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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 (.- ---- -.--" l ~----~) --- 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 ././ v 1,2 - /,S -- '7) Signature Date Date Paid: --- VALIDATION j.<-!OW) /2~/3 -cf ~ /75, Cf~ W Receipt Number, Amount Received: Received By: