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Home My WebLink AboutBuilding Miscellaneous 1999-6-28 f- . 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 Address: 5(,? 1 &:~ e fC../!..I"^ 12../ t.J / A-7/Ar;U r k/ Structure to be Demolished: OL CJ /j,J/A. v Job Number: q1o~s 2 The applicant is hereby notified that any redevelopment of the subject site must comply with all of the applicable laws, codes, ordinances, policies and plans in effect at the time the redevelopment proposal is accepted as complete for City review. This would include correction of substandard conditions associated with the present development. Examples of such corrections may include modification of inadequate drainage facilities; compliance with building set-backs from property lines; correction of substandard sidewalks and street improvements, including driveway width and placement; and other corrections which may be necessary to comply with existing development standards, Furthermore, if an existing use is demolished or otherwise removed prior to the development of the proposed use, then the system development charge credit for the previously existing use shall expire two years after the date of issuance of the demolition permit or other removal of the previously existing use. (Springfield Municipal Code 3.416(1)). My signature below indicates that I have read and understand the above conditions relating to t emolitio f e above mentioned structure. ,/-xl'!! Signature Date . Page 1 of 1 [:\ WORDFILE\PERMITSIDemosdc.doc ,~ Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK- 3~ 3 :> ASSESSORS MAP' 17 ()?, /5"') () , !{!:SISiENTIAL PERMIT APPLICATION , , " LOl' OWNER' s;.N"1 ADDRESS: i /) J 5/911~ /".01/ , J CITY' DESCRIBE WORK' tb/l'l-C> NEW REMODEL CONTRACTOR'S NAME t?// /Vb!.. GENERAl' PLUMBING- MECHANICAl' ELECTRICAl' .. 8, JOB NUMBER t?j9o?~z- C-""'-t: r;.~1>'\ 225 Fifth Street Springfield, Oregon 97477 ;If)' . TAX LOT: -'112..foo SUBDIVISION' PHONE" ZIP' t:f7t.r7? ADDRESS CON ST. CONTRACTOR # ~ 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. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prl.or to taping. o Wood Stovo - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placemont of concrete. D Sidewalk & Driveway - After excavatlon Is compietc, forms and'sub-base material In place. o Fence - Whon completed. D Rough Plumbing - Prior to cover. ~~~-,...,,--~-'ft"""-"I-';n'.tl~.'.~"~ DiSt~8e' Trees - Whtm all required trees are planted. . . BLOCK' ., ";:11/"" 1l.4 +- r I 4tV A-'/ STAT':" /JI! ADDITION DEMOLISH OTHER EXPIRES PHONE NOTICE' - OFFICE um;,.ENiION:oregon law requlI";~Uti\'iiy . AI I . dopted by the Oreg t rth QUAI'tI'll~lj1EmlITGIIALL[)(rln[lrTHEWl!1/!1f(D USE: ..il:'lInwrules.a ihog~~OSl1l!'~~t 0_ . N titication velller. hOAR 952=lN ,- . OF/W11(f@Rpl:n "~lm:CTUIC Ol:RMIT IS Pol<<llr UNITS: 0 - -.." ;)':2 001-0010th~NG. c-oDrn;;".. h\l . . In U/,,\n ~ btain copies 01 Uitrl'"' . occ-f;e~r:FonR IS~ANDONED FOFbONSTR. TYPE: n~n_ You may 0 t (NO@ftlBlDR)l;51hOne A~IV j Rn nAY PERIOD calling the ctlnoere" gnnl !tilit~OtiticatlOn # OF'5TClRteS:' - HEAT SOURCE: l)crtor\.tle r ~~YY. HEAT' nUll' ris 1-800-33<!- . WATER HEATER' RANGE: Cente 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. o Temporary Electric D Site Inspection - To be mado after excavation, but prior to setting forms. o ,Underslab Plumblng/Etectrlcal/ 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 Underlloor Plumbing/Mechanical - Prior to Insul~t1on or decking. D Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to deckl ng. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. @. o FI.nal Plumbing - When all mblng w9rk Is complet.e. D 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 15 completed. /OoUier 1)6:'M <> l..'::::;Y' /J..e.bll. 'f ch41V - "WJ i MOBILE HOME INSPECTIONS o Blocking and ~et.Up - When all blocking Is complete. D 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 porchos, skirting, decks, and venting have been Installed. ~"".'-~'~--..- r t. .;.0' .- Lot faces ii' ..\.... .,- ~ , Lot Ty _ Lot sq. ftg. . Lot coverage Topography Total height , BUILDING PER~IT\i,.;;r~ :1; ITEM SO. FT. Main Garage Carport ~ Tolaf Value Building Permit Fee Stale Surcharge Total Fee PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home {'~ du b,-. PlUmbing' Permit / State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit . MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fl Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) Interior Corner >: Panhandle' Cul.de's.ac '" )~ X $/SO. FT. = (A) (B) (C) (D) \ \ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) . ;~. .:',..,: " h~L. IN Is Iw IE VALUE " -Lf.dO FEEl . .-. 1r.6,) t. 7.AJ lb. z.., ,'. '" 'i;.. ;'; :~~ 1 ." 0\ ~"l" ':r:.. .j . ~.: ~;.,:~ Ii. :\:i (',J, "_.,: " ',- '~'.,I' ;;"',:~8~"~",~' Setbacks. .. '..IS THEPROPOSED WORK ~'TME-"!, . HISTORICAL DISTRICT, OR 6N THE HISTORiCAL REGISTER? HSE GAR ACe' If yes, this application must be signed and approved by the Hfstorlcal Coordinator prior to permit Issuance. : I I I ,APPROVED: ,.~,. . h" " BUILDING ~Li!JE, PLAN CHECK AND BUILDING PERMIT ThIs permit is granted on the express condItion that the saId construction shall, In all respects, con"form to the Ordinance adopted by the City of Springfield, Including the Development Code, regulating the construction and use of bulldlngs, 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 Cevolopmonl Chargo Is duo on all undevolopod properties within the City limits which are being Improved. ADDITIONAL COMMENTS By signature, I state and agree, that' have carefully examined "he 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 wlif 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 wlli be used on this project. 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 Slte~t all times d~inIDonstruction. Signature \ U _ '~ I . . t) Date~/t5/~ OJ.. VALIDATION: RECEIPT NUMBER 0 ~ t{ S 7 )' DATE PAl" 7/1.199 AMOUNT RECEIVE~ () 'j 5. (, y RECEIVED BY' 1'..( tJ1