HomeMy WebLinkAboutPermit Demolition 1999-06-11RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOFIK;
??ozozJOB NUMBEB
225 Fifth Street
Spri ngf leld, Oregon 97 477
15tr) 23
ASSESSORS MAP:/7 0l z5o o TAX LOT:oFoo
LOT BLOCK:SUBDIVISION
cl
OR ZIP:STATE:
OWNER:PHONE:,,//AIAN lUA4W6IL
ADDRESS:
NEW
--
REMODEL ADDITION DEMOLISH OTHERt
DESCRIBE WORK:
EXPIRES
N,
,F PHONECONTRACTOR'S NAME
ELECTRICAL:
MECHANICAL:
CONST.
CONTRACTOB #
GENERAL:
PLUMBING
WATER HEATER
,Y OF BDBMS:
ZONING CODE:
FLOOD PLAIN:
- OFFICE USE -
SECONDARY HEAT:
SQUARF. FOOTAGE:
fh r^-
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGST
Ai i"-
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m, wlll
,s
REQUTRED tNSPECrIqNfron OH ,S Nor
FOB
l-_l femporary Electrlc Rough Mechanlcal - Prlor to Whe n al
cover.ls complete.
Site lnspectlon - To be made
after excavatlon, but prlor to
setting lorms.
Underslab Plumblng/ Electrical/
Mechanlcal - Pllor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplaco - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When all
requlred lnspectlons have been
approved and buildi ng is
Masonry - Steel locatlon, bond
beams, groutlng.!
pleted
Framlng - Prlor to cover.0
Foundatlon - Alter forms are
erected but prlor to concrete
placernent.WalltCelllng lnsutatlon - Prlor to
cover.
Underground PluJnblng - Prior
to fllllng trench.Drywall - Prlor to taplng
MOBILE HOME INSPE TIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stovo - After lnstallation
Posl and Beam - Prior to floor
lnsulatlon or decking,lnsert - After flreplace approva'l
and lnstallatlon oI unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placomont of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewen
Sanitary Sewer - Prior to fllllng
trench.Electrlcal Connecllon - When
blocklng, set-up, and plumblng
lnspections have been approved
rnd tha home ls connected to
the servlce panel.
Storrn Sewer - Prlor to fllling
trenoh.
Sidewall< & Drlveway - After
excavation ls complete, folms
and sub.bas€ matcrlsl ln plrce,
Water Line - Prlor to filling
trench.
Fence - When coinpleted
Stroet Tleee - When all roqulred
trees are planted.
Final - After all required
lnspectlons are approved andporchos, sklrtlng, decks, andventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.E
cnv.# *hotLFt€t-D Q?Tez
ADDRESS
'1,iItJ
center.
0090.
the
. gg<-VU l-0070
USE: --
fl $#,: Erecrricar - Prior to fl 5l#1,,="fi$L:l' ;Jffitil:
E E
E
I
E
tl
E
E
tl
E
E
tl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot'lyp(
-
lnterior
-
Corner
-- Panhandle :
-
Cul-de-sac
backs S THE PROPOSED WORK TN
HISTORICAL OISTRICT, OR ON
THE HISTOFIICAL BEGISTER?
-
lf yes, thls appllcatlon must be slgned
arrd approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
VALUE
tru-_
(A)-n-{r-
'li tmttr )
Total Value
Bulldlng Pormlt Fc€
State Surcharge
Total .Fod
FT. X $/SQ. FT.
BUILDING PER
ITEM SO.
Main
Garage
Carport
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any time
upon violation of any provisions.of said ordinances.
Reooipt Numbcfl-.
Plans Revlewed By Date
BUTLDING IALUE,N CHECK
Date Pald:
Rocolvorl By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
ITEM
Flxtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
FEE
/ f, ot,
/r. a,
/. t-"
(c)
FT.
Nc
FT.
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
Moblle Home t( ry/r'
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accortlance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon perlainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Buildirrg Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
on the slte at all times during construction.
Slgnatu re
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
TOTAL AMOUNT DUE (excludlng electrical) , -(A, B, C, Q and E Comblned) ZE-69
zs Lf(E)Total Miscellaneous Permits
c
1
1
'/1 t z-VAI-IDATION:
BECEIPT NUMBE
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
/{,o,.,
1o-// -9 9
C'TY OF OREGON
SPli---GFIELED
DEVELOPMENT SERVICES DEPARTMENT
Address:rsg3 N zi r4 . 3PP-wqFrauD
Structure to be Demolished:Lr.rooD Fearnep
'7P.vcfv(LL
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
Job Number:
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 placement; 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.
';ii*)i -f '/?t'76'z-
'-f?d;2
DateAza.
Page I of I
I :\WORDFILE\PERMITS\Demosdc.doc
I a L 5PR.-JFIELO
DEyELOPMENTSERY'CES
PUBUC }TORKS
M ET RO PC'IJiIAN WAST EWAT ER M A N AG EM ENT
225 FIFTH SIFEEI
SP8/NGF'EID, OR 97477
(503) 726-375s
DEMOLITION PERMIT APPLICATIONS
your demo'lition permit is currently bglng.,processed' There may be a slight
delay, of up t; i;;i[ing days ioi'smatl itructures, due to the time required
to review the history of the struclure io determine ii it needs to be documented
before demorition.
-'This
documeiiit'ion is for archivar purposes only and will
not affect the granting of tn. a.rollllon permi.t. If the itructure is very large
or complicateditre ooclmentati-o-n ;;;;;;t hay take up to a maximum of 4 working
days. Documen-iaiion
-*irr .onr!ri--oi prrotographing the building' taking
measurements and making scatei-iiiringi. The d-octimentation will be undertaken
by the city aL no cost'to you. -oocrri'.ntation is being done on all structures
dated prior to'1940-[[it *ui n.u. r,liioii. importance to the city's deveropment.
., TIIS DocutlENtATIoN IIILL NoT IHPEDE THE DEM0LITIoN PRoCESS'
An age cut-off of 1940 was chosen because this is the date that the National
parks service and the Springri;ki'o.r.iop*.nt code use to determine potential
hi storical signi ficance.
If you would prefer to complete this documentation y.ourse.l6vgu must provide the
city with tne'ioii.y.g j..ro.*iiion,-l-t black an-d white photographs of each
elevation, a floor p'lan wittt tn.isur.r.nti,-.nd a set of elevation drawings with
measurements.
Thank You for Your Patience'
Ig rant the CitY of Spring field pe rmission to enter mY Prope rty to comPlete
doc umentation Pr to the requested demo'lition of the struc ture located at
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