HomeMy WebLinkAboutPermit Demolition 1997-08-06R ESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
SP'I!1rrGFIELD
JoBNUMBE"%
225 Fifth Street
Sprlngtleld, Oregon 97 4?7
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT:
LOT:- BLOCK:SUBDIVISION:
)zg <'
ztP:STATE:
OWNEB:
ADDRESS:
CITY:
NEW
-
BEMoDEL ADDrroN DEMoLTsH *-OTHER
DESCRIBE WORK:
coNsT.
CONTRACTOR ,'ADDRESS EXPIRES ,1 PHONE
PLUMBING:
MECHANICAL:
ELECTFIICAL:
CONTRACTOR'S NAME
GENERAL:
RANGE:
r OF BDRMS:
- OFFICE USE -
WATER HEATER:
I OF UNITS:
QUAD AREA:
r OF BLDGST
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:FLOOD PLAIN:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:OO a.m, wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc l--l Rough Mechanlcat - prlor tolJ cover.
Final Plumblng - When allplumblng work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior tosettlng forms.
Rough Electrical - Prior to Flnal Electrlcal - When ail
electrlcal work is complete.cover.
Underslab Plumbing/ Electrical/
Mechanlcal - Prior to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
E Final Mechanlcal - When all
mechanical work ls complete. ..
fl Footlng - After trenches areu excavated.Flnal Buildlng - When ail
requlred lnspectlons have been
approved and bullding is
completed.[--l Masonry - Steel locatlon, bondu beams, groutlng.
Flreplace - Prlor to faclng
materlals and lramlng lnsp.
Framlng - Prlor to cover.
Foundatlon - After forms are
erecled but prlor to concrete
placement.
Other
Wall/Colling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to filling trench.J-l Drywatl - Prlor to taptng.
Underlloor Plumblng / Mechanlcal
- Prior to Insulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When ail
blocklng ls complete.
Ftoor lnsulation - Prior to
decking.Curbcut & AJrproach - After
forms are erected but prior toplacemont of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
Wcrnir"#(-Sidewalk & Drlveway - After
excavation ls completo, forms
and sub-base materlal ln place.
Electrlcal Connection - When
blocklng, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
trench
Waler Llne - Prlor to filllng
trench.
Fence - When coiilpleted.
Strcet Treee - When all requlred
trees are ptanted.
Flnal - After all required
lnspectlons are approved andporchos, sklrtlng, decks, ancl
ventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.
I
az,
PHONE:
ZONING CODE: _.
E fl
tl
tl
.1, i i;.
li
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
LOr rype
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK iN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM SO. FT.
Main
-t
x $/so. FT.VALUE
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
BUILDING VALUE,
AND BUILDING PE
PLAN CH ECK
RMIT
Thls permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordlnance
adopted by the City of Sprlngfield, including the
Development Cods, reguletlng ths conttruotlon and uae of
bulldlngs, and may be suspended or revoked at any tlme
upon violation of any provlsions of sald ordlnances.
Plan Check Fee:
Date Pald
Receipt Number:-
Received By
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln tlrc City limits which are being lmproved.
PLUMBING PERMIT
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
FEE
N'
FT.
FT.
n-
Plumblng Permlt
State Surcharge
Total Charge (c)
,5--7t
,2?
ADDITIONAL COMMENTS
Mechanical Permlt
lssuance
State Surcharge
Total Permlt (D)
By slgnature, I state and agree, that I have carefully examlned
the completed appllcation and do hereby cerilfy that all
Information hereon ls true anct correct, and I f urther cerilfy
that any and all work performed shall be done ln accorrJance
wlth the Ordinances of the City ol Sprlngf ield, and the Laws
of the State of Oregon pertalnlng to thc work described
hereln, and that NO OCCUPANCy will be made of any
structure without permission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are ln compllance with ORS 7O1.OSS will be used on lhis
proiect.
I further agree to ensure that all requlred lnspections 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 propert
on the slte at
y, and approved set of pl n
during constru
Slgnatu
7Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
--
ft
Demolltlon
State Surcharge
DC>
Total Mlscellaneous Permits (E)J?'ZZ
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
P.L.HSE GAR ACC
N
S
W
E
VALIDATION:
RECEIPT NUMBER
DATE PAIi)*^gg>
AMOUNT RECEIVED
RECEIVED BY
Moblre Homg>@
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
I
9>