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Home My WebLink AboutPermit Demolition 1997-6-12 RESIDENTIAL PERMIT APPLICATION .. Inspections: 726.3769 Office: 726.3759 LOCATION OF ~ROPOSED WORI<' ~ Q \4 \ ~-U\ ASSESSORS MAP' V\ 1i\1..A ?A- (;. LOT: BLOCK' OWNER: ~'N\\\~Q)'r~trN\\f bf~ ADDRF1~'~'1~I81~ \_4\'t\~J ~\\\ 'rfi\Y\.L- CITY: \: \~' hm\){/ STATE:~~O~ DESCRIBE WORK: J.D.a f{\t)\tN\ \ Msir\ 0 f\{'Q cl,- . ~ _ NEW REMODEL ADDITION DEMOLISH' . on~R CONTRACTO'l'l" NAME GENERA' ,:l , \~ \ \\I~~ PLUMBING: MECHANICAl' ELECTRICA' ' ADDRESS CONST. CONTRACTOR' . ex ~lJCln4 JOB NUMBER 225 Fifth Street Sprlnglleld, Oregon 97477 TAX LOT: SUBDIVISION' On c:aj PHONE: C\.t\Q/. l\~ ZIP: (J\~I41}fl__ lj ~ \ ~,,"'-- ...I}fuLl'tu DQ ~ fAT .,. EXPIRES ',"" PHONE - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN' . OF BLDGS: . OF UNITS: ZONING CODE: OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORIES' HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: SQUARE 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 same working day. Inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Eleclrlcal/ Mechanical - Prior to cover. o Footing - After trenches Bre 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 Underfloor 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. D Storm Sewer - PrIor to filling -trench. O Waler Line - Prior to filling trench. o Rough Plumbing - Prior to cover. D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. o Electrical Servlca - Must be approved to obtai n permanent electrical power. o FIreplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/C'alllng Insulation - Prior to cover. o Drywall - Prior 10 taping. o Wood Stovo - 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 compictc, forms and sub.base material In place. D Fence - V"hen completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing w9rk Is complet.e. D Final EleClrlcal - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final BuildIng - When all required Inspections have been approved and building is completed. ~ha~ ~S(( d\ll. ~ fJ \J'l{ c mol,e(t , MOBILE HOME INSPECTIONS o BlockIng and Sel.Up - When all blockIng Is complete. . o PlumbJng Connections - When home has been connected to water and sewer. o Electrical Connecllon - 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 ventlng have been Installed. Lot faces Lot ~ype. Interior Lot ".q. ltg, Lot coverage Corner Panhandle ~ Topography Total height Cui-dc-sac .BUILDING PERMIT!! '~ 't ITEM SQ. FT. X S/SQ. FT, _ MaIn Garage Carporl Total Value Bulldin.g Permll Fee State Surcharge TOlal Fee (A) .~. ~ ,:., , I P.L. IN Is Iw LL-_ VALUE '. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Balh(s) N' Sanllary S~wer Water FT. FT. FT. Storm Sewer Mobile Home Plumbing Permll State' Surcharge Total Charge (C) MECHANICAL .PERMIT Furnaco Exhaust Hood Vent Fan N' Wood Slovellnsert/Flraplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permll (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk II Curbcut II Demolition State eJ~arge ...)JliJ Total Miscellaneous Perrnlls (E) I TOTAL AMOUNT DUE (excluding electrical) (A,B, C, D, and E Combined) FEE \~CO q() -~ ~q~ ;\\:':;r~:.; :::I5~,:~~:tf,~'L';, '-. THE PROPOSED WORK IN THE. '...'HIST08ICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Hlslorlcal Coordinator prior to permit Issuance. Setbacks . HSE GAR Acc'l I I I I BUILDlN'G VALdE, PL.AN CHECK AND BUILDING PERMIT APPROVED: This permll is granted on the express condition that the said construction shall. In all respects, conform to the Ordinance adopted by the Cllyof 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 wllhln the Clly IImlls which are being Improved, ADDITIONAL COMMENTS ~)~~~lY\ !ttru ~ Q . ( JlJJ.~ Y-f) fui)tl(l. ~ il~ By signature, I stale 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 Ordlnanc~s of the Clly of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and thai NO OCCUPANC~ will be made of any structure without permIssion of the BU,lIdlng Safety Division. I further certify that only contractors and employees who are In compliance wllh ORS 701,055 will be used on this project. 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 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. Slgnat~~..JPrv\-"-" 9i..... lL'~, _ Date . 1\ L - J Z--q-1 \ VALIDATION: RECEIPT NUMBERv \~\\o \ DATE PAID ~.o .\Cl.\ I \/1 /.h\ " AMOUNT RECEltfl "'\ 7'(\ RECEIVED BY ~I"oo..) .- . . DEVELOPMENT SERVICES PUBLIC WORKS METROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726.3753 OFMOLITION PERMIT APPLICATIONS Your demolition permit is currently being ,processed. There may be a slight delay, of up to 2 working days for small structures, due to the time required to review the history of the structure to determine if it needs to be documented before demolition. This documentation is for archival purposes only and will not affect the grant i ng of the demo 1 it i on permit. I f the structure is very 1 arge or complicated the documentation process may take up to a maximum of 4 working days, Documentation will consist of photographing the building, taking measurements and making scaled drawings. The documentation will be undertaken by the City at no cost to you. Documentation is being done on all structures dated prior to 1940 that may have historic importance to the City's development. THIS DOCUMENTATION WILL NOT IMPEDE THE DEMOLITION PROCESS. ' An age cut-off of 1940 was chosen because this is the date that the National Parks Service and the Springfield Development Code use to determine potential historical significance. If you would prefer to complete this documentation yourself you must provide the City with the fo 11 owi ng i nformat i on: 1) black and wh i ~e photographs of each elevation, a floor plan with measurements, and a set of elevation drawing~ with measurements. Thank you for your patience. I grant the City of Springfield permi ssion to enter my documentation prior to lQe~r~ques\3P. de~2lition of the \Q\-\-\ \ "\\~llf\~o ^ '-' ;1:\ operty owner signature:~0~' ~ ate: (".- 12- c,"1 , . ' property to complete structure located at "