #CONTFIACTOB'S NAME RANGE: * OF BDRMS: _ OFFICE USE _ LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN: * OF UNITS: QUAD AREA: * OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: # OF STORIES CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24 hout recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQU!RED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Fireplace - Prior to facing materials and framing lnsp. Final Building - When all required inspections have been approved and building is Masonry - Steel location, bond beams, grouting. complete v Other Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut &Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling 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. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling tren c h.I-l Fence - When completed Slreet Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. I f--l Underslab Plumbing/Electrical/ 'J Mechanical - Prior to cover. l--l Footing - After trenches areU excavated. Foundation - After forms are erected but prior to concrete placement. E l-l Framing - Prior to cover. f-l Final Plumbing - When alltJ plumbing work is complete. tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E _, THE PROPOSED WORK rN 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 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. Receipt Number:- Plans Reviewed By Date Plan Check Fee: Date Paid Received By VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BU!LDING PERMIT ITEM SO. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE l4-c:,) (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify 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 in compliance with ORS 701.055 will be used on this proiect. I f urther 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 is located at the front of the property, and the approved set of plans will remain re site at all times d ngt ction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition B,a) (E) U Total Miscellaneous Permits State Surcha ct() tV cZ 3b 1b TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 52,b5 4-A DATE PAID AMOUNT REC RECEIVED VALIDATION: RECEIPT NUMBER :1tr) t6-74 t6 .fi