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HomeMy WebLinkAboutPermit Demolition 1993-5-28 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ollice: 726.3759 . ., q~~~l JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 n ./ TAX LOT: lJORY) LOT: I BLOCK' . SUBDIVISION' , ~ \ ' OWNER: _ .) r "-:t- ~ ~ \C\ ~ J \ ~ ' PHON~' CITY . Al .. ~ 0 U STATE:] {WI \. DESC~IBE WOR~ ~~\ ; n~ \ "Q mn II J D~- ~ - NEW REMODEL __ ADDITION DEMOLISH OTHER ----/.- - ZIP: CAt I'+' t/ \W ~ , , ~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 ttJ~~~~~i:;:~) r ~OO\r(~ 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 I" I f.r'!f,1 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 i ~billTo~ ':~f9 ~Vl~ 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 00,"0 "'" ".'" '''"~,. ""' Orjj;~ . ~gMl , Dal~ -cr VALIDATION: ~t ..A7) A RECEIPT NUMB5 ' C) f/FTi DATE PAID ~ X)~ AMOUNTR~EIV~~'CJ~) RECEIVED. ,m..--> ~,' ." J I '~...