HomeMy WebLinkAboutPermit Demolition 1997-10-10SPrr!NGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
LOCATION OF PROPOSED WOFIK:,-
JOB NUMBER ?^: <
225 Filth Street
Sprlngfleld, Oregon 97477
TAX LOT:2A?cP/?-az ?^3/ASSESSORS MAP:
LOT BLOCK:SUBDIVISION
ZIP:STATE:14\74
PHONE:
CITY:
ADDRESS:
OWNER:
DESCRIBE WORK:
NEW- REMODEL ADDITION DEMOLISH OTHER
PLUMBING:
MECHANICAL:
ELECTRICAL:
ADDRESS EXPIRES 5 PHONECONTRACTOR'S NAME
GENERAL:
CONST.
CONTRACTOR ''
RANGE:
r OF BDRMS:
- OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAIN:
WATER HEATER:
g OF UNITS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
OUAD AREA:
r OF BLDGS:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng, All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
l-l Temnorary Electrlc Rough Mechanlcal - Prior to
cover.
Final Plumbing - When all
plumblng worl( is complete.
Slte Inspectlon - To be made
after excavation, but Prior to
setting forms.
Rough Electrlcal - Prior to Final Electrlcal - When all
electrical work ls complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Electrlqal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
E Footlng - After trenches are
oxcavated.l-l Flreplace - Prlor to faclngu materlals and framing lnsp.
Flnal Buildlng - When all
required lnspectlons have been
approved and buildlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
n Olher
WalltCelling lnsulatlon - Prlor to
cover./,
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taping.
MOBILE HOME INSPE TIONSEUnderlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallation.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon ol unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & Alrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base materlal in place.
Water Line - Prlor to filling
trench.
Fence - lVhen coinpleted.
Rough Plumblng - Prlor to
cover.
Street Trees - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved andporches, sklrtlng, decks, and
ventlng have been installed.
E
fl
E
E
D
E
, :.. ,. tir,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typt
-
lnterlor
_- Corner
-
Panhandle I
-
Cul-de-sac
bac ( IS THE PROPOSED woRK }N THE .
HISTOFIICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgnedand approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
BUILDING PERI,|IT
VALUE
(A)
SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
,-t
X $/SQ. FT.
This permit is granted on the express condiilon that the sardconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the Construction anc, use ofbulldings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
DatePIans Fleviewed By
Receipt Numbe
BUILDING
AND BUIL
LAN CHECK
MIT
E
D N G P
,
E R
Date Paid
Received By
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undevelopedproperties within the City limits which are being lmproved.
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
Nc
FEE
FT.
FT,
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permlt
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby cerflfy that alllnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and arr work performed shail be done in accordance
wlth the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertalnlng to the work described
hereln, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Bulldlng Safety Oivislon.I further certify that only contractors and employees who
are ln compliance with ORS 7Ol.O55 will be used on thlsproiect.
I further agree to ensure that all requlred lnspections are
requested at the proper ilme, that each address ls readable
from the street, that the permlt card ls locatecl at the frontof the property, and the approved set of plans will remaln
Signature
Date
on the site at mes during construct
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
--
,t
Curbcut
--
ft
Total Miscellaneous Permils (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combtned)
VALIDATION:
RECEIPT NUMBER
AMOUNT RECEIVED
BECEIVED BY
Oemolitlon
State Su
DArE PAID /2; ,on