HomeMy WebLinkAboutPermit Demolition 1992-6-9
r RESIDENTIAL
II PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
..
S,~"INGFIELD
LOCATION OF PROPOSED WORK: _L'2.U27 5~UO) A
ASSESSOI1S (,lAP: _L'7.L23 2 7 3-4
LOT:
BLOCK:
OWNEI1 _ )V(~~ _ t..M-p, :S~_.~~bLJbLD~/
ADDl1loSS' /'2...&.7... c;::,G::(;UaIA - I
CITY: .___ u <$f]i1J STATE: ~
.8 NUMBER _920. 753_
225 Filth Streel
Springfield, Oregon 97477
S-r;
TAX LOT:
~ 2-...::'tJ ~-- -
SUBDIVISION:
PHONE: -7~3..~C>/
ZIP:_ 'Z7L?7_
DESCRIBE WORK: _~C.I..Z1"",u 7h ~AJ~~r/}l'c~;!ZaA 1
NEW ___. REMODEL _ ADDITION _. DEMOLISH
OTHER
CONTI~Acron's NmE, A,DDRESS
GENERAL: _ _7b7:~;~~~T:
PLUMBING: ,
) CONST,
'CONTRACTOR N
~ S"i""'.s-
. .JO&Z P::f.
EXPIRES PI.tONE
_~__--3#';z, =.5Ja-f
MECHANICAL'
ELECTRICAL:
QUAD AREA:
. OF BLDGS:
OCCY GnOUl'
It OF STOrliE'S
WATER HEAIT.Il: _ _
- OFFICE USE -
LAND USE: _
N OF UNITS: .,.
CONS'r'R, TYPE:
\-;
H EAT ~~OU RC E:
RANGE:
FLOOD PLAIN: __.
ZONING CODE: _.
. OF BDRMS: n _
SI,CONDARY HEAT:_
SQUARE FOOTAGE: ..
To request an ill~peclion, you must call 726.3769. This Is a 2.1 hoUl recording. Alllnspection~; requested before 7:00 fUll. will11C
made the sarrhJ workinn (lay, Inspections requestecl after 7:00 a.m. will be made the following work day.
CI Temporary Electric
[]
Site Inspection - To be IIwde
~lflcl 'JXCilvatiolt, lllll pliol to
setlllln IUlnlS.
[]
Undersl;l!> Plunlbing/Elcctrical/
Mechanical - Plior to cover.
o
Footing - After tJenches are
exccwaldl.
o
Masonry - Steel location, bond
bewns, UroutinD.
o
Foundation - Aller forms are
ercclc(1 illll prior 10 conelete
placcnwnl.
o
Underground Plumbing - Prior
to lillinO 'rencll.
D
Undcrlloor Plumbing/ Mechanical
_ P,iol to Insulation or tlecl<ing.
o
Post anti Beam - Prior to floor
inSlllatiull or {jucldng.
o Floor Illsulation - Prior to
(lCckinn.
O Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Plior to lilling
trenCh.
D Water Line - Prior to filling
trenctl.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
{~ Rough Mcclwnical - Prior to
cover. .
.,
I~ ROI,.gh Elcctlic~11 - Prior to
covur.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
m..IIerlals and framing Insp.
o Framing - Prior to cover.
o Wall/Ceiling IIlsulation - Prior to
cover.
o Drywall - Prior to taping.
D Wood Slove - After Installation.
I~ Insert - After (ireplace approval
aml InstallLllion 01 unit.
o
Curbcut & Approach - Arter
forms are erected but prior to
placement of concreto.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material in place.
o Fence - When completed.
o Street Trees - Whe,:" all required
trees are planted. 4
D
r-ilHlI Plumbina - WI1.:1l all
plumbing WUIJ\ is COlllpll~te.
D Final Eleclric;:)1 - Wtl\:l1 all
ulcctrlcal WOII( ig COlllplt:IC.
D Final Mechanical - Wlll:rl elll
mechanical worl< is Cl>lllplelu.
o Final Building - Wilen illl
required inspections h:IVI) bt~cn
approved and buildin!} it.
completed.
