HomeMy WebLinkAboutPermit Building 1996-8-9
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SPRINGFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960951
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1237 ISLAND ST
Assessors Map #: 17033422
Lot: Block:
Tax Lot #: 00215
Subdivision:
OWner: CHARLES/DONNA HODGES
Address: 1237 ISLAND STREET
Phone #: 746-0492
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: PATIO COVER/STORAGE STRUC
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
OWNER
746-0492
QUAD AREA: 1RNW
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 ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
FRAMING - Prior to cover.
STORM SEWER LINE - Prior to filling trench.
SPECIAL
FXNAL BUILDING - When all required inspections have been approved and
the building is complete.
N
Setbacks
S W
13
E
Accessory
Item
Main
Garage
BREEZEWAY ROOF
STORAGE ADD' N
Total Value
BUILDING PERMIT ---
Square Feet x
$/Square Feet
514
256
11.04
16.27
Value
0.00
0.00
5,675.00
4,165.00
9,840.00
Building Permit Fee
Surcharge/Admin
80.50
6.45
TOTAL FEE
(A)
86.95
n_ SYSTEMS DEVELO"...... CHARGE (SDC) n_
(B)
158.76
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLUMBING PERMIT ---
Item
Storm Sewer
Fee
25.00
SPRINQFIELD I
Job Number: 960951
Page 2
Plumbing Permit
Surcharge/Admin
25.00
2.00
TOTAL CHARGE
(C)
27.00
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
272.71
--- 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
52.33
Date Paid: 07/17/96
Receipt Number: 22464
MOORE Date: 08/09/96
By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
SEPARATE ELECTRICAL PERMIT IS REQUIRED FOR ANY EXTENSIONS, MODIFICATIONS OR A
ADDITIONS TO THE ELECTRICAL SYSTEM.
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.
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Signature L-
tJtJ~7-9tS
Date
--- VALIDATION
Date Paid:
'27_ 0. 2.. 2-
0/"7/9 t..
772/7/
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Receipt Number:
Amount Received:
Received By: