HomeMy WebLinkAboutPermit Demolition 1993-5-21
RESIDENTIAL
PERMIT APPLICATION
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Inspections: 726.3769
Office: 726':1759
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LOT:
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CITY ~J0J ~ .-.
DESd~IBE WO~ J) IY\ fJ{ W~
NEW_.
REMODEL
ADDITION
CON:RACTO~~)tA/",!,~
GENcRA~~
\.\
PLUMBING:
MECHANICAl'
ELECTRICAL'
OUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES:_
WATER HEATER:
- OFFICE USE -
LAND USE:
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANG'"
'\.;'\1" "h, -' :t' "
TAX LOT:
SUBDIVISION'
-
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
, SQUJ?,RE"RQOTAGE:
. . -'.
,
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 S:1mc working day. inspections requested after 7:00 a.m. will be made the following work day.
o
Temporary Electric
o
Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
o
Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, urouting.
o
Foundation - After forms are
erect,~d IJut prior to concrete
placement.
o
Underground Plumbing - Prior
to filtlng trench.
o
Underlloor Plumbing/Mechanical
_ Pnor to insulation or decking.
o
Post and Beam - Prior to floor
insul,ltion or decking.
o Floor Insulation - Prior to
decking.
o
Sanitary Sewer - Prior to filling
trcncll.
Cl
Storm Sewer - Prior to filling
trencn.
,
o Water Line - Prior to filling
trencn.
o
Rough-Plumbing - Prior to
covel
REQUIRED INSPECTIONS
o Rough Mechanical - Prior 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 installatlon of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
o Fence - When completed.
o Stroet Troes - When all required
trees 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
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.
1
Lot faces
Lot Type
Lot sq. Itg.
Interior
Lot coverage
Corner
Topography
Panhandle
Total height
Cui-dc-sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garage
Carport
Total Val ue
Building Permit Fee'
State Surcharge
Total Fee
(A)
Setb"cks
I P.L. I HSE GAR I ACC I
IN
Is
Iw
IE
.
VALUE
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
N'
Residential Bath(s)
Sanitary Sewer ~T\ Flf.\
Ft
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(e)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C. D. and E Combined)
FEE
-is.CO
D. Cf..)
.r)~
13, '10
1~6
.
is THE PROPOSED WORK IN THE
.... HISTORICAL DISTRiCT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that Ole said
construction 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 Fcc:
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 I fUrl her 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.
Date
3- zl-9~
VALIDATION: a.~ ~
RECEIPT NUMBER r;x :r ...-t:..J
DATE PAIDS-:JA -([:~. I _..:::..
AMOUNT~i# _~.,\6Z.....,../
RECEIVE~ W()-=-,