HomeMy WebLinkAboutPermit Demolition 1992-06-08Loc^.roN r)r ,*oposr:D wo'tK: 3ag -/v7!- eo al -
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Springficlrl, Otc1lott 974l/
RESIDENTIAL
PERMIT APPLICATION
lns pections: 71'(l-3769
Olfir;t 71l('-'.1/"'l
JOI] NUMBER
225 trif ttt Strect
PHONE
ZIP:
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SIATF.
36237qz-
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s7trADDRESS
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NEW
----
IIEMODEL
-
ADDITION DEMOLISH -/Z OTHER
DESCRIBE W()RK:?e-s-
sGzu (eust_ _ a_rs? ? - d_ *ia&e272/- - </4-1-asy3
f,t ioNEEXPIRESADDNE:JSCONTRACIOIi :J NAMF:
CONST.
CONTRACTOR '
M ECI.IAN I(JAI
F-Lt:Cl nICAL
GENfRAL:
PLUMTJING
OUN t) ARFA:
r OF tlLI)C,S
ocoY (l I t(l (,1 | '
/ of lilc)l.ltt
WAI Etl llt:AIl Il:
FI OOD PLAIN:
ZONING CODE:
E OF BDRMS:
SECONDARY }I[AT:
SOUARE FOOTAGE: ,RANGT::
_ OFFICE I,'SE _
FIEAT SOURCF.:
CONS I FI. TYI''I:
LAND USE:,
OF I.JNITS:
To request arr rnspection, you tnust call 726-3769. This is a24 llout recording. All lnspections requested bcfore 7:00:tm. will lro
macle the sanrtr working day, inspections requested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
Tenrpor ary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - W[rerr :rll
1-)lurrtbing work is contl:lete.
f-l fUasonry - Str:cl location, lrondL. , btl irnrS, , Ioutitr,;.
Fireplace - Prior to facing
materials zrrrd f ratning lnsP.
[-
-l rrr,t i,',9 - Prior to covcr.
Wall/Ceilirrg lrrsulalion - Prior to
cover.
Site lnspection - To be rnade
af ter ext;avaliort, but prior to
settirr0 lorms.
Underslab Plunrl:irrg/ Electrical /
Mectrarrical - Prtor to cover.
Footingl - Aftor tru'nches are
excavalr )d.
Founclation - Af tr:r fornrs are
ereclL.(l l)ut pri()I trl 9911,',u1u
placetrt,,l r t.
Underground Plumbing - Prior
to fillrng trenclr.
Underf loor Plumhirrg/ Meclranical
- Prior to insulatiurr or rlecking.
Posl ancl Beam - Prior to floor
insulatic,rr or di":cking.
Sanitary Sewer - Prior to lilling
trench.
Slornr Sewer * I)rior to filling
t ren c lr.
Water Lirre - [)rior to fillirtg
trencll.
Rough l'llurnbitrg - Prior tr-r
Electrical Service - Must be
approved to <rblain perrrtanent
electrical power.
Final Electric;tl - Wlrr:n all
clectrical worl< is conllrlcte.
Final Mechanical - When nll
mechanical work is corTrl)lete.
Final Buildirrg - Wlrcn iill
required inspc<:tiorrs lravc bccrr
:rpproved and t.luildirrg is
oornpleted.
n", -@zoZ77cl<),82e{*7
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When iill
blocking is cornplete.
Plumbing Corrtreclions - Wlrcrr
Irome has ber:n conncctr:d to
water and sewcr.
Electrical Conneclior-r - Wlrtn
blocking, set-up, anrl lrlurrrbilrl.l
rnspections lurve been ;il)provrr(l
;rnd the horne is conncctcc, t()
the service panel.
Filtal - Afler rrll rcqtrirr-.tl
inspections ar(") apl)rovu(i an(i
lrorches, sl<irting, decks, and
venting havc been irrst;.rllttd.
r_l
E,E or
I-l DrVwall - [')rior to taping
l-l Wood Stove - After lnstallation
lnsert - Af ter tireplacc' approval
an(i installation of unit.
t-:l Curbcut & Approach - After
fornrs are erectcd but I)rior to
l)lacement of concrete.
