HomeMy WebLinkAboutPermit Demolition 1994-05-31SPRIl\lGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JoBNUMBE^ ?/27%
225 Flfth Street
Sprlngfleld, Oregon 97477
LOCATION OF PROPOSED WORK:2AZ a .kn v.7z *H5r
ASSESSOBS MAP:/)-?3 -aZ - z ?rAX Lor: 2:<U>,
LOT:BLOCK:SUBDIVISION
PHONE:
STATE:
G a
2V/ -.=,71*
ztPt a > ts>>CITY:
ADDRESS:
OWNER:
OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
PLUMBING:
MECHANICALi
ELECTRICALT
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
GENERAL:
CONST.
CONTRACTOR #
RANGE:
- OFFICE USE -
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:
* OF UNITS:
OUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
, OF BDRMS:
-_._--
LAND USE:
OCCY GROUP:
S OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED TNSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover,
l-_l Flnal PlumblngtJ plumblng work - When all
ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prlor to Flnal Electrlcal - When all
electrlcal work ls complete.cover.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
l-l Footlng - After trenches arelJ excavated.Flreplace - Prlor to faclng
materlals and lramlng lnsp.
Flna! Buildlng - When all
requlred lnspectlons have been
approved and bulldlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
[7] other
WalllCelllng tnsutatlon - Prlor to
cover.
l--l Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stove - After lnstallatlon
Post and Beam - Prior to floor
lnsulation or decking.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complete,
Floor lnsulation - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prlor to f llllng
trench.Electrlcal Connection - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prlor to tilling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material ln place.
Water Line - Prlor to filling
trench.
Fence - When completed.
Rough Plumblng - Prlor to
cover.
Streel Trses - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
E
tl
E
tl
tl
E
E
[l Underground Plumbing - PriortJ to tllllng trench.
I
E
E
E
E
E
,: .?.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
i . j THE PROPOSED WORK ]N THE -
HISTORICAL DISTRIGT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit lssuance.
APPROVED:
P.L.HSE GAR ACC
N
s
E
VALUE
(A)
x $/so. FT.
Main
Carport
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls 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
bulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Pald
Recelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
FEE
ED
(c)
No
FT.
Home
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood
N0
By slgnature, I state and agree, that I have carefully examlned
the completed applicatlon and do hereby cerilfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Divislon.
I further certlfy that only contractors and employees who
are ln compliance with ORS 701.055 wiil be used on this
prolect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
that the permlt card ls located at the front
d the approved set of plans will remainperty,
at all
Slgnature
Date
from the
ruction.s during
of the
on the
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permlts (E)/9.fl
fVQa -----€/
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
5-3rDATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
M-
FT.
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