HomeMy WebLinkAboutPermit Building 1997-12-13
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 961366A
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line, 726-3769
Location of Proposed Work: 5694 GLACIER DR
Assessors Map #: 18020411
Lot: Block:
Tax Lot #: 00400
Subdivision, 96-06-125
Owner: DUANE KNIGHTS
Address: 36205 CAMP CREEK ROAD
Phone #: 726-2960
City/State/Zip: SPRINGFIELD, OREGON 974713
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.
FOUNDATION - After forms are erected but prior to concrete placement,
UNDERFLOOR PLUMBING - Prior to insulation or decking.
ROUGH ELECTRICAL - 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 MECHANICAL - When all mechanical work is complete.
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
ADD STOR'G BASMT.
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
608 15.36
Value
0.00
0.00
9,339.00
9,339.00
Building Permit Fee
Surcharge/Admin
80.50
6.45
TOTAL FEE
(A)
86.95
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
PLAN REVIEW FEE
ELECT.ADD-ON PERMIT
0.00
52.33
16.20
TOTAL MISCELLANEOUS PERMITS
(El
68.53
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
155.48
SPRINGFIELD
Job Number: 961366A
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
279.50
Date Paid: 10/09/96
Receipt Number: 23413
MOORE
By:
Date: 1~7111f."J
(.- ---- -.--"
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--- ADDITIONAL COMMENTS ---
CHANGING UNDERFLOOR SPACE TO STORAGE BASEMENT (UNHEATED)
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 al~es during construction~
y J)~~ ~II
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1,2 - /,S -- '7)
Signature
Date
Date Paid:
--- VALIDATION
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/75, Cf~
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Receipt Number,
Amount Received:
Received By: