HomeMy WebLinkAboutPermit Demolition 1999-04-19RESIDENTIAL
PET{MIT APPLICATION
lnspections: 726.3769
Office: 726.3759
SPtlINGFIELE,
JoB NUMBE
^
flo ru
-
225 Fifth Street
Springtleld, Oregon 97 477
LOCATION OF PROPOSED WORK:lo;Sc.,tL t zT!
>&ssessons MAP:176 3 3 14/O7?oo
dtor:BLOCK:SUBDIVISION:
PHONE:
774o/ZlPiSTATE:
OWNER:
ADDRESS:
CITY:
NEW_ REMoDEL ADDtloN DEMoLtsH \./ _ orHER
ft 'i\luL hdcr*t.,o o.J o-A e [,.r.bsDESCRIBE WORK:
27.
EXPIRES 11 PHoNE
11So,7L o
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
ADDRESS
PLUMBING:
GENEBAL:
CONST.
CONTRACTOR #
, or uuif9.AB e52-001-0010th gnonQ$ffir{5't6e
C090. You may obtain Copies of the-ruies b!.--co N srR' rf,ffi i ng+h€-eenter{+l€te : th e te 16fi6,g> riu s:
ris 1
RANGE:
E:
HEAT SOU for the
SQUARE FOOTAGE:WATER HEATER:
_ OFFICE USE _
HEAT:
-.
QUAD AFIEA:
I OF BLDGS:
OCCY GROUP:
* OF STORIES:
foilow rules adoptect by the Oregon Utility
LAND uq{fo#ffi rutes aEslfuilhAtN
To request an lnspectlon, you must cail 726-3769. Thls is a24hour recorcling. All lnspectiorrs requestecj before Z:OA a.rn. will bemade the same worklng day, lnspectlons requested af ter 7:00 a.m. wlll be ma<Je the following work day.
REOUIRED TNSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When altplumblng worl< ls complete.
SIte lnspectlon - To be made
after excavatlon, but prior to
settlng lorms.
Rough Electrlcal - Prior to Final Electrlcal - When ail
electrical work ls complete.cover.
E Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
tl Final Mechanlcal - When all
mechanical work ls complete.
Foollng - After trenches are
excavated.[l flreptace - Prlor to factng
-
materlals and framing lnsp.
Flnal Bulldlng - When alt
required lnspectlons have been
approved and bullding isMasonry - Steel locatlon, bond
beams, groutlng.
pleted.
Framlng - Prlor to cover./)dn oEFoundatlon - After forms are
erected but prlor to concrete
placement.
her
Wall/Celllng tnsutatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplng
MOBILE HOME INSPECTIONSUnderlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvsl
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocking ls complete.
Floor lnsulallon - Prlor to
decklng.Curbcut & Alrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.Electrical Conneclion - When
blocking, set-up, and plumblng
lnspections have been approved
and the home ls connected to
the service panel.
Slorm Sewer - Prlor to fllllng
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Waler Llne - Prlor to fllling
trench.
Fence - When coi'rrplete.d.
Rough Plumblng - Prlor to
cover.
Stroet Trees - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.tl
TAX LOT
DR
E
tl fl
E
rl
E
tl
E
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
--
Corner
,.- Panhandle i
-
Cul-de-sac
..< THE PROPOSED WORK TN THE .
HISTORICAL DISTBI T, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
BUILDING PERMIT
SQ. FT.VALUE
It.oo
/.r{
Total Fee nc{a
_W
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
t
X $/SQ. FT.
BUTLDING VhIUE, FUru CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springf ield, includlng the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Fleviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
t{F w
(c)
N"
FT.
Fixtu res
Residential Bath(s)
Plumbing Permit
State Surcharge
Total Charge
/{P'w
ll. ?4
PLUMBING PERMIT
ITEM
Sanitary Sewer
Water
Storm Sewer
Mobile Home
.FT
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
No
Mechanical Permit
lssuance
Stale Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
Information hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
with the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY wlll be made of any
structure without perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.0S5 wlll be used on thls
proiect.
I further agree to ensuro that all requlred lnspecilons are
reguested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
-,1-
Slgnature
Date
on the site tlmes g constructlon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
---
ft
Demolltlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A,B,C'QandEComblned)
,{
VAI-IDATION
UMB
AMOUNT RECEIVED
BECEIVED BY
RECEIPT N
DATE PAI[)
FT.
sP,:!ELO
DEyELOPMENTSERY'CES
PUBUC }IORKS
M ETR O PO LTTA N WAST EWAT ER M A N AG E M E N T
225 FIFTH SIREEI
SPR/NGF/EID, OR 97477
(s03) 726-37ss
DEMOLITION PERMIT APPLICATIONS
your demol i ti on permi t i s current'ly be-i-ng ..processed . There .may .be a s1 ight
detay, of up t; I ;;ii1ns dav.s ?bi'smal itructures, due to the time required
to review the hi;oty oi {f,. it.rfiut. io determine if it needs to be documented
before demolition.-"Thi, ao.rn.iiiiion is for arch_ivar purposes only and-will
not affecr the g;.;;rtirg Jr-th. d;;;lition permi.t. If the'itructure is verv large
or complicatedit. Uoiumentatiin ptol.is'may take up to a maximum of 4 working
days. Documenlaii*
-rirr conr!ri -or photographing the buirding' taking
measurement, .iio i'.ting'ii.r.i-Jriringi. The d-ocumentltion will be undertaken
by the city aL no cosf to you. - ooCuri'entation is being done on all structures
dated prior to'194d[[it r.i tlr. f,iiioiic importance to the City's deve'lopment'
., T.IIS D0CUI'IENIATI0N UILL NoT II',IPEDE THE DEM0LITIoN PR0CESS'
An age cut-off of 1940 was chosen because this is the date that the Nationa'l
parks service and the springfi-e-l-d o.*toprent code use to determine potential
hi storical signi ficance.
Ifyou would prefer to complete this documentation yourse.l6vgu must provide the
City with ttre'}Jt.lr.g j..fottniiiont-li black and white photosraphs of each
elevation, a floor plan witn me.iur.r"nt",-and a set of elevation drawings with
measurements.
Thank You for Your Patience'
I qrant the CitY
dodumentation Pri16; So,tL
the reeStraf 'uested demolition of the structureof Spring field perm ission to enter mY ProPertY to complete
located ator to
I z1L
PropertY owner signat
Date:4 -/7*
,t
CITY OF OREGON
Sr iFIELD
DEV E LO PM ENT S ERV I C E S DE PA RTM ENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
Address:5oa /z ,/f,"f// zz
Structure to be Demolished:,'J*rce-
Job Numb "r, 1f 09/ L
The applicant is hereby notified that any redevelopment of the subject site must comply
with all of the applicable laws, codes, ordinances, policies and plans in effect at the time
the redevelopment proposal is accepted as complete for City review. This would include
correction of substandard conditions associated with the present development. Examples
of such corrections may include modification of inadequate drainage facilities;
compliance with building set-backs from property lines; correction of substandard
sidewalks and street improvements, including driveway width and placemen! and other
corrections which may be necessary to comply with existing development standards.
Furthermore, if an existing use is demolished or otherwise removed prior to the
development of the proposed use, then the system development charge credit for the
previously existing use shall expire two years after the date of issuance of the demolition
permit or other removal of the previously existing use. (Springfield Municipal Code
3.416(1)).
My signature below indicates that I have read and understand the above conditions
relating to the demolition of the above mentioned structure.
? tr-rr
Date
Page I of I
I :\WORDFILE\PERMITS\Demosdc.doc