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Home My WebLink AboutPermit Building 1995-08-07SPlIINGFIELD RESIDEMTIAI, PERMIT APPLICATION CITY OF SPRINGFIELD COMMT'NITY SERVICES DIVISION BUILDING SAFETY Page 1 Job Number: 951108 225 North Fifth Street Springfj-eld, OR 97477 Location of Proposed Work: 450 S 43RD ST Assessors Map #: 1-7023234 Lot: Block: Office: Inspection Line: 't25-37 59 725 -37 59 Tax Lot #: 02900 Subdivision: O$,neT: KEVIN CHAPPELL AddresS: 450 SOUTH 43RD STREET Phone #: 745-6362 Citylstate/zj-p: SPRINGFIELD, OREGON 97477 Describc WOrK: UTITITY RM ADDITION ADDITION General: Plumbing: Mechanical: El-ectrical: ConUractor OWNER OWNER OWNER OWNER Const. Contractor #Expires Phone 7 46 - 5352 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN SQ FOOTAGE: 158 -- OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR HEAT SOURCE: FG # OF BLDGS: 1 OCCY GROUP: R3 WATER HEATER: G To requests an inepection, call the 24 howr recording aL 725-3759. A11 inspections requested before 7:00 a.m. will be made the same working day, j-nspections requested after 7:00 a.m. will be made the foflowing work day. --- REQUTRED TNSPECTTONS --- FOOTING - After trenches are excavated. ITNDERFLOOR DRAIN - Prior to cover or placement of concrete. STORM SEWER LINE - Prior to filling trench. ROUGH PLWBING - PriOr IO COvCr. ROUGH ELECTRICAL - Prior to cover. ROUGH MECIIAIiIICAL - Prior to cover. ROUGH cAS - after line is installed and capped if not attached Lo an appliance FINAL GAS - When all gas work is complete. FRAMNG - Prior to cover. fNSULATION - Fl-oor; prior to decking Wa11/Ceiling; Prior to cover DRYfiIALL - Prior to taping. FINAL PLITMBING - When all plumbing work is complete. FINAL MECHAIiIICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the buil-ding is complete. --- BUILDTNG PERMIT --- Square Feet xItem Main Garage Value 0.00 0.00 $/Square Feet SPRINGFIELE, Job Number: 951108 CITY OF SPruNGFIELD, Page 2 158 56.2 9 ,442 9 ,442 00 00 ADDITION Total Value Building Permit Fee Surcharge/admin TOTAL FEE (A) 80.50 6 .45 86 .95 --- PLI'MBING PERMIT --- ftem Fixtures Storm Sewer Ptumbing Permit Surcharge/edmin TOTAL CHARGE 3 Fee 30.00 2s.00 55.00 4.40 59 .40(c) --- }IECIIN{ICAI. PER}IIT --- Furnace Dryer Vent Mechanical Permit Issuance Surcharge/edmin TOTAI, PERMIT (D) 0.00 3.00 26.20 15.00 10.00 a.20 --- MISCEI.LAT{EOUS PERMITS --- Surcharge/admin SDC ELECTRICAL TOTAI. MISCELI,A}IEOUS PERMITS (E) 0.00 9 .25 46.44 55.70 (ExcLuding Electrical ) unless otherwise notsed .-- TOTAL AI{OI'NT DUE --- (A, B, C, D, and E courbined)228.2s -.- BUILDING VAI.UE, PI.AN CHECK NiID BUII,DING PER}TIT --- This permit is granted on the express condition that the said construction shall, in afl respects, conform to Ehe Ordinance adopted by the City of Springfield, including the Development Code, regulaEing 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: 52.33 Date Paid: Received BY: Plans Reviewed By: Date: Building Site Reviewed By: LISA HOPPER o7/os/es 08/04/es Receipt Number: 18189 --- ADDITIONAL COMMENTS PATH 1 By eignature, I at,ate and agree, that I have earefully examined tshe completed application and do hereby certify tshat all information hereon is true and correct, and I further cerLify thaE any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the SEate of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Communitsy Services Divi-si-on, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 70L.055 will be used on this project. SPFIINGFIELD ,Job Number: 951108 CITY Page 3 I further agree to ensure that all reguired inspections are request ed at Lhe proper time, Ehat each address is readabl-e from the street, that the permit card is located aE the front of the properEy, and Ehe approved set of plans wil-l- remain on the site at a]l times during construction. ,u4 / -7_ 7f Signature Date --- VAI.IDATION --- Receipt Number: Date Paid: Amount Received: Received By: &.---4<- =-'-- =; ^ Address a Issued by: Statemeht: lnformation Notice to Property Owners About construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the foltowing statement bi1or" o building permit can be issued. This statement is required "for resiiential buildiig, electrical, mechanical, and plumbing permits. Licensed architect and engineer-applicants, exempt from registration under oRS 701'010(7), need not submit this statement. This statement will be filed with the permit' Fill in the appropriate blanks and initial boxes I and2, and either box 3A or 38: B 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or uPon comPletion. 3,A'. My general contractor is Contractor regis' # structure must be (Name) I will instruct my general contractor that all subcontractors who work on the registered with the Construction Contractors Board' B 38. I will be my own general contractor OR name of the contractor. I hereby certifY that the above information is correct andthatl have readand dounderstand the Information Notice to ProPertY Owners about Construction Responsibilities on the reYerse side of this form' a- (Signature of Permit applicant) If I hire subcontractors, I will hire only subcontractors registered with the construction contractors Board. If I change my mind and hire a general contractor,^I will contract with a contractor who is registered with the cig ana wil immedira"ty notify the office issuing this building permit of the (White copy to issuing agency perrnitfile' Pink coPY to aPPlicant) (Date) Permit +, 7-{ - ?-7?2.";