HomeMy WebLinkAboutPermit Demolition 1993-5-28
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Ollice: 726.3759
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT: lJORY)
LOT: I BLOCK' . SUBDIVISION'
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OWNER: _ .) r "-:t- ~ ~ \C\ ~ J \ ~ ' PHON~'
CITY . Al .. ~ 0 U STATE:] {WI \.
DESC~IBE WOR~ ~~\ ; n~ \ "Q mn II J D~-
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NEW
REMODEL __ ADDITION
DEMOLISH
OTHER
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ZIP: CAt I'+' t/
\W
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~1ft3 4ffiEtlq
CONST,
\\)JA~D~0hQ rtI"1 ~t~O~l%~
CONTRA~S NAME (\
GENERAL:_ X ,.ril\.
PLUMBING: ,
MECHANICAl'
ELECTRICAl'
- OFFICE USE -
OUAD ARE/I' LAND USE: FLOOD PLAIN:
It OF SLOGS: # OF UNITS' ZONING CODE:
OCCY GROUP: CONSTR, TYP~' # OF BDRMS'
# OF STORI ES' HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGE: SOUARE FOOTAGE:
To request an inspection, you must call 726-3769. This is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the slime working day, Inspectlons requested after 7:00 a.m. wIll be made the fonowlng work day.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Undel'slab Plumbing/Electrical I
Mechanical - Prior to cover.
o
Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beam::;, grouting.
o
Foundation - After forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filli.ng trench.
o
Undel'lloor Plumbing/ Mechanical
- Prior to insulation or decking.
o Post and Beam - Prior 10 floor
insulation or decking.
o Floor Insulation - Prior to
decking.
o
Sanitary Sewer - Prior to fltling
Irencll.
o
Storm Sewer - Prior to filling
trench.
D Waler Line - Prior to filling
trencll.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o
Fireplace - Prior to facing
materials and framing Insp.
o
Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Slave - After installation.
o Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete. forms
and sub-base material In place.
o
Fence _- When completed.
o
Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing work Is complet.e.
D Final Electrical - When all
electrical work is complete.
o
Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required inspections have been
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MOBilE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking is complete.
o Plumbing Connections - When
'home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up. and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - Aller all required
Inspections are approved and
porches, skirting, decks, and
venting have been installed:
.
Lot faces
Lot Type
Lot sq, ltg,
Interior
Lot coverage
Corner
Topography
Panhandle
Total height
Cui-de-sac
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT,
Main
Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
.
IS ,HE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If ;;05, this application must be signed
and approved by the Historical
Coordinator prior to permil issuance.
Setbacks
'HSE'GAR'ACCI
I
I :L
Is
Iw
IE
VALUE
I
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
NO
Sanitary Sewer
FT
FT,
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stove/lnsertlFlreplace UnIt
Dryer Vent
Mechanical Permi t
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbeut
fl
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
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18: t(!;
tB30
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted' by the City 01 Springfield, including the
Development Code. regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any ''provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
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By signature, I state and agree. t.hat I have carefully examined
the completed application and do hereby certify that all
Information hereon is true and correct, and I further certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of OregO'n pertaining to the work described
herein, and that NO :'oCCUPANCY will be made of any
structure without per~'isSion of the Building Safety Division.
I further certify that only contractors and employees who
.,
are In c?mpllanCe with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspcCtio,\s are
requested at the proper time, that each address is readable
from the street, that the permit card Is located at the front
of the property, and t~c approved set of plans will remain
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VALIDATION: ~t ..A7) A
RECEIPT NUMB5 ' C) f/FTi
DATE PAID ~ X)~
AMOUNTR~EIV~~'CJ~)
RECEIVED. ,m..-->
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