HomeMy WebLinkAboutPermit Building 1995-12-8
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951795
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1170 DONDEA ST
Assessors Map #: 18020613
Lot: Block:
Tax Lot #: 09217
Subdivision:
Owner: MICHAEL CORGAIN
Address: 1170 DONDEA STREET
Phone #: 741-0291
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: GAR CONV TO FM RM/BATH
REMODEL
QUAD AREA: SRSC
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 ---
UNDERFLOOR PLUMBING - Prior to insulation or decking,
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH PLUMBING - Prior to cover,
ROUGH ELECTRICAL - Prior to cover,
ROUGH MECHANICAL - Prior to cover,
FRAMING - Prior to cover.
INSOLATION - Floor; prior to decking wall/Ceiling; Prior to cover
DRYWALL - Prior to taping,
FINAL PLUMBING - When all plumbing work is complete,
FINAL ELECTRICAL - When all electrical work is complete,
FINAL MECHANICAL - When all mechanical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
Item
Main
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
=
Value
6,000,00
6,000,00
Building Permit Fee
Surcharge/Admin
S6,SO
4,S3
TOTAL FEE
(A)
61.03
PLUMBING PERMIT ---
Item
Fixtures
3
Fee
30,00
Plumbing Permit
Surcharge/Admin
30.00
2,40
TOTAL CHARGE
(C)
32.40
--- MECHANICAL PERMIT ---
Mechanical Permit
Issuance
lS,OO
10,00
.
Job Number: 951795
Page 2
Surcharge/Admin
1.20
TOTAL PERMIT
(D)
26.20
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and B combined)
119.63
--- 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: 36,73 Date Paid: 11/15/95
Received By: LISA HOPPER
Plans Reviewed By: DON MOORE Date: 12/04/95
Building Site Reviewed By: LISA HOPPER
Receipt Number: 19607
--- ADDITIONAL COMMENTS ---
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.
#~J(J~~
Signature ,./
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Date
-- - VALIDATION
Receipt Number: /'977 /
Date Paid: /2-R-~ S-
Amount Received: //"7: 6:3
Received By: /"Z...,3I,....<!:.
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