HomeMy WebLinkAboutPermit Demolition 1992-3-17
OW",,'" ~ '" ~ I'>~ .,.. ' PHONE:
ADDRESS rJW.:D 1 o-+__~ '
CITY yo 1 roo I\QJ\ <,) ~ STATE: -~ 10 )
DESCRIBE WORKWQ .f'X\Q\ 1'_[)~_"') \6, F ~ [)~(1QJflU?_
REMODEL
fl.
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT:
NEW
ADDITION
.
SPRINGFIELD
BLOCK'
DEMOLISH
OTHER
.
QfjOdDIo
JOB NUMBER
225 Filth Slreel
SUBDIVISION:
( () XC{'-<i<; I (0 ~
~ -
-
ZIP'
A
*'
~~E3911)-
CONST,
ONTRACTOR #W:kan_.1h/~OO1: I
2l"/i\ t3J-&qgQ..
CONTRACTO
CENEnAL:
PLUME3ING,
MECHANICAl'
ELECTRICAl'
QUAD AREA: ~ R~ ~
# OF BLDGS:
OCCY GROUP:
# OF STORIES'
WATER HEATER:
- OFFICf,UfE -
LAND USE: ----1-W
# OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
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. AI/Inspections requested before 7:00 a.m." witl be
made the same working day. Inspections requested after 7:00 a.m. will be made the following work day.
o Tcmpormy Electric
D
Sile Inspection - To be mnde
aller excavation, but prior to
selting forms.
o
UndersJab Plumbing I Electrlcall
Mechanical - Prior to cover.
o Fooling - After ~renches are
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 troncll.
o
Underlloor Plumbing/ Mechanical
_ Prior to insulation or decking.
o
Post and Beam - Prior to (foor
Insulation or decking.
-',' . .~' ;.'
o Floor Insulation":'" Prior to I
decking. ~ '
rWsanitary Sewer - Prhr ...... fillIng
rl.'-".......
o Storm Sewer - Prior to filling
trencll.
o Water Line - Prior to filling
trench.
o Rough Plu~bing - Prior to
cover.
o Final Building - Wilen all
requIred Inspections have been
approved and building is
, completed.
o Fra~lng - Prior to cover. ?
th
o Wail/Ceiling ;nsUlatlon - Prior to '
cover. ~ . .
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D 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 D,ywall - Prior to laplng,
o W~od Stove':"" After ins lallation.
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 ..:- Aller
excavation is complete, forms
and sub.base material in place.
o Fence - Wh'en completocL .
o Street Trees ~ When all required
trees are planted.
o
Final Plumbing - Wilen all
plumbing worl< is complete.
D Final Electrical - Wilen all
electrical work is complclc~
o
Final Mechanical - When all
mechanical work is complete.
?
MOBILE HOME INSPECTIONS
o Blocking and Sel.Up - When nil
blocking Is complete.
o Plumbing Connections - When
home tlas been connected to
water and sewer.
o Electrical Connection - Wilen
blocking, set-up. and plumbing
Inspections hove been npprovceJ
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 Inccs
lOI Type.
lot sq, ltg,
Interior
Lot coverage
Corner
TopograptlY
Pantlandle
Tolal heigh I
CuI-de-sac
BUILDING PERMIT
ITEM
SQ, FT,
X $/SQ, FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State SUfCtl<HgC
Tot.11 Fcc
(A)
"I
.S THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historlcal
Coordinator prior to permit issuance.
Setbacks
P,l, HSE GAR ACC
N
~~~~
W
-~--
E
VALUE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Baltl(s) NO
Sanitary Sewer r~
Waler - - ~,-
Storm Sewer
FT,
Mobile Horne
Plumbing Permit
Slate Surctwrgc
Tolal Cl1moc
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stove/lnsertlFireplace Unit
Dryer Vent
Mechanical Permi I
Issuance
Slate Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
State Surcharge
Sidewalk
II
Curbcut
II
Demoli (ion
Slate Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding elcclrical)
(A, B, C, D, and E Combined)
FEE
-p-ov
J1),
J~LU
/5
l5,!J:5
!P),CV
if ,q{)
CJA I _C:: '
(~'.:
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is ~Jranted on the express condition lIlat the saleJ
construction shall, in all respects, conform to lIle Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revol<ed at any time
upon violation of any provisions of said ordin;lnces.
Plan Clleck Fee:
Date Paid:
Receipt Number:
Received By:
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within 1110 City limits whictl are being improved.
ADDITIONAL COMMENTS
\~~gree.tha av~~~~~
the completed application and 0 e~~e~,~rtifY 1I1al all
Information hereon Is true and c r ct, and I further certify
that any and all work performed shall be done in ilccol'(Jance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the worl( 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 GRS 701.055 will be used on this
project.
~
1
'1
,
I further agree to ensure that all required inspections are
requested at the proper lime, 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 sile at all '_' 'rryn. s jtruction ,.
Signatur ~~
,
!
Date
(
VALIDATION: A 1\ v?)\
RECEIPT NUM~ . ~) (./
DATE PAID \'~~L7, ~ .-----
AMOUNT REC~I~ \~q-, ~'J_
RECEIVED BY _ _(L'?f}J )-
--
"