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Home My WebLink AboutPermit House Move 1994-3-11 , .... ---. ~-- ,.. .....'" SPRINGFIELD 'Q41B\D RIiSIDENTIAL PERMIT APPLICATION JOB NUMBER Inspections: 726-3769 Office: 726.3759 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' 'i 100\ s;r L ffi ~ \ N ASSESSORS MAP: \11 O~~ ~y - ST. 0(( DO TAX LOT: SUBDIVISION' wi. BLOCt<. OWNER: f1\Olil'\\"A\ Y\ GA\t. D~llf.LDPmtl\\ ADDRESS' ''15"15 \ 'fiLml'\ Q'i.P.'- Ot2., ~210 CITY: \Jf'lCW Ie:. P~L\SADb ~ (.0 1-3/0-451-3"33/ PHON~' STAT~' . CA', \ \ -\ c> lZ. V\ \ 1\ ZIP' <iO?-.l?- , ffl\ ~ ,~~ DESCRIBE WORK' \l't.:Mtlu p,.\ ~" \<\-00':JtA-I'\D \?:)f\-t2.l\ X. ADDITION DEMOLISH OTHER NEW REMODEL ~ CONST. CONTRACTOR # S, ~ ~f\.D Cl.SIo5?. ADDRESS Z."Z.o,b c; CONTRACTOR'S NAME GENERA" \f\,V-t. \{l\lLe.:m'Prn EXPIRES n.\\I ',\1..\ PHONE 1 ZG,-SI3~ PLUMBING' MECHANICAl' ELECTRICAl' - OFFICE USE - QUAD ARE'" LAND USE: FLOOD PLAIN: # OF BLDGS: # OF UNITS' ZONING CODF' OCCY GROUP' CONSTR. TYPF' # OF BDRM:'" # 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 Rough Mechanical - Prior to cover. - o Final Plumbing - When all plumbing work Is complet.e. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Rough Electrical - Prior to cover. o Final Electrical - When all electrical work is complete. o Final Mechanical - When all mechanIcal work Is complete. o Underslab PlumblnglElectrlcal1 Mechanical - Prior to cover. o Electrical Service - Must be approved to obtaIn permanent electrical power. o Footing - After trenches are excavated. o Final Building - When all required Inspections have been approved and building Is completed. o Fireplace - Prior to facing materials and framing Insp. o Masonry - Steel location, bond beams, grout! ng. o Framing - Prior to cover. 11./ o Foundation - After forms are erected but prior to concrete placemef"'!t. o Wail/Ceiling Insulallon - Prior to cover. o Underground Plumbing - Prior to filling trench. o Drywall - Prior to taping. o Underfloor Plumblng/Mechanlca' -.Prlor to Insulation or decking. o Wood Stove - After Installation. o Post and Beam - Prior to floor Insulation or decking. o Insert - After fireplace approval and Installation of unit. o Plumbing Connections - When home has been connected to water.and sewer. o Floor Insulation - Prior to decking, o Curbcut & Approach - After forms are erected but prior to placement of concrete. . o Sanitary Sewer - Prior to filling trench. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home is connected to the service panel. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Storm Sewer - Prior to filling trench. ' o Fence - When completed. o Water Line - Prior to filling trench. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. o Street Tree8 - When all requlre,l trees are plan led. o Rough Plumbing - Prior 10 cover. Topography Total height Panhandle Setbacks I P.L. I HSE I GAR' ACC I IN Is Iw IE l~THE PROPOSED WORK IN'rt-lE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. Lot faces Lot Type . Lot sq. ftg, Interior Lot coverage Corner Cul-de.sac APPROVED: BUILDING PERMIT . BUILDING VALUE, PLAN CHECK \ . ITEM SQ. FT. X $/SQ. FT. VALUE AND BUILDING PERMIT Main This permit Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance Garage adopted by the City of Springfield, Including the Development Code, regulating the construction and use of Carport buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid: Total Value Receipt Number' Building Permit Fee Received 'By: State Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS 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 Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) Vent Fan N' ~~a~~~~ 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 of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. MECHANICAL PERMIT Furnace Exnaust Hood Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Sur~harge Total Permit (D) I further agree to ensure that all required Inspections are requested at the proper t1me~ 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. Slgnatur~ \\~ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Date Curbcut It /R.m ,C(() VALIDATION: \\C1l1(0 RECEIPT NUM;!ER i.-ijO ~ \X DATE PAID c'3]. iL!-L.<r , AMOUNT R~EIV~~/) RECEIVED Y /' /Y)l 'r ,/ -- -- - / Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) fA' q.() r/ ./ .' , . @][j)J@]l~ ~ SPAIFIELD , 1 I~ I l --, rpr.. <.. I 225 FIFTH STREET "" :2:UJV "-.J SPRINGFIELD, OR 97477 (503) 726-3753 FAX (503) 726-3689 DEVELOPMENT SERVICES DEPARTMENT DEMOLITION PERMIT APPLICATIONS . ,., Your demol ition permit is currently being processed. There may be a sl ight 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 granting of the demolition permit. If the structure is very large 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 ion: 1)' bl ack and wh ite photographs of each elevation, a floor pl~n with measurements, and a set of elevation drawings with measurements. - Thank you for your patience. I grant the City of Springfield permission to enter my documenftatj.pn ~i or .AO", tlle .r-eqUestrd de.!ll<jJ ti on of the fA"") I t'), A Y In 9 n,--~ IlQp property to complete structure located at Property owner signature: ~ ~~ Date: 3- \ \ - ct L{