Sidewalk & Driveway - After
excavation i:; cotrtplete, forms
antl sub-b;rse nraterial in place.
Fence - Wl)cn cornpletecl.
Street Trecs - When all required
trees are lrlirrrlecl.COVCf i]
erkgeu--
_t-
tl [l Rough Electrical - Prior tolJ covcr. I I
fl
tl
E
E
Floor lnstrlation - Prior t<.r
decki ng tl
fl
Lot {aces
Lot sq. ftg.
Lol coverage
TopographY
Total height
Lot Tytre
-
lnterior
--
Corner
.-- Panhandle
-
Cul-de'sac
Se t [.rac l<s
PL.HSE GAR
N
S
ACC
E
HE PFIOPOSED WOF]I( IN THE
tiTSTORICAL DISTFIICT, OR ON
THE HISTORICAL REGISTEFI? ..-.. . -,-
lf yes, this application must tre siqned
ancl ap1>rovetl try thc l-listorioal
Coordirrator prior to pernrit issuance
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is gl'ante<J on tlle express conditiorr that the said
construction sl-r;rll, in all rcspccts, corrft>rm to tlre Otclinance
aclopted by tlre City of Springficld, irrt:ludirrg the
Developtnent Cocle, rcqulatirlg the constructirirr arrrJ use of
brrilclin11s, an<J rttay bc sttspctrded or revol<t:rl at any titnc
upon violation of arry ptovisions of serid olditr;ttrces'
Receipt Number:*.
DatcPlans Fleviewed BY
Plan Clteck Fee: -
Date P;tid
Receivecl BY
BUILDING PERMIT
VALUE
io
&s24).*
Eqcs
(A)
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
lot;rl Value
uuilrling Pcrrnit Fee
Sl;rtr-. Surcharile
-Iotal Fcc
/ga"
__*ru_
Systems Developrnent Charge is due on all Lrnrleveloped
properties witlrirr tlre City linrits which are beirrg irrptoved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
-*rruEPt U&w,ffi&)
€<atd
ITEM
Fixttrres
Ucsiden tial Bath(s)
[]anit;rry licwer
Watcr
Stortrt Sewer
Mobile l-lL)rne
PLUMBING PERMIT
FEE
No
,'zt
7f
FT.
FT.
FT.
_lb-(c)
Plumtring Permit
State Surcharge
Tolal Charge
Woocl Stove/ lrrserti Fireplace Unit
Drycr Vent
MECHANICAL PERMIT
(D)
N0
Mc<;hanical Permit
I ssu ance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state anci agrce' that I l'rave caref ully examined
the cornpleted application and do hereby cr:rtify that all
information heroon is lrue and correcl, and I f urther certify
that any ancj all worl< performeci shall be done irr accordance
with the Or<.linarrces of the City of Springlielri,;rncl the Laws
of lhe Stale of Orcqon pcrtainino to the wotl< clescribcd
lrereirr, arrcl that NO OCCUPANCY will bc trra<Jt-- of ;rtry
structurc without pertrrissiorr of the Building Sia{ety Division
I furtl'rer certify that orrly contractors and etrtployecs wllo
are in compliance willl ORS 7O1.O5a) vuill br: usrlrJ on tltis
proiect.
I f urther agree to cnsure that all required inspections are
requested at tlre proper tirne, that each address is readable
from tlrc street, that the permit card is located at the front
of the property, and the apl-rroved sct of plarrs will rerrtain
Date
srs
s during coon the site a
MISCELLANEOUS PERMITS
Mol.rile Home
State lssuance
State Surcharge
Sirjewalk -_..-
{t
Curbcut --- {t
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)ar'DATE PN ID ---
AMOUNT RECEIVED
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Conrbined)
34cs
./s*
RECEIVED BY -.