HomeMy WebLinkAboutPermit Demolition 1991-10-10
KurD
ADDRESS: II t S
~f'\ roQo_
- I T'-
1J_,t l/Y),('\ I ; k ()Y'\ a-
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP-
LOT:
/719 '\
.
SPRINGFIELD
//()C;
1<; 4- /
,-
BLOCK:
.
OWNER-
-1.ohV\SOVl
~-v1a;n s;-:{L .
CITY:
DESCRIBE WORt<.
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl ' t)u)~-v-
PLUMBING'
MECHANICAl'
ELECTRICA' '
QUAD AREA-
. OF BLDGS:
OCCY GROUP'
. OF STORIES:
WATER HEATER'
STATE: -.6r?
SF-i'J';'P CA-p
DEMOLISH 7---0THER
CONST,
CONTRACTOR'
ADDITION
ADDRESS
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
· JOB NUMBER $).! S 1'-
225 Fifth Street
Springfield, Oregon 97477
TAX LOT: _(>C" ~ !
SUBDIVISION-
PHONF'
72.{., - 7 .2--t/ c--
ZIP: Cf?t/77
EXPIRES
PHONE
~
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. AI/Inspections requested before 7:00 a.m. will be
made the same working day, Inspections requested after 7:00 a.m. will 'be made the following work day.
o Temporary Electric
,0 Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbing I Electrlcall
Mechanical - Prior to cover.
o Footing - After trenches are'
excavated.
o
Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o
Underfloor Plumbing/ Mechanical
- Prior to insulation or decking.
o
Post and Beam - Prior to fl.oor
Insulation or decking.
o Floor Insulation - Prior to
decking,
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power. ,
o
Fireplace - Prior to facing
materials and framing Insp.
o
Framing - Prior to cover.
o Wail/Ceiling Insulation.....:. Prior to
cover.
o Drywall - Prior to taping,
o Wood Stove - After tnstallation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
D Fence - When completed.
o Street Trees - When all required'
trees are planted," "
r\/f Final Plumbing - When all
~ plumbing work is complete.
"$~~~
D Final Electrical - When all
electrical work is complete.
o Final Mechanical - When all
mechanical work is complete,
K/(Final Building - When all
~ required Inspections have been
approved and building is
completed.
o Other
MOBilE HOME INSPECTIONS
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" "a'pproved and
pore"hes, skirting, decks, and
venting have been installed.
Lot faces Lot Type . Setbacks . THE PROPOSED WORK IN THE
Interior I P.L IHSEIGARIACCI HISTORICAL DISTRICT, OR ON
Lot sq. ltg, I THE HISTORICAL REGISTER?
Lot coverage Corner N If yes, this application must be signed
S I and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit issuance.
Total height Cul-de-sac IE I
APPROVED:
BUILDING PERMIT
ITEM SQ, FT. X $/SQ, FT,
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the 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,
Main
Garage
Carport
7J Into 1.., 77,!h J
,
/~ r;ro
Plan Check Fe"'"
.' .
Date Paid:
Total Value
Building Permit Fee
,.-
."FD
Receipt Number'
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)
NO
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
<;'rlA/Me ~
/ ~ "'0
_7S-
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
NO
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 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.
Exhaust Hood
Wood Stovellnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all required Inspections are
requested at the proper time, 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.
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
)(Slgnaturf"
YC./J a .f/'
/
State Surcharge
Sidewalk
It
Date
Curbcut
It
Demolition
State Surcharge
VALIDATION:
TOTAL AMOUNT DUE (excluding eleetrleal)
(A, B, C, D, and E Combined)
~'.,i 6 r
2./ ')4(;....,
/CJ -/t'] - 91
AMOUNT RECEIVEr> 'S 4' .5:..L.
#'t7~
DATE PAIr>
RECEIPT NUMBER
Total Miscellaneous Permits (E)
RECEIVED BY