HomeMy WebLinkAboutPermit Building 1995-10-9
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951479
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3663 HAYDEN BRIDGE RD
Assessors Map #: 17021942
Lot: Block:
Tax Lot #: 05600
Subdivision:
Owner: DAVID ALLEN
Address: 3663 HAYDEN BRIDGE RD
Phone #: 'l.. ~~{je- 7# -2."1-71
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: CONVERT CARP TO GARAGE REMODEL
Const.
Contractor Contractor # Expires Phone
General: COSSEY 0097200 02/24/94 484-6940
87205 Willowdale Eugene OR 97402000
QUAD AREA: 5RNC
ZONING CODE: LDR
VN
SQ FOOTAGE: 480
OFFICE USE
LAND USE: 1111
OCCY GROUP: M
# OF BLDGS: 1
CONSTR, TYPE:
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 ---
FRAMING - Prior to cover.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
CLOSE IN CARPORT
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
480 4
Value
0,00
0,00
1,920,00
1,920.00
Building Permit Fee
Surcharge/Admin
32,50
2,61
TOTAL FEE
(A)
35.11
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
35.11
--- 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.
Job Number: 951479
Page 2
Plan Check Fee:
Received By:
Plans Reviewed By:
Building Site Reviewed
21.13
Date Paid: 09/12/95
Receipt Number: 18997
Date: 10/06/95
By: LISA HOPPER
- - - ADDITIONAL COMMENTS
VERIFY CONTRACTOR CCB EXPIRATION DATE PRIOR TO
ISSUANCE, EXPIRED 2/24/95
ELECTRICAL INSTALLATIONS OR MODIFICATIONS WILL REQUIRE A SEPARATE ELECT, PERMIT
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.
Signa~ ~
/Ch;q.s-
Date
- - - VALIDATION
Date Paid:
19e.-:z?
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Receipt Number:
Amount Received:
Received By: