HomeMy WebLinkAboutPermit Demolition 1998-08-27RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCAT]ON OF PROPOSED WORK:
ASSESSOHS MAP:t'7 03 1 t (L
LOT
JOB NUMBER 4t to'{ o
225 Fifth Street
Springfleld, Oregon g7 477
TAX LOT 0; 7o o
SUBDIVISION
SPRI!\rGFTEUO
l.tl-h 54-
BLOCK:
STATE ZlPi
PHONE:
I
7//- A3OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
ilgtn"DESCRIBE WORK:
PLUMBING:
MECHANICAL:
-
NAME ADDRESS
L
EXPIRES ,t PHONECONTBACTOB
GENEBAL:
CONST.
CONTRACTOR #
To re qu ES an c al 7'26-3
made
Temporary Electrlc
Site lnspectlon -.To be made
after excavation, but prior to
setting forms.
Underslab Plumblngl Electrlcal/
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prior
to lllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulation - Prior to
decklng.
Sanltary Sewer - Prior to fllling
trench.
Storm Sewer - Prior to fllllng
trench.
Water Llne - Prlor trr filling
trench.
Rough Plumblng - Prlor to
cover.
769. Thls ls a 24 hour recordlng. All
uested after 7:00 a.m. wlll be made
REQUIRED INSPECTIONS
Rough Mechanlcal - Prior to
cover.
Rough Electrical - Prior to
cover.
Electrlcal Servlce - Must be
approved to obtain permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framing lrrsp.
Framlng - Prior to cover.
Wall/Celling lnsulatlon - Prlor to
cover.
l-_l Drywall - Prlor to taplng
Wood Stove - After lnstallation.
lnsert - After flreplace approvsl
and lnstallatlon of unit.
Curbcut & Apprroach - After
forms are erected but prior to
placement of concrete.
Sidewall< & Driveway - After
excavation ls complete, forms
and sub-base material ln place.
[-l Fence - lVhen ccr-rrpleted
Slreet Trees - When all requlred
trees are planted.
NS pec o NS req ues te d be fo re 7:00 a m.ll be
he fol low n9 wo rk day.
F-Plumbing - When all
umbing worl< is complete.
Final Electrical - When all
electrical work is complete.
Final Mechanlcal - When all
mechanical work ls complete.
uilding - When all
red lnspectlons have been
proved and building is
completed
Other
MOBILE HOME INSPE TIONS
Blocking and Set-Up - When all
blocklng ls complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Eleclrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspectlons are approved and
porches, sklrting, decks, and
ventlng have been installed.
pec ns re qti
frtr-rt
to
rulesfollow
OUAD AREA:LAND USE:
# OF BLDGS:
--
r OF UNITS:
_ OFFICE USE -
E fl
E E
E
E
E
E
tl
E
tl
E
tl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type -
-
lnterior
-_
Corner
-- Panhandle i
-
Cul-de-sac
ks
- THE PROPOSED WORK TN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
This pernrit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, inctuding 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.
VALUE
Plans Reviewed By(A)Date
BUILDING VALU
AND BUILDING
E,
PE
NLA Hc E c K
MR T
Date Paid
Beceived By
Plan Check Fee:
Total Value
Building Permit Fee
State Surcharge
Total Fee
Receipt Number:_
X $/SO. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
CarDort
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
FEE
T
(c)
/{
u
N'
FT.
FI
4",r,Oll fu
Oo
Residential Bath(s)
Plumblng Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtu res
Sanitary Sewer
Water
Storm Sewer
Mobile Home
.FT
ADDITIONAL COMMENTS
_ Byjllirg Inspector.may require
- additional plans information,
- and/or fees for the completion of_ this project.
Note:
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
NoVent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true anct correct, and I f urther cerilfy
that any and all work performed shall be done ln accordance
wlth tho Ordlnanccs of the Clty of Sprlngfteld, and the Lawgof the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Bullding Safety Divislon.I further certity that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
Prolect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the frontof the property, and the approved set of plans will remain
Date
-
-<.-
on the site at all mes during constru
Signature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk -- ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Ferrnits (E)
i(.0u
/7.,fy
TOIAL AMOUNT DUE (exctudtng etectrtcat)
(A, B, C, Q and E Comblned)
VALIDATION:
REcETPTNUMBER- A3t237
AMouNr FrEcErvED 3,f'a f
DATE PAID r lzt /11
RECEIVED 8Y