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HomeMy WebLinkAboutPermit Demolition 1995-8-4 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 , LOCATION OF PROPOSED WORK: ~9.~."5' ;t::?~//y ? . ASSESSORS MAP' /?--<<!:} <,. -=5 c;-- '? 5> LOT: BLOCK: OWNER' ADDRESS: CITY. . ,~<,~' A-~~ h~~S-~#~ ~~ ?'7rL-9- ,- . JOB NUMBER q9-/2~/ 225 Fifth Street Springfield. Oregon 97477 . TAX LOT: ~/..PO::::::> SUBDIVISION: PHON'" ,.....,y/":>~.? STAT'" ~~ DESCRIBE WORK: ....-:t7~/S7~~ ~~~~. , . ZIP: ~4"~ NEW REMODEL CONTRACTOR'S NAME GENERAl' a .-'l'~ PLUMBING: MECHANICAl' ELECTRICAL. ADDITION DEMOLISH OTHER __IA .~ '! EXPIRES PHONE ADDRESS CONST. CONTRACTOR' 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/C.efllng Insulation - Prior to cover. o Drywafl - Prior to taping. o Wood Stovo - Afte:r 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 & Drlvewav - After excavation Is compiete, forms and sub-base material In place. o Fence - When completed. D Street Trees - When all required trees are planted. .1 - OFFICE USE - QUAD AREA: LAND USF' FLOOD PLAIN' . OF BLDGS' · OF UNITS' ZONING CODE: OCCY GROUP: CONSTR. TYPE: . OF BDRMS: · OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANG'" SQUARE FOOTAG[::: 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 same working day, Inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric D Site Inspection - To be mado after excavation, but prior to seltlng forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams. grouting. O Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. . O Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to . cover. o Final Plumbing - When all plumbing w9rk Is complet,e. D Final Electrical - When all electrical work Is complete. I, o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building is completed. [:KJ Other ~~c ~ - /)~/"'?/-s 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 - After all required Inspections are approved and porches, skirting, decks, and venting have been installed. - " , tit IS THE PROPOSED WORK IN THE. .. Lot TY. ';.'1. Lot faces Setbacks I P.L HSE GAR ACC I ...HISTORICAL DISTRIGr, OR ON Lot sq. ltg. Interior IN THE HISTORICAL REGISTER? If yes, this appllcallon must be signed Lot coverage Corner I Is and approved by the Historical Topography Panhandle Iw 1 Coordinator prior to permit Issuance. Total height Cul-da.sac IE 1 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 lime upon violation of any provisions of said ordinances. BUILDING PERMIT ITEM SO. FT. X $/SO. FT. - VALUE MaIn Garage Carport Plan Check Fee' Dale Paid: Total Value Recel pt Number' Building Permit Fee Received By: Slale Surcharge Total Fcc (A) Plans Reviewed By Date SY~TEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Resldenllal Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit Slate Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Vent Fan N' By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances 01 the City 01 Springfield, and the Laws of the State 01 Oregon pertaining 10 the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. J further certl fy that only contractors and employees who are In compliance with OAS 701.055 will be used on this project. Exhaust Hood Wood StovellnsertlFlreplace Unit Dryer Vent Me'chanlcal PermIt' Issuance .. State Surcharge Total Permit (D) I further agree to ensuro that all required Inspections are requested at the proper time, that each address 15 readable from the street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. MISCELLAN/:OUS PERMITS Mobile Home State Issuance State Surcharge Slgnature~p~ - ~ d.,-~A ..A.-./t_ ./ Datef6r /.~" Sidewalk It Curbcul ft Demolition /5 .,$, --- .-k'y VALIDATION: RECEIPT NUMBER State Surcharge Total Miscellaneous Permits (E) /~IT DATE PAin, /~>$?- ~- So/. ~.c- /<::9.YV /Z~- T"'J' ././,/ - V '- TOTAL AMOUNT DUE (excluding electrical) (A, B. C, D. and E Combined) AMOUNT RECEIVEr> RECEIVED BY