HomeMy WebLinkAboutPermit Building 1999-8-24
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY Op SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990998
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 2450 GROVEDALE DR
Assessors Map #: 17032333
Lot: Block:
Tax Lot #: 09500
Subdivision:
Owner: DENNIS GRACE Phone #: 988-9816
Address: 2450 GROVEDALE DRIVE City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: PITCHED ROOF OVER FLAT. p"t.\~~~<2P,,~
~\n.t\Ce.. . \rl \ f-~'f'\ -:',"\tf'l1"\S~
\ - S'f't.P,,"^" eB!\~tp.\f\\S\"\;.\ cnrOR
Contractor ,\'1\ ~~~or I!l~~~:tres Phone
~O DOR\SPI
General, ZENT CONSTRUCT I r.O,,^,,^~'Q\~6!bt:f\\O\)' 10/26/99 34-5 - fi7t:.5:
27464 CROW RD EUGENE Oll:",~~gg~cf~
OFFICE USE
LAND USE: 1111
QUAD AREA: 5RNW
TO request an inspection, call the 24 hour recording at 726-3769.
ATTENTIOI,,:ur"\Jlil; dW reqUires you"
All inspections requested before foll8g" rtJh!lsa/:!~~fuc.h3y \l!!l-,l@)r~~ sj!ffi"f working day,
inspections requested after 7: O<N~tillCatl'Oi-;J€;eR!bIIJl:f!llls~~le;'ojlrj;~JiigrtMTork ::lay.
in OAR 952-001-001 0 through OAR 952-001-
REQU~. ~!l~Te9~n copies of the rules by
ROUGH PLUMBING - Prior to cover. callingthecenter.(Note:thetelephone
ROUGH MECHANICAL - Prior to covernumberfortheOregonUtilityNotification
FRAMING - Prior to cover. Center is 1-800-332-2344).
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
MODIFY ROOF STRUCT,
Total Value
BUILDING PERMIT ---
Square Feet x s/Square Feet
Value
0,00
0,00
17,000.00
17,000.00
Building Permit Fee
Surcharge/Admin
122.50
TOTAL FEE
(A)
~ '=",
L i~z.-S"
J,.302y~S'
I ~.,.,
--- PLUMBING PERMIT ---
Item
RAISE VENTS @ ROOF
Fee
15.00
Plumbing Permit
Surcharge/Admin
15.00
TOTAL CHARGE
ec)
...... ,(.v
/,$0
.J,6~2()'
j(p,ro
--- MECHANICAL PERMIT ---
RAISE DUCTS @ ROOF
3.50
Mechanical Permit
15.00
Job Number: 990998
Page 2
Issuance
Surcharge/Admin
10.00
......;w,.
/.'jiO
(D) -2-6.,..2-0-
'U..So
TOTAL PERMIT
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
..1-7'4-:-7-r"
I 77.7'S
--- 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
79.63
Date Paid: 07/23/99
Receipt Number: 34973
MOORE
By: DON MOORE
Date: 08/23/99
--- ADDITIONAL COMMENTS ---
PLUMBING VENTS AND MECHANICAL DUCTS SHALL BE RAISED THE REQUIRED DISTANCES
ABOVE THE NEW ROOF SURFACES
MIN. COMPONENT PATH.
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 ~nly
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 ]f~: 9ite at:11 times during construction, ~ /2qf1j
Signat:Ure
Date
-- - VALIDATION
Date Paid:
03~3/J
S' /ZC;/'77
)~/7,7,
~~
7t.
Receipt Number:
Amount Received:
,
Recei ved 'By: