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HomeMy WebLinkAboutPermit Building 1997-4-13 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970399 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 5108 DAISY ST Assessors Map #: 17023333 Lot: Block: Tax Lot #: 01727 Subdivision: Owner: ALLEN DEWITT Address: 5108 DAISY STREET Phone #: 746-2295 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: GARAGE CONVERSION REMODEL Contractor Const. Contractor # Expires Phone Electrical: OWNER 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. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Item Main Garage CONVERT GARAGE TO FR Total Value BUILDING PERMIT --- Square Feet x $/Square Feet = Value 0.00 0.00 6,595.00 6,595.00 204 32.33 Building Permit Fee SurCharge/Admin 62.50 5.01 TOTAL FEE (A) 67.51 --- MISCELLANEOUS PERMITS --- Surcharge/Admin ELECTRICAL PERMIT 0.00 151.20 TOTAL MISCELLANEOUS PERMITS (E) 151.20 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 218.71 Job Number: 970399 Page 2 --- 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. Plan Check Fee: Received By: Plans Reviewed By: DON Building Site Reviewed 40.63 Date Paid: 03/19/97 Receipt Number: 24929 . MOORE Date: 04/03/97 By: LISA HOPPER - - - ADDITIONAL COMMENTS MINIMUM COMPONENT PATH SEPARATE ELECTRICAL PERMIT IS 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 on t e site at all times during construction. . / / ~.lif ,d~~ 2, Signature L i A/f?- Date --- VALIDATION Date Paid: '... ~/:>/) - ..... . d/J/1 J { ( 2/~.71 I ~ '~ r(~~1 Receipt Number: Amount Received: Received By: