HomeMy WebLinkAboutPermit Building 1997-2-26
S."'NGFOELD ~.
.~~. . ' ~)if''1;JrfIA'M~j;fI~~lj;j.-..NJJ
~*' . '. '
Page 1
RESIDENTIAL PERMIT APPLICATIqN
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 961185A
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4183 CAMELLIA ST
Assessors Map #: 17023233
Lot: Block:
Tax Lot #: 03500
Subdivision:
Owner: RYAN/CHARLENE NEWTON
Address: 4183 CAMELLIA
Phone #: 954-1297
City/State/Zip:--'SPR-INGFIELD, OR 97478
Describe Work: CHANGE CEILING STRUCTURE
REMODEL
QUAD AREA: 3RSC
OFFICE USE
LAND USE: 1111
To request an inspection, call the 24 hour recording at 726-3769.
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.
REQUIRED INSPECTIONS ---
POST AND BEAM - Prior to floor insulation or decking.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
ROUGH ELECTRICAL - Prior to cover.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When'all electrical work is complete.
FINAL PLUMBING - When all plumbing work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
DRYROT REPAIR
MODIFY CEILINGS
Total Value
BUILDING PERMIT
Square Feet x
$/Square Feet
Value
0.00
0.00
2,300.00
4,800.00
7,100.00
Building Permit Fee
Surcharge/Admin
68.50
5.49
TOTAL FEE
(A)
73.99
PLUMBING PERMIT ---
Item
Fixtures
5
Fee
50.00
Plumbing Permit
Surcharge/Admin
50.00
4.00
TOTAL CHARGE
( C)
54.00
--- MECHANICAL PERMIT ---
Exhaust Hood
, 4.50
SPR'NGF'ELD ~ .
___-V.--- . ~)~Y"r,h'Lt7il:lI'~
~- .
Job Number: 96118~A
Page 2
Vent Fan
Dryer Vent
2 ,6.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
15.00
10.00
1. 20
TOTAL PERMIT
(D)
26.20
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
ADD'L PLAN REV. FEE
0.00
35.60
TOTAL MISCELLANEOUS PERMITS
(E)
35.60
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
189.79
--- 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.
--~ ADDITIONAL COMMENTS ---
PATH 1 & MIN.COMP.PATH
DRYROT REPAIR AT RIM & FLR.JOISTS-ANCHORS REQUIRED.
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
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will 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 tr the ite at ,,1 times ~nstruction.
;;J r!- :k?-h -97
s~~ Iv Date
S_'NOF>ELD ~
__~-. .. .. '/"{(/;'M~/:/I'''.Jjl=l...N4
.... ", . ,
Job Number: 961185A
Receipt Number:
--- VALIDATION
;Lc{&q 7
1-;< & -q7
l6Q.7Q
I
,~
Date Paid:
Amount Received:
Received By:
Page 3