HomeMy WebLinkAboutPermit Demolition 1993-02-10SPFl!I{GFIELC'
BLOCK:
a
h,
2 o21?2
JOB NUMBER
LOT:SUBDIVISION
TAX LOT:
LOCATION OF PFIOPOSED WORK:
ASSESSORS MAP
RESIDENTIAL
PERMIT APPLICATION
lnspections:726'3769
Ofiice: 726-3759
225 Fiitn Street
Springfield, Oregon 97 477
PHoNE: ?qZ-?6=
ZIPSTATE:CITY:
ADDRESS:
OWNER
NEW
-
REMODEL ADDITION DEMOLISH OTHER
-
DESCRIBE WORK
MECHANICAL:
--
EXPIRES PHONEADDFIESSE
ELECTRICAL
CONTRACTOR'S N
G EN ERAL:
CONST.
CONTRACTOR #
PLUMBING:
_ OFFICE USE _
LAND USE:
g OF BDHMS:
ZONING CODE:
FLOOD PLAIN
WATER HEATER
s OF UNITS: -
SECONDARY HEAT:
SOUARE FOOTAGE:
QUAD AREA:
, OF BLDGS
RANGE:
OCCY GROUP:
r OF STORIES:
CONSTR, TYPE
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hout 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.
REOUIRED INSPECTIONS
f-l Temporary Electric
ll
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is comPlete.cover
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical work is comPlete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and f raming lnsP.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placement.
poher
Walt/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.
MOBTLE 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.
Curbcul & 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 Conneclion - When
blocking, set-up, and Plumbing
inspections have been aPProved
and the home is connected to
the service panel.
Slorm Sewer - Prior to filling
t renc h.
Sidewalk & DrivewaY - After
excavation is contplete, forms
and sub-base material in Place.
Water Line - Prior to filling
trench.
Street 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.
Floor lnsulation - Prior to
decki ng.
E
[-_.l Framing - Prior to cover.
tl
E
r
E
r
E
Dr
fl
E
E
E
[--l Drywall - Prior to taping.
fl
i]
[l Fence - When comPleted'
PL.
N
S
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
!7Lot Type
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Setbac ks
HSE GAR ACC
.--O I'HE PROPOSED WORK IN THE
I]ISTORICAL DISTFIICI, OR ON
THE HISTORICAL FIEGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVEDE
VALUE
(A)
X $/SQ, FT.
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
1-his pei-rnit is granteo on the exprbss condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Develo;:ment Code, regulating the construction and use of
buildings, ancl may be suspended or revokecl at any tirne
upon violation of any provisions of said ordinances.
Plan Check Fee: ___
DatePlans Roviewed By
Date Paid
Receipt Number:_
Receivcd By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By signature, I state and agree, that I have caref ully 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 f urther 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
f rom the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at all times during constru
"2
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on
S ig natu re
Date
DATE PAID
AMOUNT FIECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
_.2?
4
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
/8,>.1-
FT.
FT.