HomeMy WebLinkAboutPermit Building 1998-12-11
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NOTICE:
THIS PERMIT SHALL EXPIRE 11l~~j{!ltllVH1~L PERMIT APPLICATION
ml;l;",Y"OF SPRINGFIELD
AUTHORIZED UNDER THIS PEP~OMMWh1r SERVICES DIVISION
COMMENCED OR IS ABANDONED FOBUILDING SAFETY
225A~tr1th1 q,1'fr~Fl\QPeet
Springfield, OR 97477
Page 1
Job Number: 98l364A
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 6947 GLACIER ST
Assessors Map #: 18020222
Lot: 4 Block:
Tax Lot #: 05100
Subdivision:
Owner: KELLI WOOD
Address: 304 FRASER RD
Phone #: 541-459-1707
City/State/Zip: SUTHERLIN OR,,97479
Describe Work: FOUNDATION ONLY
NEW
QUAD AREA: 4RSE
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 ---
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,
Item
Main
Garage
FOUNDATION ONLY
Total Value
--- BUILDING PERMIT ---
ATTENTIOtSl@.!aQ>ln:l~tl'equj[es YOU,S,f,square Feet
follow rules adopted by the Oregon Utili Y
Notification Center. Those rules are set forth
in OAR 952,001-0010 through OAR 952.001-
0090, You may obtain copies of the rules by
calling the center. (Note: the tel~~ho~e
number for the Oregon Utility NotificatIOn
Center is 1-800-332,2344).
Value
0,00
0,00
4,500.00
4,500,00
Building Permit Fee
Surcharge/Admin
50,50
4,05
TOTAL FEE
(A)
54.55
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
PLAN REVIEW FEE
0,00
32,83
TOTAL MISCELLANEOUS PERMITS
(E)
32.83
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
87.38
--- 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,
"': I
,
Job Number: 981364A
Page 2
-,- ADDITIONAL COMMENTS ---
FOUNDATION ONLY
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 loca d at the front of the property, and the approved set of plans
will remai on the site at all times during construction.
1:>...., _ II~ 9P7
Date
--- VALIDATION
Date Paid:
t?322-%f
/2- /" /'i'y
,
~ 7. S' S
_4/0J
Receipt Number:
Amount Received:
Received By: