HomeMy WebLinkAboutPermit Building 1996-9-11
SPRINQFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951948A
225 North Fifth Street
Springfield, OR 97477
Office: 726,3759
Inspection Line: 726,3769
Location of Propoaed Work: 6808 IVY ST
Assessors Map #: 18020314
Lot: 21 Block:
Tax Lot #: 00900
Subdivision: SOUTH HILLS NO
Owner: gAJ;! DIAL
Address: C/O 7297 HOLLY STREET
Phone #: 726'1525
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work:
NEW
" 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.
FRAMING, Prior to cover,
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Accessory
N
11
Setbacks
S W
E
Item
Main
Garage
DECKS
Total Value
BUILDING PERMIT '"
Square Feet x $/Square Feet
624 8,14
Value
0,00
0,00
5,079.00
5,079.00
Building Permit Fee
Surcharge/Admin
56,50
4,53
TOTAL FEE
(A)
61,03
--- MISCELLANEOUS PERMITS '"
Surcharge/Admin
PLAN REVIEW FEE
0,00
36.73
TOTAL MISCELLANEOUS PERMITS
(E)
36,73
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DOE
(A, B, C, D, and E combined)
97.76
SPRINGFIELD
~-
,
Job Number: 951948A
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
357,50
Date Paid: 12/28/95
Receipt Number: 19914
MOORE
By:
Date: 09/10/96
, " ADDITIONAL COMMENTS
ENGINEERING REQUIRED FOR UPPER DECK BEAM
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 re 'n on the site at all times during construction.
gj)/J ;ZI~~
'5)/;) /96
Date
,n VALIDATION
Receipt Number:
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Date Paid:
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Amount Received:
Received By: