HomeMy WebLinkAboutPermit Building 1997-3-14
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SPAINOFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970372
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Lie.eyi'<:b-j'7b9 ::>
Location of Proposed Work: 828 LOCHAVEN AVE
Assessors Map #: 17032724
Lot: Block:
Tax Lot #: 08300
Subdivision:
OWner: JACK/CONNIE LUND
Address: 828 LOCHAVEN AVENUE
Phone #: 747-5833
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: -REPLUMB RESIDENCE
RIlMODEL
Contractor
Const.
Contractor #
Expires
Phone
Plumbing:
SERVCO 0040395
PO Box 99 Lebanon OR 973550000
10/22/97
451-5090
QUAD AREA: 1RNW
OFFICE USE
LAND USE: 1150
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.
FINAL PLUMBING - When all plumbing work is complete.
--- PLUMBING PERMIT ---
Item
REPLUMB
Fee
15.00
Plumbing Permit
Surcharge/Admin
15.00
1. 20
TOTAL CHARGE
(C) ,
16,20
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
16.20
--- 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: Date:
Building Site Reviewed By: LISA HOPPER
SPRINGFIELD
Job Number: 970372 ,
Page 2
--- 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
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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 s'te at all times during construction.
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Date
- -- VALIDATION
Date Paid:
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Receipt Number:
Amount Received:
Received By:
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