HomeMy WebLinkAboutPermit House Move 1994-3-11
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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.
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TAX LOT:
SUBDIVISION'
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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 ~
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1-3/0-451-3"33/
PHON~'
STAT~' . CA', \ \ -\ c> lZ. V\ \ 1\
ZIP' <iO?-.l?-
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DESCRIBE WORK' \l't.:Mtlu p,.\
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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/
./ .' ,
.
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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{