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HomeMy WebLinkAboutPermit Building 1998-2-23 ;;, Page 1 RESIDENTIAL .PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980195 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 149 CENTENNIAL AV Assessors Map #: 17032744 Lot: Block: Tax Lot #: 00900 Subdivision: Owner: GERARDA CARDONE Address: 1159 JANUS Phone #: 933-1633 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: ADDITION -- OFFICE USE -- 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 --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation- or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover STORM SEWER LINE - Prior to filling trench. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: N BUILDING PERMIT --- Item Square Feet ~ $/Square Feet Value Main ':P-..-\ 0.00 Garage ~gs~S 0.00 NEW FOUNDATION ~~6;%O 5,000.00 Total.Value cg~~~~ 5,000.00 oa~':::\ Building Permit Fee ~~O<n 56.50 --oOC:t: Surcharge/Admin ~."a-e 4.53 ';g.(j)roi""" O':Pt11 TOTAL FEE 96;..-\~ (A) 61. 03 ~~=ii <..- t. n PLUMBING PERMI6 -000- rn Item oro::ti Fee 'Z:Q..-\ Fixtures 1 ~~~ 10.00 Storm Sewer -a(j)~ 25.00 -;p-Z~ Plumbing Permit S"1' 35.00 Surcharge/Admin 2.80 TOTAL CHARGE (C) 37.80 --- MISCELLANEOUS PERMITS --- Surcharge/Admin PLAN REVIEW ADJUST. 0.00 3.90 TOTAL MISCELLANEOUS PERMITS (E) 3.90 ~'I 'tS.)r (!/f. J~ '~ Job Number: 980195 Page 2 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 102.73 --- 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. Received By: Plans Reviewed By: DON MOORE Building Site Reviewed By: Date: 02/20/98 --- ADDITIONAL COMMENTS RECOMMEND EXTENDING ROOF GUTTERS AND DOWNSPOUTS TO STREET GUTTER AT CURB. SEWER AND WATER LINE RISERS SHALL BE SPLICED IN AN APPROVED MANNER. 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 on the site at all times during construction. ~ ~:JO_H<11&oUl "Slgnature y2...23>-q~ Date Date Paid: --- VALIDATION cQ'2i g ) c2 ~d5 - CJ ~ it ,OJ, 75 ~tJ Receipt Number: Amount Received: Received By: