HomeMy WebLinkAboutPermit Building 1998-8-6
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 9B0471A
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 6B2B SHOLLY S
Assessors Map #: 18020311
Lot: 36 Block:
Tax Lot #: 06100
Subdivision: SOUTH HILLS
Owner: DONALD L. SAUVER
Address: 97 D. ST. APT 1#
Phone #: 744-0566
City/State/zip: SPFLD OR,97477
Describe Work: FOUNDATION ONLY
NEW
QUAD AREA: 4RSE
OFFICE USE
LAND USE: 1111
FLOOD PLAIN: N
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 ---
SITE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
Lot Faces: E
N S
House 8
Garage 5
Item
Main
Garage
FOUNDATION ONLY
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Setbacks
W E
20
18
BUILDING PERMIT
Square Feet x
$/Square Feet
Value
0.00
0.00
10,000.00
10,000.00
86.50
6.93
(A)
93.43
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
PLAN REV. FEE (FDN.)
LAN ALT. PERMIT
LAND.ALT.PLN.CK.
0.00
56.23
44.00
30.00
TOTAL MISCELLANEOUS PERMITS
(E)
130.23
'(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
223.66
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SPRINGFIELD
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Job Number: 980471A
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.
--- ADDITIONAL COMMENTS ---
FOUNDATION AND LAND ALTERATIO PERMITS ONLY
BASEMENT TO BE CONVERTED TO USABLE SPACE IN FUTURE; MOISTURE BARRIER REQUIRED
IN BASEMENT SLAB.
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.
~om J. JhJ""I,~"
Signature
~-~~qSV
Date
-- - VALIDATION
Receipt Number: "=?,~/7
Date Paid: ~-h--:?Z::-
Amount Received: -:::? -< -=:'_~b
Received By: I}YA r;.. ~