HomeMy WebLinkAboutPermit Building 1996-08-02SPIIII{GFIELO
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RESIDENTIAIJ PERI,IIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVTSION
BUILDTNG SAFETY
a
Office:
Inspection Line:
Page 1
ilob Number: 96L026
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 2112 5TH ST
Assessors l"tap #: L7032621,
Lot: BLock:
726 -37 59
726 -37 69
Tax Lot #: 05100
Subdivision:
OwneT: MICIIAEL EATON
Address: 2LL2 sTH STREET
Describe l,rlork: PITCHED ROOF
Phone #: 74]--2589
ciEy/state/zi-p: SPRINGFIELD, OREGON 97477
REMODEL
ContracUor
ConEt.
Contractsor #Expirea Phone
7 4L-2689General:OWNER
QUAD AREA: 2RNW
-- oFFICE USE --
LAND USE: 1111
To request an inspection, call- the 24 hour recording aE 725-3769.
A11 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 foll-owing work day.
--- REQUTRED TNSPECTTONS ---
FRAIIING - Prior to cover.
FINAL BUfLDING - When all required inspections have been approved and
the buiLding is complete.
Item
Main
Garage
ROOF
Total Value
Building Permit Fee
Surcharge/admin
TOTAIJ FEE
--- BUILDING PERMIT ---
Square Feet x $,/square Feet
(A)
VaLue
0.00
0.00
l_, 000 . 00
l_, 000 . 00
17.50
L .4L
18. 91
(Excluding Electrical)
unless otherwige noted
TOTAT A}TOI'NT DUE - - -
(A, B, C, D, and E combined)18.91_
--- BUILDING VALUE, PI,AN CHECK A}iID BUILDING PERMIT
This permit is granted on the express condition that the said construction
shaIl, in all respects, conform to the Ordinance adopted by the City of
Springfield, including Ehe 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.
SPFINGFIELD
Job Number: 96L026
o SPfrINGFIELD,
Page 2
PIan Check Fee: 11.38
Received By: LORNE PLEGER
Plans Reviewed By: BOB BARNHART
Date Paid: o7/29/96
Date: 08/L5/95
Receipt Number: 22665
Building Site Reviewed By: LISA HOPPER
--- ADDITTONAI. COMMENTS
By signature, I Etate and agree, that I have carefully examined
the completed application and do hereby certify that all- informaEion hereon
is Erue and correct, and f further certify that any and all work performed
sha11 be done in accordance with the Ordinances of Lhe 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 wil-l- be
used on this project.
I furt,her agree Eo ensure that al-I required inspect.ions are requested at the
proper time, that. each address is readable from the sEreet, that the permit
card is located at the front of the propert,y, and the approved set of plans
will remain on the site at all times during construction.
ignature te
..- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received
Received By
2aq
K- lh- 7
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