HomeMy WebLinkAboutPermit Building 1996-5-17
, "
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960661
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1352 KELLOGG RD
Assessors Map #: 17033422
Lot: Block:
Tax Lot #: 00700
Subdivision:
Owner: C.A. MILLS
Address: 1352 KELLOGG ROAD
Phone #: 746-9448
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: BATHROOM EXPANSION
REMODEL
*
Contractor
Const.
Contractor #
Expires
Phone
General:
OWNER
746-9448
Plumbing: OWNER
Mechanical: OWNER
Electrical: OWNER
QUAD AREA: lRNW
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 ---
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
FRAMING - Prior to cover.
INSULATION - 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 BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
35
$/Square Feet
64.66
Value
2,263.00
0.00
2,263.00
Building Permit Fee
surcharge/Admin
38.50
3.09
TOTAL FEE
(A)
41. 59
SPRINGFIELD
~~
Job Number: 960661
Page 2
PLUMBING PERMIT ---
Item
Fixtures
1
Fee
10.00
Plumbing Permit
Surcharge/Admin
15.00
1.20
TOTAL CHARGE
(C)
16.20
--- MISCELLANEOUS PERMITS ---
surcharge/Admin
TWO ALTERATION
0.00
~;1.;10
pcc~.
TOTAL MISCELLANEOUS PERMITS
(E)
033.35
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
,?y. ~:-
5"/.71
--- 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: 25.03 Date Paid: 05/14/96
Received By: LORNE PLEGER
Plans Reviewed By: DON MOORE Date: 05/16/96
Building Site Reviewed By: LISA HOPPER
Receipt Number: 21553
- - - ADDITIONAL COMMENTS
PLOT PLAN NOT REQUIRED PER LORNE PLEGER
PATH ].
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 eac address is readable from the street, that the permit
card is locate at t ont of the property, and the approved set of plans
"",O""OJ:( ,... ., ." "... '""0' '00""""'00. :5=-1'1~r:
,,~ ~,. I
SPAINOFIELD
Job Number: 960661
Receipt Number:
Date Paid:
Amount Received:
Received By:
- -- VALIDATION
-::z I ~g "'7
5'/7'~t:::.
.{'" 7.?-'
~h'~- .
E~"'r:~_~ ~- ~
Page 3