HomeMy WebLinkAboutPermit Demolition 1993-5-21
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726.3769
Office: 726<1759
lOCATION OF PROPOSED WORK' 5 ~~
ASSESSORS MAP: -L'1nA~'~J:~J
lOT:
BLOCK:
JOB NUMBER q~{\llnq
TAX LOT:
SUBDIVISION'
OWNERUf'Ln~~ J,! r\\}T~ ^' PHONE: 'tt:ft-4Lf11
ADDRE~ fIla! ~7!lVJCiLLlL~lO (! I /0 - J
CITY (J. JO/. 1.. .---0. ST:TE:_(IIJ..J1!~ ZIP: ;IRr)~~
DESCRIBE wowwwl j M .:::;. F, --'~ iJL/1:uuYJ ~ l'fl LL.
NEW _' REMODEL ADDITION DEMOLISH OTHER \... ~ll lffi7
...
CONrRACT~~. ~"L
GENERA~ J>~U1Ll..wLL.
PLUMBING: \ '
CON ST.
(fl~ 5 '~lfJjOR . EXPIRES PHONE
r!J.'--! ~ [) / A . (..932/.1 c1L%-11o-f:rre
L'-. \.l t. t.l <...
MECHANICAL'
ELECTRICAl'
OUAD ARE,,'
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER'
- OFFICE USE -
LAND USE:
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANG~'
FLOOD PLAIN: .
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspection, you must call 726.3769. This is a 24 hour recording. All ins::>ections requested before 7:00 a.m. will be
made the same working day. Inspectlons requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be made
alter excavation, but prior 10
setting forms.
o
Underslab Plumbin~I/Eleclricall
Mechanical - Prior to cover.
o
Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams. grouting.
o
Foundation - After forms are
ereCl(~d 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 Floo~ Insulation - Prior to
di.:cklllg.
I~
Sanitary Sewer - Prior to fltling
lrellcn.
o
Storm Sewer - Prior to filling
Irencn.
o Water line - Prior to filling
trencn.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prio'r to
cover.
o 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 Stove - 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
excavatlon is complete, forms
and sub-base material in place.
o
Fence - When completed.
o
Streot Trees - When all required
\iees are planted.
o
Final Plumbing - When all
plumbing work is complete.
o 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
approved and building is
complet~d.
o Blocking and Set.Up - When all
blocking is complete.
o Plumbing Connections - When
home has been connected 10
water and sewer.
D 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.
.
.
Lot (aces Lot Type Setbacks IS THE PROPOSED WORK IN THE
Lot sq. ftg. Interior I P.L. HSE GAR . ACC I HISTORICAL DISTRICT. OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner Is If yes, this application must be signed
and a p proved by the Historical
Topography Panhandle Iw Coordinator prior to permit issuance.
Total height Cul.de-sac IE
APPROVED:
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT.
VALUE
Main
Garage
Carport
Total Valuo
Building Permit Fee
State Surcharge
Total Fee
<A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
N'
\
(';') .a.J
Residential Bath(s)
Sanitary Sewer Q~T.
Water FT.
Storm Sewer
FT.
Mobite Home
Ptumblng Permit
'lS,ou
.V)5
J':S.tQ
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
IH.CU)
.q(
Demolition
State Surcharge
Total Miscellaneous Permits
IEl
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition U,al tile said
constructlon shall, in all respects, conform to the Ordinance
adopted by the City of 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
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 t 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 dC3cribcd
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safely Division.
I further cerlify that only contractors and employees who
are In compliance with OAS 701.055 will bc used on this
project.
I further agree to ensurc that all required inspcctioni> are
requested at the proper lime, that each address is readable
from the. street, that the permit card is located at t~ fJ..o'JJ17
of the property. and ;~e ap roved s~f~fl/'aI.ls').l~ ~
~m s onyt\b"lV
Signature ~-?~,_.-
/ --
Datp ~-Z(-'L~
VALIDATION: tf':l..~11
RECEIPT N~ER T~)~ J'
DATE PAIN ./1.../. Co{ -3 k
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