HomeMy WebLinkAboutPermit Building 1998-09-08gTTOFSPFTXGFIELC,
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
a
Page 1
Job Number: 980341
225 North Flfth Street
Springfield, OR 97477
LocaEion of Proposed Work: 573 SITMMIT BLVD
Assessors ttap #: L70334L4
Lot: Block:
Of f i-ce
Inspection Line
726 -3759
725 -3'7 59
Tax Lot #: 07101
Subdi-vision:
OwNEr: DOROTHY SHEARER
Address: 673 SUMMIT BLVD
Describe Work: REPLACE DECK
Phone #: 746-L345
city/state/zj-p: SPRINGFTELD, OREGON 97477
REMODEL
General-
Contractor
VANDERKLEY 0022375
509 SI]MMITT BLVD SPRINGFIELD OR 974
Const.
Contractor #Expires
LO/14/e8
Phone
14'7 -4062
QUAD AREA: 1RNW
-- oFFICE USE --
LAND USE: 1111
To request, an inspec 24 hour recording aL 726-3769
FfNAL BUfIJDING - When all required inspections have been approved and
the building is complete.
Ar1 inspecrions THlsPEnMlll!0ltExPlHt1ETt,En€m(rhe
same workins day,
inspe c t i o., " ."*ll r::" :mmlYilbffi ,en.nnhi,s6i "
r, "wins work dav
FoorrNG _ Af Ler t,",,"^"t*iJffsfl$ffiilf$sdnsHg
EoB
FR.AI|IfNG - Pri-or to cover.
ftem
Main
Garage
REBUILD ELEV'D DECK
Tot.al Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- BUILDING PERMIT
Square Feet x $/Square Feet
(A)
Val-ue
0.00
0.00
8, 000 . 00
8, 000.00
58.50
5 .49
73.99
(Excluding Electrical )
unless otherwise not,ed
TOTAL A}TOI'NT DUE - - -
(A, B, c, D, and E combined)73.99
--- BUILDING VALUE, PLAN CHECK A.T{D BUTLDING PERMTT ---
Thj-s permi-t is granted on the express condition that the said constructionsha11, in all respect.s, conform Eo the ordinance adopted by the City ofSpringfi-eJ-d, including the Development Code, regulat.ing the construction anduse of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances.
ATTOF SPTNGFIELD,
$Ff,tNGFIELD
Check Fee:44 .53 Date Paid:
Received By:
Plans Reviewed By: DON MOORE
Building Slt.e Reviewed By: LISA HOppER
Date
Page 2
Receipt Number: 2976!03 /20 / e8
04/06/e8
--- ADDITIONAL COMMENTS
DEED RESTRICTION RECORDED REGARDING DECK
LOCATTON. LANE CNTY RECORDED NUMBER 9821,162
COVENANT RECORDED COMBINTNG TWO LOTS.
By signature, I state and agrree, that I have carefully examj-nedthe completed appl-ication and do he reby certify that all_ information hereonis true and correct, and I further certify that any and aLl_ work performedsha1l be done in accordance with t he Ordj-nances of the City of Springfield,and the Laws of the State of Oregon pe rtaining to the work described herein,and that NO OCCUPANCY will be made of any structure without. permissj_on of theCommunity Services Division, Building Safety. I further certify that onlycontracLors and employees who are in c ompliance with ORS 701.055 wil_L beused on this project.
I further agree to ensure thatproper time, that each addresscard is located at the front ofwill remain on the site at alI
Signat.u Date
all required inspections are requested at theis readable from the street, that the permitthe property, and the approved set of planstimes during construction.
VAL T
Receipt Number:
Date paid:
Amount Received:
Received By:7
s8e1*'its
ioltowing described property located in rhc City of Springfield'
owners of said real ProPertY.
BE IT HEREAFTER KNOWN and agrecd that:
l. The Iand described in Anachment A which includes 2 lots, must either hercafter be sold together without
separation ofthe lots or portions thereof as-a single unit of land so long as the accessory structure is constructed
over the common propcrty line of two abutting lots; or
2. *orio tne sate of tn* fot* individually, the accessory s&uchre shall bc removed, and a finding made by the
l- Liry tt "t O*e is no violation of the setback regulations applicable at the time of sale.
BEING TIIE RECORD OWNER(S) of all of fie
or its urbenizable area, in the CountY of Lane, State of Orcgon:
See Attechment A
IN WITNESS WIIEREOF, the undersigrred have caused this instmment to be cr(ccutcd this?sth-. day of
___ _l{arsh- le-98-.
!91!t1AR. 15', ?8#il$Htt
glt3i,iAR
" 15' ?B#0fiFFlti{lj
us'
Owner
srAlE OT OREGON)
) ss.
County oflane )
ONTHTS_Z5fJrdayof ruarch , t9 gB.personallyappeuedbeforeme,aNotaryPublic,thc
rvith in naured .schgfpr J-,o_iAlL_.T!]JS-t-r-Robert-C - Scherer,'nmslee
and acknowledged the foregoing to be their volurttary act and deed.
WITNESS my hand and seal this day and year last written abovc.
Public for
,_ Scherer .Toi n.|- Tnlsf
Owner
C,* ltilTss-My Cornmission Expires:T-V
A copy of thls rccorded document mast be relurned to the Clty olSpilnglfleld, D*elopment Semlces Departmenl,
225 FI[k Slrsgl, Sprlnglleld, OR 97177.
@
OFFICIAL SEAL
JEANETTE L CAHILLr[olihviu sTrc -6 REAo-N
coMMlssroN No.045415
MY C0Miltssr0t{ ExnREs JltY t8. t999
10.00
IU, iJU
\o
sEel.1"$?
EXHIBIT A
Property Description - Emerald Heights Sub-Division
LotA -17 03 34 I 4 7100
LotB -17 03 34 I 4 7l0l
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,1EI{fiE25sn 3:SE
Reel
Lane
Lane
By:
Records
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