DOlher
MOBILE HOME INSPECTIONS
D lllocking and Sel.Up - When :111
blocking Is cOlllplete.
D Plumbing Connections - Wilen
Ilome has been conlwcled to
waler and sewer.
o Electrical Connection - When
blocking, set-up, and pllJlllbillU
inspections have beell approVt:(1
nnd tile home is conlH.:clell to
1 he service panel.
D Final - Afler nil required
inspections are approved anti
porches, skirling, decl<s, anel
venting havu Ueen installed.
Lot races
lot TYP"
Interior
lOI sq, fig,
Lot coverage
Corner
Tupography
Panhandle
Tolal heighl
Cul-de.sac
BUILDING PERMIT
ITEM SQ, FT. X $/SQ, FT.
Mnin
GDmge
carpow
1Jk~:;f dv1'
Total Value
Building Permit Fcc
~,I;lte SUlcharge
Tulnl Fcc
(A)
(B)
PLUMBING PERMIT
,
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT
FT.
Water
Storm SCWCl
FT.
Mobile Horne
Plumbing Permit
Stale Slll911iUgC
Tolal ChalUc
(C)
MECHANICAL PERMIT
Furnace
Exllilust Hood
Vent Fnn
N'
Wood SlovcllnserllFireplace Unit
Dryer Vent
Mecllanical Permit
Issuance
Stale Surcharge
Total Permit
(D)
MISCEI:.LANEOUS PERMITS
Mobile Horne
State Issuance
Stata Surchargo
Sidewalk
fl
Curbcut
It
Demoli lion
$IClle Surchargo
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A, B, C, 0, and E Combined)
Setbacks
I P.L HSE GAR ACC
..HE PROPOSED WORI< IN THE
I, 0 TORICAl DISTRICT, 011 ON
THE HISTORICAL REGISTER?
N
----
2-___
W
L_.__-
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
VALUE
FEE
#~
If yes. this application mu~;t be signed
and approved by the Historical
Coordin:llor prior to permit Issll~nce.
APPROVED'
This permit is granted.on IIle express condition lilat 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 01 silid ordinances.
Plan Check Fcc.
Date Paid:
Flaceipl NUll1uer:_ . _ __ ____
r1cceivcd By:
Plnns HeviewmJ By
Dale
_L'22,oo
_. _.9..0
_JEb_,90
SYSTEMS DEVELOPMENT CHARGE (SDC)
SysIC/ll~; Development Chill9C is due on ;111 undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
-7ttzL/a::X~1r':F .~+LIcJtgLZ.q
~iLP~) OF ~1ZtlMJ-
--0/ ?Jt&-~I..~./ ;-..JZ.-l3?fL()/d!<
---,Ib /&:jPLk6-/2fX-_il~) .
C/JA '}~ iJ;z-u,c..-f7<)~t7.JL~
FtJV ...bL., -
, CL:XJ~pov-/J.vK...C_
~~) :S~4L,u..JJ~-,&:;i(~CJ.c.),
.h~?tJJj~~
By slgnatlllc, I state and agree, that I have carefully cX;J.rnined
the completed application and do hereby C'lllify Ilwt illl
information hereon is true and correcl. and I further certify
that any and all worl( performed shall b(~ done in accordance
wllh tile Ordinance:; or the City or SpringfieleJ, ;l/H.llllc Laws
of the Stale or Oreoon pcrtninlng 10 the wt,Jlk th):;clibcd
herein, and thai NO OCCUPANCY will be lIwdc of any
structure witllOut permission of ~he Building Safely Division.
I further certify that only contractors and crllployces who
are In compliance with ORS 701.055 will be used on Ihis
projec 1.
I further agree to ensure that all required inspections are
requested at the proper time. that each addrCGs is readable
from the street, that the permit card Is locateel at tllC Irani
of the property. and the approved set of plans will remain
on the sit~et all .mos dU, ring construction.
Xslgnatll;e . ~~~~~
I
Datp
VALIDATION:
__~'t!....__
~/9~2--
/..2:;,7' (;}
_~X-A--1_
RECEIPT NUMB Ell _,
DATE PAin
AMOUNT RECEIVED
RECEIVED BY